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*
Department of Neurology, Vanderbilt University Medical Center, Nashville, TN 37212; and
Cell Therapeutics, Inc., Seattle, WA 98119
Experimental allergic encephalomyelitis (EAE) is an inflammatory,
CD4+ Th1-mediated autoimmune disease, which serves as a
model for multiple sclerosis. We examined the effect of a novel
anti-inflammatory drug, lisofylline (LSF), on EAE induced either by
injection of mouse spinal cord homogenate or following transfer of
myelin basic protein-reactive T cells. Orally administered LSF
significantly inhibited EAE in both cases, decreasing peak clinical
scores by >70% and >80%, respectively. In addition, analysis of
representative spinal cord sections from LSF-treated mice showed
complete lack of demyelination and lymphocyte infiltration. The
reduction in EAE correlated with the inhibition of Th1 differentiation
by LSF in vivo, as indicated by a reduction in T cell IFN-
production ex vivo after Ag restimulation. The inhibition of Th1
differentiation in vivo is consistent with a block in IL-12 receptor
signaling, because LSF blocked IL-12-driven Th1 differentiation and T
cell proliferation in vitro, yet had no effect on IL-12 secretion from
APCs ex vivo or in vitro.
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