Abstract

BackgroundAccumulating evidence has pointed that T helper 17 cells and their cytokines are pathogenic in Guillain–Barré syndrome (GBS). However, little is known concerning the IL‐17 expression change trend during the whole course of disease, and whether drugs specially targeting Th17 cells or their cytokines have potential effects on experimental autoimmune neuritis (EAN) is uncertain.MethodsWe explored the IL‐17 and receptor‐related orphan receptor‐gamma‐t (RORγt) expression change trends in EAN rats to identify the stage of effect of Th17 pathway in EAN, and further, we investigated the effect of RORγt inhibitors by assessing clinical score, histological staining, and IL‐17 and RORγt expression change trends in serum and tissues.ResultsThe expression level of IL‐17 and RORγt in serum and tissues increased with the progression of the disease in the EAN group and decreased after the disease reaching its peak. RORγt‐IN‐1 treatment strikingly reduced the neurological deficits by ameliorating inflammatory cell infiltration, deceased the serum IL‐17 and RORγt levels, and further downregulated the expression of IL‐17 and RORγt mRNA in spleen, lymphnodes, and sciatic nerve.ConclusionsTh17 cells and their cytokines are closely associated with the onset of GBS and the novel RORγt inhibitors may be prospective strategies in treating GBS.

Highlights

  • Guillain–Barré syndrome (GBS) is a heterogeneous, immune-mediated illness that afflicts the peripheral nervous system (Doorn, Ruts, & Jacobs, 2008)

  • RORγt-IN-1-treated group displayed fewer localized inflammatory cells and less severe demyelination than the DMSO control group and the negative control group. These data indicated that the mild experimental autoimmune neuritis (EAN) clinical scores in the groups of RORγt-IN-1 administration were associated with the decreased numbers of inflammatory cells in the PNS (Figure 5)

  • The similar pattern was observed for RORγt mRNA, with RORγt-IN-1 treatment strikingly decreasing the expression of RORγt mRNA in spleen, lymphnode, and sciatic nerve (p < .001, p < .001, and p < .001, respectively; Figure 6)

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Summary

| INTRODUCTION

Guillain–Barré syndrome (GBS) is a heterogeneous, immune-mediated illness that afflicts the peripheral nervous system (Doorn, Ruts, & Jacobs, 2008). Compared with the rats in control group, the expression of IL-17 and RORγt mRNA at the peak time in spleen (p < .01 and p < .001, respectively), lymph node (p < .01, p < .001 respectively), and sciatic nerve (p < .01 and p < .001, respectively) of the EAN group rats dramatically increased (Figure 3). The rats in RORγt-IN-1-treated group exhibited significantly lower clinical scores from day 10 p.i. compared with the rats in control EAN group (p < .01; Figure 4b). Both IL-17 and RORγt in serum at 14, 17, and 28 day p.i. were significantly lower in RORγt-IN-1-treated rats when compared with control EAN rats (IL-17: p < .01, p < .01, and p < .01, respectively; RORγt: p < .01, p < .01, and p < .01, respectively)

| DISCUSSION
Findings
| CONCLUSIONS
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