Abstract

Abstract We have discovered that administration of pertussis toxin as an adjuvant during induction of experimental autoimmune encephalomyelitis (EAE) in SJL mice results in a more severe first EAE wave, but fewer, milder and later relapses than if pertussis toxin is not used. This finding is inconsistent with the widely-accepted epitope spreading hypothesis, which predicts more severe relapses resulting from more severe tissue damage in the first wave. EAE in SJL mice immunized with PLP139-151/CFA is the mouse model which most closely resembles human remitting/relapsing multiple sclerosis. EAE develops in 90-100% of immunized mice 10-15 days after immunization. The first wave of EAE lasts several days and most mice recover from it. After a disease-free period from one day to several months, most mice relapse. 50-75% of mice develop a relapse during the first 6 weeks after immunization. It is not clear why relapses develop. It is widely accepted that relapses result from epitope spreading - new immune responses to epitopes of self antigens other than the PLP139-151. It is believed that tissue damage from the initial immune response allows “presentation” of new epitopes to auto-reactive T cells. Our findings appear to conflict with this hypothesis. Potential mechanisms of relapse suppression by pertussis toxin will be discussed.

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