Multiple sclerosis (MS) is an autoimmune disease that affects ≈ 400,000 people in the US. It is a chronic, disabling disease with no cure, and the current treatment includes use of immunosuppressive drugs that often exhibit toxic side effects. Thus, there is a pressing need for alternate and more effective treatment strategies that target the components of inflammatory cells. In recent years, regulatory T-cells (Tregs) have been found to play an important role in preventing the development of autoimmunity. Thus, expansion of Tregs in vivo has the therapeutic potential against autoimmune diseases. Because Tregs constitutively express IL-2 receptors (IL-2Rs), we tested the effect of administration of IL-2 on the development of experimental autoimmune encephalomyelitis (EAE), a murine model of multiple sclerosis (MS). We used IL-2 both before (pre-treatment) or after (post-treatment) immunization with myelin oligodendrocyte glycoprotein (MOG35-55) peptide to induce EAE. The data demonstrated that pre-treatment with a moderate dose of IL-2 caused significant amelioration of EAE. Tissue histopathology of the central nervous system also confirmed the effectiveness of IL-2 pre-treatment by decreasing cellular infiltration in the spinal cord and preserving tissue integrity. IL-2 pretreatment expanded Treg cells while preventing the induction of Th17 during EAE development. In contrast, post-treatment with IL-2 failed to suppress EAE despite induction of Tregs. Together, these studies demonstrate that while expansion of Tregs using IL-2, prior to immunization or the onset of disease, can suppress the immune response, their role is limited after the antigen-specific response is triggered. Because IL-2 is used to treat certain types of cancers, and Tregs have applications in preventing the rejection of transplants, our studies also provide useful information on the use and limitations of Tregs in such clinical manifestations.

译文

多发性硬化症 (MS) 是一种自身免疫性疾病,在美国影响约400,000人。这是一种无法治愈的慢性致残疾病,目前的治疗方法包括使用通常表现出毒副作用的免疫抑制药物。因此,迫切需要针对炎性细胞成分的替代且更有效的治疗策略。近年来,已发现调节性T细胞 (Tregs) 在阻止自身免疫的发展中起重要作用。因此,在体内扩展treg具有抗自身免疫性疾病的治疗潜力。由于Tregs组成性表达IL-2受体 (IL-2Rs),因此我们测试了IL-2给药对实验性自身免疫性脑脊髓炎 (EAE) (多发性硬化症 (MS) 的鼠模型) 发展的影响。我们在用髓磷脂少突胶质细胞糖蛋白 (MOG35-55) 肽免疫之前 (治疗前) 或之后 (治疗后) 使用IL-2诱导EAE。数据表明,用中等剂量的IL-2进行预处理可显着改善EAE。中枢神经系统的组织组织病理学也通过减少脊髓中的细胞浸润并保持组织完整性来证实IL-2预处理的有效性。IL-2预处理扩增Treg细胞,同时阻止EAE发育过程中Th17的诱导。相反,尽管诱导了Tregs,但IL-2的后处理未能抑制EAE。总之,这些研究表明,虽然在预防接种疾病发作之前使用IL-2扩展treg可以抑制免疫应答,但在触发抗原特异性应答后,它们的作用是有限的。由于IL-2用于治疗某些类型的癌症,并且Tregs在预防移植排斥方面具有应用,因此我们的研究还提供了有关Tregs在此类临床表现中的使用和局限性的有用信息。

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