Rapamycin inhibits relapsing experimental autoimmune encephalomyelitis by both effector and regulatory T cells modulation
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Rapamycin inhibits relapsing experimental autoimmune encephalomyelitis by both effector and regulatory T cells modulation. / Esposito, Marianna; Ruffini, Francesca; Bellone, Matteo; Gagliani, Nicola; Battaglia, Manuela; Martino, Gianvito; Furlan, Roberto.
In: J NEUROIMMUNOL, Vol. 220, No. 1-2, 30.03.2010, p. 52-63.Research output: SCORING: Contribution to journal › SCORING: Journal article › Research › peer-review
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TY - JOUR
T1 - Rapamycin inhibits relapsing experimental autoimmune encephalomyelitis by both effector and regulatory T cells modulation
AU - Esposito, Marianna
AU - Ruffini, Francesca
AU - Bellone, Matteo
AU - Gagliani, Nicola
AU - Battaglia, Manuela
AU - Martino, Gianvito
AU - Furlan, Roberto
N1 - Copyright 2010 Elsevier B.V. All rights reserved.
PY - 2010/3/30
Y1 - 2010/3/30
N2 - Rapamycin is an oral immunosuppressant drug previously reported to efficiently induce naturally occurring CD4(+)CD25(+)FoxP3(+) regulatory T ((n)T(reg)) cells re-establishing long-term immune self-tolerance in autoimmune diseases. We investigated the effect of rapamycin administration to SJL/j mice affected by PLP(139-151)-induced relapsing-remitting experimental autoimmune encephalomyelitis (RR-EAE). We found that oral or intraperitoneal treatment at the peak of disease or at the end of the first clinical attack, dramatically ameliorated the clinical course of RR-EAE. Treatment suspension resulted in early reappearance of disease. Clinical response was associated with reduced central nervous system demyelination and axonal loss. Rapamycin induced suppression of IFN-gamma, and IL-17 release from antigen-specific T cells in peripheral lymphoid organs. While CD4(+)FoxP3(+) cells were unaffected, we observed disappearance of CD4(+)CD45RB(high) effector T (T(eff)) cells and selective expansion of T(reg) cells bearing the CD4(+)CD45RB(low)FoxP3(+)CD25(+)CD103(+) extended phenotype. Finally, the dual action of rapamycin on both T(eff) and T(reg) cells resulted in modulation of their ratio that closely paralleled disease course. Our data show that rapamycin inhibits RR-EAE, provide evidence for the immunological mechanisms, and indicate this compound as a potential candidate for the treatment of multiple sclerosis.
AB - Rapamycin is an oral immunosuppressant drug previously reported to efficiently induce naturally occurring CD4(+)CD25(+)FoxP3(+) regulatory T ((n)T(reg)) cells re-establishing long-term immune self-tolerance in autoimmune diseases. We investigated the effect of rapamycin administration to SJL/j mice affected by PLP(139-151)-induced relapsing-remitting experimental autoimmune encephalomyelitis (RR-EAE). We found that oral or intraperitoneal treatment at the peak of disease or at the end of the first clinical attack, dramatically ameliorated the clinical course of RR-EAE. Treatment suspension resulted in early reappearance of disease. Clinical response was associated with reduced central nervous system demyelination and axonal loss. Rapamycin induced suppression of IFN-gamma, and IL-17 release from antigen-specific T cells in peripheral lymphoid organs. While CD4(+)FoxP3(+) cells were unaffected, we observed disappearance of CD4(+)CD45RB(high) effector T (T(eff)) cells and selective expansion of T(reg) cells bearing the CD4(+)CD45RB(low)FoxP3(+)CD25(+)CD103(+) extended phenotype. Finally, the dual action of rapamycin on both T(eff) and T(reg) cells resulted in modulation of their ratio that closely paralleled disease course. Our data show that rapamycin inhibits RR-EAE, provide evidence for the immunological mechanisms, and indicate this compound as a potential candidate for the treatment of multiple sclerosis.
KW - Animals
KW - Antigens, Differentiation, T-Lymphocyte
KW - Antigens, Surface
KW - Disease Models, Animal
KW - Drug Administration Routes
KW - Encephalomyelitis, Autoimmune, Experimental
KW - Female
KW - Immune Tolerance
KW - Immunosuppressive Agents
KW - Interferon-gamma
KW - Interleukin-17
KW - Mice
KW - Multiple Sclerosis, Relapsing-Remitting
KW - Myelin Proteolipid Protein
KW - Peptide Fragments
KW - Phenotype
KW - Secondary Prevention
KW - Sirolimus
KW - T-Lymphocytes, Regulatory
KW - Treatment Outcome
KW - Journal Article
KW - Research Support, Non-U.S. Gov't
U2 - 10.1016/j.jneuroim.2010.01.001
DO - 10.1016/j.jneuroim.2010.01.001
M3 - SCORING: Journal article
C2 - 20149931
VL - 220
SP - 52
EP - 63
JO - J NEUROIMMUNOL
JF - J NEUROIMMUNOL
SN - 0165-5728
IS - 1-2
ER -