Abstract

Abstract Although the salience of the immune system in multiple sclerosis (MS) pathology has been established, the mechanisms involved are incompletely characterized. We have identified IL-15 as a relevant contributor to MS neuropathology; a greater proportion of antigen presenting cells (APC) (B cells and myeloid cells) from MS patients express IL-15 vs. controls. Our aim is to identify factors and mechanisms that contribute to elevated IL-15 levels in the context of MS. The addition of CpG, a TLR9 agonist, to CD40L-cultured human B cells increased the proportion of IL-15+ B cells. Whereas other TLR ligands (e.g. polyI:C) did not alter B cell IL-15 levels, they nevertheless increased CD40 expression. Monocytes from MS patients and age/sex-matched healthy controls (HC) were differentiated into M0 macrophages prior to M1 or M2 polarization. M2 polarization significantly enhanced the percentage of IL-15+macrophages; in contrast, M1 polarization did not. GM-CSF, which is produced by encephalitogenic T cells, induced a major increase in the proportion of IL-15+ M0 and M1 macrophages and decreased the proportion of IL-15+ monocytes from HC and MS donors. While IL-15+ M2 macrophages from HC are increased upon GM-CSF stimulation, IL-15+ M2 from MS donors are not. GM-CSF did not alter IL-15 expression on microglia. Pharmacological inhibitors of STAT5 (Pimozide) and JAK2 (AG490) phosphorylation decreased the GM-CSF-induced increase of IL-15 on M0 macrophages. Thus, GM-CSF is a potent trigger for IL-15 expression on human M0, M1 and M2 macrophages, but not monocytes or microglia. Our data suggest that specific stimuli mediate IL-15 expression on human APC and that cells from MS donors exhibit altered susceptibility to IL-15 modulators compared to HC.

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