Inhibition of endogenous activated protein C attenuates experimental autoimmune encephalomyelitis by inducing myeloid-derived suppressor cells.
Inhibition of endogenous activated protein C attenuates experimental autoimmune encephalomyelitis by inducing myeloid-derived suppressor cells.
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DOI:
10.4049/jimmunol.1202556
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发表时间:
2013-10-01
期刊:
影响因子:
--
通讯作者:
Bynoe MS
中科院分区:
文献类型:
--
作者:
Alabanza LM;Esmon NL;Esmon CT;Bynoe MS
Activated protein C (APC) is an anti-coagulant involved in the interactions between the coagulation and immune systems. APC has broad anti-inflammatory effects mediated through its ability to modulate leukocyte function and confer vascular barrier protection. We investigated the influence of APC on the pathogenesis of experimental autoimmune encephalomyelitis (EAE), the animal model for multiple sclerosis. We modulated APC levels in the circulation during EAE induction through systemic administration of a monoclonal antibody against protein C/APC (anti-PC). We initially hypothesized that inhibition of APC may result in a heightened inflammatory environment leading to increased EAE pathogenesis. Contrary to this hypothesis, mice treated with anti-PC antibody exhibited attenuated EAE. Interestingly, despite reduced disease severity and minimal pathogenic conditions in the CNS, anti-PC mice exhibited considerable leukocyte infiltration in the brain, comparable to control mice with severe EAE. Furthermore, CD4+ T-cells were diminished in the periphery of anti-PC mice while various CD11b+ populations were increased, notably the myeloid-derived suppressor cells (MDSC), a CD11b+ subset characterized as potent T-cell suppressors. MDSCs from anti-PC mice exhibited increased expression of T-cell-suppressive factors and effectively inhibited T-cell proliferation. Overall, our findings show that APC inhibition affected EAE pathogenesis at multiple fronts; specifically, increasing vascular barrier permeability, as evidenced by considerable leukocyte infiltration in the brain. APC inhibition, additionally, modulated the functional responses of CD11b+ cells leading to the expansion and increased activation of MDSCs, which are suppressive to the CD4+ T-cells required for EAE progression, thereby resulting in attenuated EAE.
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