IL-17A is associated with the breakdown of the blood-brain barrier in relapsing-remitting multiple sclerosis

IL-17A is associated with the breakdown of the blood-brain barrier in relapsing-remitting multiple sclerosis
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DOI:
10.1016/j.jneuroim.2019.04.011
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发表时间:
2019-07-15
影响因子:
3.3
通讯作者:
Townsend, Michael J.
Townsend, Michael J.
中科院分区:
医学4区
文献类型:
--
作者:
Setiadi, A. Francesca;Abbas, Alexander R.;Townsend, Michael J.

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IL-17与多发性硬化症(MS)的发病机制有关。本研究表明,阻断IL-17A而非IL-17F可减轻实验性自身免疫性脑脊髓炎(EAE)。我们进一步发现,复发-缓解型多发性硬化症(RRMS)患者脑脊液中IL-17A水平升高,并且与脑脊液/血清白蛋白商(Qalb)相关,后者是衡量血脑屏障(BBB)功能障碍的指标。然后,我们证明了IL-17A和IL-6的结合降低了血脑屏障细胞系hCMEC/D3中紧密连接(TJ)相关基因的表达,并破坏了单层完整性。然而,与IL-17A不同,RRMS患者CSF中的IL-6与Qalb无关。这些数据强调了靶向IL-17A在保持RRMS血脑屏障完整性方面的潜在重要性。
IL-17 has been implicated in the pathogenesis of multiple sclerosis (MS). Here, we show that blockade of IL-17A, but not IL-17F, attenuated experimental autoimmune encephalomyelitis (EAE). We further show that IL-17A levels were elevated in the CSF of relapsing-remitting MS (RRMS) patients and that they correlated with the CSF/serum albumin quotient (Qalb), a measure of blood-brain barrier (BBB) dysfunction. We then demonstrated that the combination of IL-17A and IL-6 reduced the expression of tight junction (TJ)-associated genes and disrupted monolayer integrity in the BBB cell line hCMEC/D3. However, unlike IL-17A, IL-6 in the CSF from RRMS patients did not correlate with Qalb. These data highlight the potential importance of targeting IL-17A in preserving BBB integrity in RRMS.