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* Division of Clinical Immunology and Rheumatology, Department of Medicine, and
Department of Microbiology, University of Alabama, Birmingham, AL 35294
We show here using a transgenic model that human
C-reactive protein (CRP) protects against experimental allergic
encephalomyelitis (EAE) in C57BL/6 mice. In transgenic compared with
wild-type females, the duration of the human CRP acute phase response
that accompanies the inductive phase of active EAE correlates with a
delay in disease onset. In transgenic males, which have higher human
CRP expression than females do, EAE is delayed, and its severity is
reduced relative to same-sex controls. Furthermore, in male
transgenics, there is little or no infiltration of the spinal cord by
CD3+ T cells and CD11b+ monocytes and
macrophages, and EAE is sometimes prevented altogether. CRP transgenics
also resist EAE induced passively by transfer of encephalitogenic T
cells from wild-type donors. Human CRP has three effects on cultured
encephalitogenic cells that could contribute to the protective effect
observed in vivo: 1) CRP inhibits encephalitogenic peptide-induced
proliferation of T cells; 2) CRP inhibits production of inflammatory
cytokines (TNF-
, IFN-
) and chemokines (macrophage-inflammatory
protein-1
, RANTES, monocyte chemoattractant protein-1); and 3) CRP
increases IL-10 production. All three of these actions are realized in
vitro only in the presence of high concentrations of human CRP. The
combined data suggest that during the acute phase of inflammation
accompanying EAE, the high level of circulating human CRP that is
achieved in CRP-transgenic mice inhibits the damaging action of
inflammatory cells and/or T cells that otherwise support onset and
development of EAE.
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