International Immunology Advance Access originally published online on January 30, 2007
International Immunology 2007 19(3):277-285; doi:10.1093/intimm/dxl144
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Induction of EAE by T cells specific for alpha B-crystallin depends on prior viral infection in the CNS
1 Department of Biosciences, TNO Quality of Life, PO Box 2215, 2301 CE Leiden, The Netherlands
2 Laboratory of Molecular and Developmental Biology, National Eye Institute, National Institutes of Health, Bethesda, MD, USA
3 Department of Immunobiology, Biomedical Primate Research Center, PO Box 3306, 2280 GH Rijswijk, The Netherlands
Correspondence to: J. M. van Noort; E-mail: hans.vannnoort{at}tno.nl
| Abstract |
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While myelin-reactive T cells are widely believed to play a pathogenic role in multiple sclerosis (MS), no substantial differences appear to exist in T-cell responses to myelin antigens between MS patients and healthy subjects. As an example, indistinguishable peripheral T-cell responses and serum antibody levels have been found in MS patients and healthy controls to alpha B-crystallin, a dominant antigen in MS-affected brain myelin. This suggests that additional factors are relevant in allowing myelin-reactive T cells to become pathogenic. In this study, we examined whether the inflammatory state of the CNS is relevant to the pathogenicity of alpha B-crystallin-specific T cells in mice. In normal mice, T-cell responses against alpha B-crystallin are limited by robust immunological tolerance. Reactive T cells were therefore generated in alpha B-crystallin-deficient mice, and these T cells were transferred into C57BL/6 recipients. While such a transfer in itself never induced any clinical signs of experimental autoimmune encephalomyelitis (EAE) in healthy recipient mice, acute EAE could be induced in animals that had been infected 7 days before with the avirulent A7(74) strain of Semliki Forest virus (SFV). SFV infection alone did not induce clinical disease, nor did it alter the expression levels of the target antigen. Our findings indicate that at least in mice, alpha B-crystallin-specific T cells can trigger EAE but only when prior viral infection has induced an inflammatory state in the CNS that helps recruit and activate T cells.
Keywords: alpha B-crystallin, EAE, MS, SFV, T cells
| Introduction |
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Multiple sclerosis (MS) is a chronic neurodegenerative disease characterized by foci of inflammation throughout the CNS, predominantly in white matter. At these inflamed sites, immune responses are believed to be directed against myelin proteins, a notion that is supported by a wealth of animal model data (1, 2). While this autoimmune paradigm of MS remains well accepted, no substantial differences have been documented so far between peripheral myelin-reactive T-cell repertoires in MS patients and healthy control subjects (1). As an example, the human T-cell response to myelin from MS-affected brains is predominantly directed against alpha B-crystallin, reflecting a significant pro-inflammatory memory T-cell repertoire against this protein in humans (35). Yet, both T-cell and antibody responses to this protein are very similar in patients and controls (3, 6). The apparent lack of any difference in the myelin-reactive T-cell repertoire in MS patients as compared with healthy controls appears to be at odds with the widely held notion that such T cells are the major pathogenic factor in disease.
One possible explanation for this apparent dilemma has been offered by the idea of determinant spreading (7). In this concept, continuously changing pathogenic autoimmune specificities are considered to be the driving force behind chronic autoimmune disease. Based on this concept, one would not necessarily expect antigen-specific differences to emerge from cross-sectional studies between groups of MS patients and controls. After all, the pathogenic antigen or epitope may be continuously different among patients, with obvious consequences for potential antigen-specific therapies (8). However suitable this may seem to explain the above dilemma, the direct evidence for pathogenic determinant spreading of myelin-directed T-cell responses in chronic MS patients is still weak (9). This contrasts with the clear documentation of the determinant spreading phenomenon in animal model studies that equally use peripheral T-cell reactivity as the primary read-out. Also, recent data indicate that spreading responses may not necessarily be pathogenic even in traditional models of experimental autoimmune encephalomyelitis (EAE), since tolerance induction for these spreading responses does not inhibit clinical relapses while tolerance for the initiating antigen does (10).
Another possible explanation would be that autoreactive T cells may very well exist in a harmless state also in healthy subjects since they would crucially depend on bystander activity to become pathogenic (11). In this view, peripheral autoimmune T-cell repertoires might in principle be very similar in patients versus controls, with the critical difference being the inflammatory state and bystander activation potential of the target organ. The notion that only the target organ would allow an autoimmune repertoire to become pathogenic would also effectively explain the rather strict organ specificity of the disease process in MS.
In this study, we therefore examined whether the inflammatory state of the CNS has any impact on the ability of alpha B-crystallin-specific T cells to become pathogenic in mice. Modulation of this inflammatory state was performed either by neurotropic infection or by induction of chronic-relapsing EAE. To establish subclinical neurotropic infection in C57BL/6 mice, we used the avirulent A7(74) strain of Semliki Forest virus (SFV). The course of this infection, especially in C57BL/6 and Biozzi ABH mice used in the current study, and the pathological and immunological changes associated with SFV infection are very well documented (1217). In our experimental approach, we had to accommodate the fact that, unlike humans, most strains of rodents express high levels of alpha B-crystallin in lymphoid organs, and are thus tolerant to the protein (4, 18). To generate T cells to alpha B-crystallin that could be used for adoptive transfer studies, we therefore used alpha B-crystallin-deficient mice. As an alternative approach, we also examined active immunization against alpha B-crystallin in a background of chronic EAE in Biozzi ABH mice. This is the only strain of mice known to us in which thymic expression of the antigen is lacking, allowing at least some response to the antigen (19).
Our data indicate that transfer of highly reactive T cells against alpha B-crystallin into healthy recipient mice does not induce disease, but when performed 7 days after SFV infection, does trigger acute EAE. SFV itself neither induced disease nor altered the levels of alpha B-crystallin in the CNS. Active immunization in SFV-infected Biozzi ABH mice or in mice with ongoing EAE did not induce EAE, although some signs of disease were observed in the infected animals. Our data thus indicate that T cells against alpha B-crystallin remain silent in healthy animals but can induce acute encephalomyelitis in animals that suffer from subclinical virus-induced inflammation in the CNS. These findings support the idea that an inflammatory state of the target organ, rather than any difference in the peripheral autoimmune repertoire, may be a distinctive factor in the development of autoimmune demyelination.
| Methods |
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Mice
C57BL/6 mice were bred at TNO Quality of Life, Leiden and 129SvJ alpha B-crystallin/ mice were constructed at the National Eye Institute, National Institutes of Health, Bethesda, MD, USA (20) and bred at TNO. Biozzi ABH mice were bred at the Biomedical Primate Research Center, Rijswijk, The Netherlands. SJL/J mice were obtained from Janvier (Bioservices, Schuijk, The Netherlands). All animals were kept under pathogen-free conditions and used between the ages of 814 weeks. All animals were used with the formal approval of the local Ethical committee.
SFV A7(74) propagation and titration
SFV A7(74) titers were determined by plaque assays using a monolayer of baby hamster kidney-21 (BHK-21) cells. First, BHK-21 cells were seeded in six-well plates at a concentration of 4 x 106 cells ml1 (5 ml per well) in RPMI-1640 supplemented with 100 U ml1 penicillin, 100 µg ml1 streptomycin, 10 mM glutamax and 2% (v/v) FCS (BHK culture medium). After 2 days, the sub-confluent layer was washed and serial dilutions of SFV in 200 µl in BHK culture medium were supplemented with 20 mM HEPES buffer pH 7.4. After 30 min at room temperature, virus was removed and the cells were overlaid with 1% agar in BHK culture medium. After 2 days, the agar was removed and cells were fixed with 10% formaldehyde for 10 min at room temperature and stained with 0.1% toluidine blue to reveal plaques. Virus titers of the stock used in the present study were 1.5 x 108 plaque-forming units (PFUs) per ml.
Induction of EAE
Active EAE in Biozzi mice was induced by immunizing mice subcutaneously with 1 mg murine total spinal cord homogenate (SCH) in CFA on days 0 and 7. On the day of immunization and again 24 h later, mice were injected intravenously with 20 ng pertussis toxin (Sigma, Poole, UK).
Passive induction of EAE was conducted by transfer of 40 x 106 mixed splenocytes and lymphocytes directed against alpha B-crystallin or proteolipid protein (PLP)139151. T cells against alpha B-crystallin were generated in alpha B-crystallin/ mice, since normal rodents are fully tolerant for the antigen. T cells reactive to a peptide representing amino acids 139151 of PLP were generated in SJL mice. Mice were immunized subcutaneously with 100 µg recombinant mouse alpha B-crystallin or PLP139151 emulsified in CFA containing 1 mg ml1 Mycobacterium tuberculosis H37RA (Difco Laboratories, Detroit, MI, USA). Ten days after immunization, spleen, auxiliary and inguinal lymph nodes were collected and cultured in RPMI-1640 (BioWhittaker, Verviers, Belgium) supplemented with 100 U ml1 penicillin, 100 µg ml1 streptomycin, 50 µM 2-mercapthoethanol, 10 mM glutamax, 5% (v/v) FCS (BioWhittaker) and 10 µg ml1 recombinant mouse alpha B-crystallin or PLP139151. Total splenocytes and lymphocytes were cultured for 96 h before transfer into recipient mice. Control T cells against sperm whale myoglobin (Serva, Heidelberg, Germany) were obtained in the same way as alpha B-crystallin-reactive T cells. We used alpha B-crystallin-deficient mice (H2b) as donors of alpha B-crystallin-reactive T cells and wild-type C57BL/6 (H2b) mice as recipient mice.
As controls for the transfer studies, we used SJL/J mice as both donor and recipients of PLP(139151)-specific T cells. Mice were examined daily for clinical signs of EAE and scored as follows: grade 0, no clinical signs; grade 0.5, partial tail paralysis; grade 1, complete tail paralysis; grade 2, limb weakness or spastic limbs; grade 3, complete hind or front limb paralysis, and grade 5, death.
T-cell transfer into SFV-infected animals
Prior to transfer of alpha B-crystallin specific T cells, C57BL/6 mice were infected by intra-peritoneal administration of 500010 000 PFU of the avirulent strain A7(74) of SFV suspended in PBS. On days 3, 7, 10, 14 or 21 after SFV infection, 40 x 106 alpha B-crystallin-reactive T cells were transferred intravenously into recipient C57BL/6 mice. Mice that served as controls received either PBS or myoglobin-reactive T cells intravenously. Mice were examined daily for clinical signs of EAE.
T-cell response assays
To test the reactivity of T cells isolated from spleen or auxiliary and inguinal lymph nodes, T cells were seeded at 1 x 105 cells per well in the presence of 2 x 105 syngeneic irradiated (30 Gy) splenocytes from naive mice in 200 µl RPMI-1640 culture medium supplemented with 100 U ml1 penicillin, 100 µg ml1 streptomycin, 50 µM 2-mercapthoethanol, 10 mM glutamax and 5% (v/v) FCS. Varying doses of recombinant mouse alpha B-crystallin or PLP(139151) were added at the beginning of the culture. After 72 h of culture, 100 µl of supernatant was removed for cytokine analysis and the cells were cultured for another 18 h in the presence of 20 Kbq [3H]-thymidine ([3H]TdR). Incorporation of [3H]TdR was measured using a betaplate counter (PerkinElmer, Turku, Finland). IFN-gamma in culture supernatants was determined using a commercially available ELISA kit (PharMingen, San Diego, CA, USA) according to the protocol recommended by the manufacturer.
Western blot analysis
Brains and spinal cords were isolated from mice, homogenized in milliQ-water and lyophilized. Myelin proteins were delipidated as previously described (3) and subjected to standard SDSPAGE by loading 80 µg of each sample onto a 15% (w/v) gradient polyacrylamide gel and blotted onto nitrocellulose filters. For detection of alpha B-crystallin in the samples, the murine mAb JAM01 was used (3).
| Results |
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Transfer of alpha B-crystallin-specific T cells into healthy C57BL/6 mice
To generate T cells for adoptive transfer, we used alpha B-crystallin-deficient mice that lack any form of central or peripheral tolerance to alpha B-crystallin which is routinely observed in normal rodents. Upon immunization with the antigen in CFA, alpha B-crystallin/ mice develop marked antigen-specific proliferative T-cell responses accompanied by production of IFN-gamma, which is considered a key mediator for encephalitogenic T cells (Fig. 1). In quantitative terms, proliferation of lymph node-derived or spleen-derived T cells reached stimulation indices of 1520, and released IFN-gamma into the culture medium at levels of 500 pg ml1. As a comparison, we immunized SJL mice with the PLP peptide 139151, a widely used method to induce EAE or to generate encepaholitogenic T cells for adoptive transfer. Levels of proliferation and IFN-gamma production by PLP(139151)-reactive T cells in SJL mice were fully comparable to those of the alpha B-crystallin-reactive T cells (Fig. 1). Thus, the proliferative strength and quality of the T-cell response to alpha B-crystallin obtained in knockout mice appears to be consistent with an ability to induce EAE. However, transfer of 40 x 106 activated alpha B-crystallin-specific T cells into MHC-compatible C57BL/6 mice did not induce any clinical signs of EAE over an observation period of 22 days (Fig. 2). As a control, we examined the effects of an identical transfer protocol but using 40 x 106 PLP(139151)-specific T cells transferred into SJL mice. In this case, all mice developed clinical signs of EAE 7 days after transfer (Fig 2).
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It is of obvious relevance whether or not the target antigen is present in the brain and spinal cord of C57BL/6 mice at levels potentially sufficient to reactivate T cells. Also, given the next experiment in which the effects of infection with SFV were examined, we evaluated by western blotting the expression levels of alpha B-crystallin in brains and spinal cords of recipient C57BL/6 mice both before and during SFV infection. The result, represented in Fig. 3, showed that alpha B-crystallin was expressed in normal mice at levels representing about 0.03% of total protein. While these levels are about 10 times lower than what we previously found in human brains (2), they do not provide an obvious explanation for the lack of disease induction. As an important part of the result given in Fig. 3, SFV infection did not lead to any visible change in expression levels of alpha B-crystallin over a 36-day period.
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Transfer of alpha B-crystallin-specific T cells into SFV-infected C57BL/6 mice
Before studying adoptive transfer of alpha B-crystallin-specific T cells in combination with a prior SFV infection, the effects of SFV infection alone were studied. Infection with SFV using up to 104 PFU did not induce any clinical signs of EAE over an observation period of 21 days in any of 75 mice, either C57BL/6 or 129Sv/J wild-type mice (data not shown). Even though several mice did show mild signs of viral infection such as a ruffled fur, they never developed any of the clinical signs distinctive of EAE, notably including limb weakness or spasticity. Thus, when performed separately, neither SFV infection nor transfer of alpha B-crystallin-specific T cells alone resulted in clinical signs of EAE in C57BL/6 mice.
We next studied transfer of alpha B-crystallin-specific T cells at different days after SFV infection. The days of transfer were chosen based on the well-known pathology that results from SFV infection in C57BL/6 and Biozzi ABH mice (1217). SFV-induced infiltration of leukocytes is first detected on day 3 and reaches maximum levels on day 7. This is followed by demyelination starting around day 10 and reaching its maximum between days 14 and 21. Transfer of alpha B-crystallin-reactive T cells 3 days after SFV infection resulted in clinical signs of EAE in 60% of the animals (Fig. 4A). The most severe clinical signs observed included partial tail paralysis (score 1) that emerged 3 days after transfer of T cells. These clinical signs generally lasted for 3 days. Transfer of T cells 7 days after SFV infection resulted in acute development of clinical signs varying from partial tail paralysis (score 1) to paralyzed hind limbs (score 2) or spastic hind limbs (score 2) (Fig. 5). EAE incidence following transfer reached maximum levels of 88%. The clinical signs became apparent within 24 h after transfer and often lasted for over 10 days. Yet, we observed a marked variation in the development of clinical signs between different experiments, as illustrated in Fig. 5, possibly related to the very low levels of expression of the target antigen. Clinical signs of EAE were also detected after transfer of T cells 10 days after SFV infection, but this time in only one of the two experiments (Fig. 6). In the first experiment, 25% of mice developed clinical signs of EAE within 24 h after transfer of alpha B-crystallin-specific T cells which lasted for 8 days (Fig. 6A). However, in the second experiment, no clinical signs were detected at all. Transfer of T cells at later stages on days 14 and 21 after SFV infection did not induce any EAE (data not shown).
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Control mice were also infected with SFV and subsequently received PBS on the days T-cell transfers were performed. Overall, clinical signs were observed in <8% of the animals (Figs. 4B, 5B and 6B). In all cases, clinical signs were either lower than grade 0.5 or they had already developed before injection of PBS, in which case these signs should be attributed to SFV infection only. As an additional control, transfer of myoglobin-specific T cells was performed on days 7 and 10 after infection. Like alpha B-crystallin, myoglobin is expressed at high levels inside muscle cells, but in contrast to alpha B-crystallin, it is not found anywhere in the CNS. Thus, myoglobin serves as a suitable control for possible anti-muscle autoimmune phenomena that could easily have interfered with some of the murine motor functions that are used to score EAE. In these control experiments, only a single mouse out of 24 SFV-infected mice developed mild clinical signs (score <0.5) similar to EAE. These clinical signs started 3 days after transfer of myoglobin-specific T cells, which was performed at day 7 after SFV infection, and lasted for 4 days (data not shown).
Immunization with alpha B-crystallin in ongoing EAE or in SFV-infected Biozzi ABH mice
In our experiments using active immunization, we used Biozzi ABH mice since this particular strain is only partially tolerant for alpha B-crystallin. Immunization of Biozzi mice with complete SCH is well known to induce chronic, relapsing EAE, and to lead to spreading T-cell responses to alpha B-crystallin after two relapses (19). To examine the pathogenicity of alpha B-crystallin-specific T-cell responses in a background of ongoing EAE, we first induced chronic-relapsing EAE and challenged Biozzi mice with alpha B-crystallin in CFA after the second relapse, at a time between days 42 and 64, dependent on the course of disease in individual animals. As controls, mice were immunized with ovalbumin peptide (OVA) in CFA at the same time. We found no apparent differences in clinical signs between the animals challenged with either alpha B-crystallin or OVA, and all mice showed the normal continued course of chronic-relapsing EAE (Table 1).
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Finally, the effects of active immunization were examined in a background on ongoing SFV infection, which in Biozzi ABH mice developed in ways very similar to C57BL/6 (15, 16). Immunization with alpha B-crystallin in CFA was performed at the time of SFV infection, and again 7 days later. As a control, OVA immunization was performed. In the group of 11 mice that were infected with SFV and subsequently immunized with alpha B-crystallin in CFA, one mouse died on day 11. None of the remaining mice developed the traditional clinical signs of EAE but other signs of disease were observed in four animals, including a hunched appearance, abnormal gait and increased urine production as was evident in three out of the four boxes in which the animals were kept, a common sign of either EAE or high viral titers (15) (S. Amor, unpublished data). The two control groups of mice that were only infected with SFV or infected with SFV and immunized with OVA did not develop any of these signs (Table 2). Histological examination of the brains and spinal cords from alpha B-crystallin immunized mice revealed increased cellular density in perivascular cuffs and enhanced frequency of these cuffs as compared with controls groups and the presence of activated microglia at the inflamed sites (Table 2 and Fig. 7A). These characteristics generally typify infiltrating autoreactive T cells as seen during EAE, as opposed to the less frequent and scattered appearance of T cells as the result of viral infection alone (Fig. 7B)
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| Discussion |
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In this study, we addressed the apparent discrepancy between the idea that myelin-reactive T cells are pathogenic in MS while known myelin-specific T-cell repertoires in patients appear to be not essentially different from those in healthy control subjects. We chose alpha B-crystallin as the experimental antigen of choice since this protein has previously been documented as a dominant antigen for human T cells in the context of the inflamed tissue of MS patients (3), and both T-cell and antibody repertoires against alpha B-crystallin are very similar in patients and control subjects (3, 5, 6). As the main finding of this study, our data indicate that peripheral alpha B-crystallin-specific T cells are not pathogenic in healthy mice but can trigger acute clinical signs of EAE in animals with an ongoing subclinical SFV infection in the CNS. Thus, the inflamed state of the target organ is critical for disease induction in this case.
Previous studies have clarified that virus infection in the murine CNS, including gammaherpesvirus-68 and SFV, can exacerbate EAE induced with traditional encephalitogens such as SCHs, MBP or PLP (2126). In our study, SFV infection in the CNS was shown to allow pathogenicity to develop of T cells that are not pathogenic in normal healthy animals. Since no marked changes in the expression levels of alpha B-crystallin protein were observed in brain and spinal cord over the entire monitoring period, other virus-associated factors are more likely to explain our data. As has been well documented (1217), during the normal course of SFV infection the first mononuclear cell infiltrates can be detected after 3 days and they reach maximum levels 7 days after infection. Around day 7, the bloodbrain barrier is maximally activated and expresses peak levels of several adhesion molecules including vascular cell adhesion molecule-1 and intercellular adhesion molecule-1. Also at day 7, MHC accumulates along with co-stimulatory molecules and pro-inflammatory cytokines including tumor necrosis factor-alpha, IL-1-alpha and IL-6 in the infected CNS parenchyma. Demyelination first starts on day 10, when the virus starts to become cleared from the CNS, and reaches its maximum between days 14 and 21. The consequences of adoptively transferring alpha B-crystallin-specific T cells appear to be closely linked to these stages in SFV infection. Transfer on day 3 after infection resulted in clinical signs that developed only after another 3 days, which is relatively late as compared with the effects seen on day 7 or 10. Transfer on days 7 and 10 resulted in EAE that invariably became apparent already within 24 h after transfer. Also, the highest disease incidence of 88% was recorded in our study when transfer was performed on day 7. No clinical disease could be triggered any longer after 10 days post-infection, when virus becomes cleared from the CNS, especially since expression of adhesion molecules wanes.
Alpha B-crystallin-reactive T cells have been show to develop in ongoing EAE in Biozzi mice (19). Challenging these alpha B-crystallin-reactive T cells in ongoing EAE did not augment EAE. This is in line with a recent study of Wang et al. (27) that showed that mice are resistant to active EAE induction and that transfer of alpha B-crystallin-reactive T cells neither induced passive EAE nor augmented ongoing EAE. Active EAE induction with alpha B-crystallin induced mild signs of disease only during ongoing neurotropic SFV infection, as shown in the present study. This emphasizes the importance of a microbial infection for alpha B-crystallin-reactive T cells to become encephalitogenic. Together, our data suggest that the main factor in EAE induction in our study is virus-enhanced infiltration into the CNS of alpha B-crystallin-specific T cells. In addition, local activation of infiltrated T cells will also be promoted by SFV infection. The virus induces elevated expression of MHC class II and co-stimulatory molecules on microglia. Given that alpha B-crystallin-specific T cells secrete IFN-gamma (Fig. 1), which will further activate local antigen-presenting cell functions, these factors together will likely facilitate enhanced local presentation of myelin-derived alpha B-crystallin.
The current findings appear to be in line with other reports on the effects of viral infections in experimental autoimmunity, for example, in type I diabetes, despite the fact that the role of viruses in human autoimmune diseases is still largely unresolved and may well involve effects at different levels (11). The significance of viral infections for MS has similarly remained the subject of a long-standing debate. To date, the strongest link between MS and microbial infections appears to be that with EBV. It is particularly striking that essentially all MS patients are seropositive for the virus, and that antiviral antibody levels closely correlate with the risk for disease (28). The target antigen in our study, alpha B-crystallin, is in turn associated with EBV infection since, at least in vitro, EBV infection of human B cells triggers de novo expression of alpha B-crystallin and its MHC class II-associated presentation to T cells (4). In view of the fact that the human immune system is naturally non-tolerant towards alpha B-crystallin, common EBV infection could conceivably explain the establishment of a peripheral memory T-cell and IgG antibody repertoire as generally seen in normal human adults (46). Our data show that at least in mice such an autoimmune repertoire can very well remain silent in healthy individuals. Yet, it will pose risks upon development of CNS inflammation that triggers recruitment and local activation of the potentially reactive peripheral T-cell repertoire. No evidence was found in the current study that SFV infection of mice leads to any elevated local expression of the target antigen alpha B-crystallin, despite it being a heat shock protein. In humans, however, where basal levels of the protein in brains are already much higher, enhanced expression of alpha B-crystallin has been demonstrated in human oligodendrocytes and myelin at the earliest stages of an MS lesion [3, 5]. The trigger for this induction remains unknown but may well include a second infectious event, or other factors such as primary oligodendrocyte apoptosis (29), which has recently been shown to occur as an early event in at least in some MS cases (30). When taken together, our current data indicate that while a peripheral autoimmune T-cell repertoire could well be a stable factor among patients and healthy controls, local pro-inflammatory factors in the CNS such as those induced in mice by SFV may be equally crucial in allowing clinical autoimmune disease to develop.
| Abbreviations |
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| BHK, baby hamster kidney |
| EAE, experimental autoimmune encephalomyelitis |
| [3H]TdR, [3H]-thymidine |
| MS, multiple sclerosis |
| OVA, ovalbumin peptide |
| PFU, plaque-forming unit |
| PLP, proteolipid protein |
| SCH, spinal cord homogenate |
| SFV, Semliki Forest virus |
| Notes |
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Transmitting editor: L. Steinman
Received 22 May 2006, accepted 20 December 2006.
| References |
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- Prat A and Antel J. (2005) Pathogenesis of multiple sclerosis. Curr. Opin. Neurol. 18:225.[Web of Science][Medline]
- Steinman L and Zamvil SS. (2005) Virtues and pitfalls of EAE for the development of therapies for multiple sclerosis. Trends Immunol. 26:565.[CrossRef][Web of Science][Medline]
- Van Noort JM, van Sechel AC, Bajramovic JJ, et al. (1995) The small heat-shock protein alpha B-crystallin as candidate auto-antigen in multiple sclerosis. Nature 375:798.[CrossRef][Medline]
- Van Sechel AC, Bajramovic JJ, Van Stipdonk MJB, Persoon-Deen C, Geutskens S, Van Noort JM. (1999) Epstein-Barr virus-induced expression and HLA-DR-restricted presentation by human B cells of alpha B-crystallin, a candidate autoantigen in multiple sclerosis. J. Immunol. 162:129.
[Abstract/Free Full Text] - van Noort JM, Bajramovic JJ, Plomp AC, van Stipdonk MJ. (2000) Mistaken self, a novel model that links microbial infections with myelin-directed autoimmunity in multiple sclerosis. J. Neuroimmunol. 105:46.[CrossRef][Web of Science][Medline]
- Van Noort JM, Nottelman L, Verbeek R, Meilof JF, Polman CH, Amor S. (2006) Autoantibodies against alpha B-crystallin, a candidate autoantigen in multiple sclerosis, are part of a normal human immune repertoire. Mult. Scler. 12:287.
[Abstract/Free Full Text] - Vanderlugt CJ and Miller SD. (1996) Epitope spreading. Curr. Opin. Immunol. 8:831.[CrossRef][Web of Science][Medline]
- Fountoura P, Garren H, Steinman L. (2005) Antigen-specific therapies in multiple sclerosis: going beyond proteins and peptides. Int. Rev. Immunol. 24:415.[CrossRef][Web of Science][Medline]
- Goebels N, Hofstetter H, Schmidt S, Brunner C, Wekerle H, Hohlfeld R. (2000) Repertoire dynamics of autoreactive T cells in multiple sclerosis patients and healthy subjects: epitope spreading versus clonal persistence. Brain 123:508.
[Abstract/Free Full Text] - Smith PA, Morris-Downes M, Heijmans N, et al. (2005) Epitope spread is not critical for the relapse and progression of MOG 8-21 induced EAE in Biozzi ABH mice. J. Neuroimmunol. 164:76.[CrossRef][Web of Science][Medline]
- Von Herrath MG, Fujinami RS, Whitton RL. (2003) Microorganisms and autoimmunity: making the barren field fertile? Nat. Rev. Microbiol. 1:151.[CrossRef][Web of Science][Medline]
- Parsons LM and Webb HE. (1982) Blood brain barrier disturbance and immunoglobulin G levels in the cerebrospinal fluid of the mouse following peripheral infection with the demyelinating strain of Semliki Forest virus. J. Neurol. Sci. 57:307.[CrossRef][Web of Science][Medline]
- Soilu-Hanninen M, Eralinna JP, Hukkanen V, Roytta M, Salmi AA, Salonen R. (1994) Semliki Forest virus infects mouse brain endothelial cells and causes blood-brain barrier damage. J. Virol. 68:6291.
[Abstract/Free Full Text] - Mokhtarian F, Wesselingh SL, Choi S, et al. (1996) Production and role of cytokines in the CNS of mice with acute viral encephalomyelitis. J. Neuroimmunol. 66:11.[CrossRef][Web of Science][Medline]
- Morris MM, Dyson H, Baker D, Harbige LS, Fazakerley JK, Amor S. (1997) Characterization of the cellular and cytokine response in the central nervous system following Semliki Forest virus infection. J. Neuroimmunol. 74:185.[CrossRef][Web of Science][Medline]
- Smith JP, Morris-Downes M, Brennan FR, Wallace GJ, Amor S. (2000) A role for alpha4-integrin in the pathology following Semliki Forest virus infection. J. Neuroimmunol. 106:60.[CrossRef][Web of Science][Medline]
- Fazakerley JK. (2002) Pathogenesis of Semliki Forest virus encephalitis. J. Neurovirol. Suppl. 2:6674.
- van Stipdonk MJ, Willems AA, Verbeek R, Boog CJ, van Noort JM. (2000) T- and B-cell nonresponsiveness to self-alphaB-crystallin in SJL mice prevents the induction of experimental allergic encephalomyelitis. Cell. Immunol. 204:128.[CrossRef][Web of Science][Medline]
- Thoua NM, van Noort JM, Baker D, et al. (2000) Encephalitogenic and immunogenic potential of the stress protein alphaB-crystallin in Biozzi ABH (H-2A(g7)) mice. J. Neuroimmunol. 104:47.[CrossRef][Web of Science][Medline]
- Brady JP, Garland D, Green DE, Tamm ER, Giblin FJ, Wawrousek EF. (2001) Alpha B-crystallin in lens development and muscle integrity: a gene knockout approach. Invest. Ophthalmol. Vis. Sci. 42:2924.
[Abstract/Free Full Text] - Mokhtarian F and Swoveland P. (1987) Predisposition to EAE induction in resistant mice by prior infection with Semliki Forest virus. J. Immunol. 138:3264.[Abstract]
- Wu LX, Makela MJ, Roytta M, Salmi A. (1988) Effect of viral infection on experimental allergic encephalomyelitis in mice. J. Neuroimmunol. 18:139.[CrossRef][Web of Science][Medline]
- Eralinna JP, Soilu-Hanninen M, Roytta M, Hukkanen V, Salmi AA, Salonen R. (1996) Blood-brain barrier breakdown and increased intercellular adhesion molecule (ICAM-1/CD54) expression after Semliki Forest (A7) virus infection facilitates the development of experimental allergic encephalomyelitis. J. Neuroimmunol. 66:103.[CrossRef][Web of Science][Medline]
- Theil DJ, Tsunoda I, Rodriguez F, Whitton JL, Fujinami RS. (2001) Viruses can silently prime for and trigger central nervous system autoimmune disease. J. Neurovirol. 7:220.[CrossRef][Web of Science][Medline]
- Olson JK, Girvin AM, Miller SD. (2001) Direct activation of innate and antigen presenting functions of microglia following infection with Theiler's virus. J. Virol. 20:9780.
- Peacock JW, Elsawa SF, Petty CC, Hickey WF, Bost KL. (2003) Exacerbation of experimental autoimmune encephalomyelitis in rodents infected with murine gammaherpesvirus-68. Eur. J. Immunol. 33:1849.[CrossRef][Web of Science][Medline]
- Wang C, Chou YK, Rich CM, et al. (2006) Alpha B-crystallin-reactive T cells from knockout mice are not encephalitogenic. J. Neuroimmunol. 176:51.[CrossRef][Web of Science][Medline]
- Ascherio A and Munch M. (2001) Epstein-Barr virus and multiple sclerosis. Epidemiology 12:134.[CrossRef][Web of Science][Medline]
- Goldbaum O and Richter-Lansberg C. (2004) Proteolytic stress causes heat shock protein induction, tau ubiquitination, and the recruitment of ubiquitin to tau-positive aggregates in oligodendrocytes in culture. J. Neurosci. 24:5748.
[Abstract/Free Full Text] - Barnett MH and Prineas JW. (2005) Relapsing and remitting multiple sclerosis: pathology of the newly forming lesion. Ann. Neurol. 55:458.
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