Immunosuppression promotes CNS remyelination in chronic virus-induced demyelinating disease

Neurology. 1992 Feb;42(2):348-57. doi: 10.1212/wnl.42.2.348.

Abstract

Immunosuppression using cyclophosphamide or anti-T cell monoclonal antibodies (mAbs) directed at CD4 or CD8 promoted remyelination of CNS axons in the spinal cords of mice infected chronically with Theiler's virus. Treatment with a mAb directed at class II major histocompatibility gene products did not increase the extent of CNS remyelination. Following immunosuppressive treatment, quantitative morphometry revealed a five- to sevenfold increase in new myelin synthesis. Proliferating nervous system cells were identified at the edges of remyelinated lesions by their incorporation of [3H]thymidine. CNS remyelination occurred in mice depleted of selected subsets of T lymphocytes despite the local persistence of viral antigen. These findings indicate that CNS remyelination occurs as a normal consequence of primary myelin injury, but factors associated with immune T cells somehow impair remyelination. Interference with the function of immune T cells enhances CNS remyelination by oligodendrocytes. Similar depletion of immune T cells may allow for enhanced remyelination in the CNS of patients with chronic multiple sclerosis.

Publication types

  • Research Support, Non-U.S. Gov't
  • Research Support, U.S. Gov't, P.H.S.

MeSH terms

  • Animals
  • Antigens, Viral / immunology
  • Autoradiography
  • Axons / immunology
  • Axons / physiology
  • Axons / ultrastructure
  • Cell Division / immunology
  • Central Nervous System / immunology*
  • Central Nervous System / physiopathology
  • Chronic Disease
  • Demyelinating Diseases / immunology*
  • Demyelinating Diseases / microbiology
  • Demyelinating Diseases / physiopathology
  • Enterovirus Infections / immunology
  • Enterovirus Infections / physiopathology
  • Immunosuppression Therapy*
  • Maus Elberfeld virus / immunology
  • Mice
  • Microscopy, Electron
  • Myelin Sheath / immunology
  • Myelin Sheath / physiology*
  • Myelin Sheath / ultrastructure
  • Neuroglia / immunology
  • Neuroglia / physiology
  • T-Lymphocyte Subsets / immunology

Substances

  • Antigens, Viral