Differential effects of treatment with a small-molecule VLA-4 antagonist before and after onset of relapsing EAE
Autor: | Cheryl Nickerson-Nutter, Bradley E. Theien, Eric T. Whalley, Carol L. Vanderlugt, Daniel Scott, Stuart J. Perper, Mark Cornebise, Stephen D. Miller |
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Rok vydání: | 2003 |
Předmět: |
Central Nervous System
Proteolipid protein 1 Encephalomyelitis Autoimmune Experimental Exacerbation Encephalomyelitis Immunology Molecular Sequence Data Vascular Cell Adhesion Molecule-1 Mice Inbred Strains Integrin alpha4beta1 medicine.disease_cause Biochemistry Drug Administration Schedule Autoimmunity Mice Multiple Sclerosis Relapsing-Remitting Antigen Recurrence medicine Cell Adhesion Animals Humans Amino Acid Sequence Myelin Proteolipid Protein Autoimmune disease business.industry Multiple sclerosis Phenylurea Compounds Experimental autoimmune encephalomyelitis Cell Biology Hematology Th1 Cells medicine.disease Peptide Fragments Chemotaxis Leukocyte Disease Models Animal Blood-Brain Barrier Disease Progression Female business Oligopeptides |
Zdroj: | Blood. 102(13) |
ISSN: | 0006-4971 |
Popis: | Interaction of very late antigen-4 (VLA-4) with its ligand vascular cell adhesion molecule-1 (VCAM-1) is required for central nervous system (CNS) migration of encephalitogenic T cells in relapsing experimental autoimmune encephalomyelitis (R-EAE). Anti-VLA-4 monoclonal antibody (mAb) treatment prior to EAE onset inhibits disease induction; however, treatment initiated after the appearance of clinical symptoms increases relapse rates, augments Th1 responses, and enhances epitope spreading perhaps due to the activation of costimulatory signals. To negate the potential costimulatory activity of intact anti-VLA-4, we examined the ability of BIO 5192, a small-molecule VLA-4 antagonist, to regulate active proteolipid protein 139-151 (PLP139-151)-induced R-EAE. BIO 5192 administered one week after peptide priming (ie, before clinical disease onset) delayed the clinical disease onset but led to severe disease exacerbation upon treatment removal. BIO 5192 treatment initiated during disease remission moderately enhanced clinical disease while mice were on treatment and also resulted in posttreatment exacerbation. Interestingly, BIO 5192 treatment begun at the peak of acute disease accelerated entrance into disease remission and inhibited relapses, but treatment removal again exacerbated disease. Enhanced disease was caused by the release of encephalitogenic cells from the periphery and the rapid accumulation of T cells in the CNS. Collectively, these results further demonstrate the complexity of VLA-4/VCAM interactions, particularly in a relapsing-remitting autoimmune disease. (Blood. 2003;102:4464-4471) |
Databáze: | OpenAIRE |
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