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The Journal of Immunology, 1999, 163: 2937-2943.
Copyright © 1999 by The American Association of Immunologists

Experimental Autoimmune Encephalomyelitis in NF-{kappa}B- Deficient Mice: Roles of NF-{kappa}B in the Activation and Differentiation of Autoreactive T Cells1

Brendan Hilliard2,*, Elena B. Samoilova2,*, Tzu-Shang T. Liu*, Abdolmohamad Rostami{dagger} and Youhai Chen3,*

* Institute for Human Gene Therapy and Department of Molecular and Cellular Engineering, and {dagger} Department of Neurology, University of Pennsylvania School of Medicine, Philadelphia, PA 19104


    Abstract
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Experimental autoimmune encephalomyelitis (EAE) is an inflammatory disease of the CNS, which has long been used as an animal model for human multiple sclerosis. Development of autoimmune disease requires coordinated expression of a number of genes that are involved in the activation and effector functions of inflammatory cells. These include genes that encode costimulatory molecules, cytokines, chemokines, and adhesion molecules. Activation of these genes is regulated at the transcriptional level by several families of transcription factors. One of these is the NF-{kappa}B family, which is present in a variety of cell types and becomes highly activated at sites of inflammation. To test the roles of NF-{kappa}B in the development of autoimmune diseases, we studied EAE in mice deficient in one of the NF-{kappa}B isoforms, i.e., NF-{kappa}B1 (p50). We found that NF-{kappa}B1-deficient mice were significantly resistant to EAE induced by myelin oligodendrocyte glycoprotein. The resistance was primarily evidenced by a decrease in disease incidence, clinical score, and the degree of CNS inflammation. Furthermore, we established that the resistance to EAE in NF-{kappa}B1-deficient mice was associated with a deficiency of myelin oligodendrocyte glycoprotein-specific T cells to differentiate into either Th1- or Th2-type effector cells in vivo. These results strongly suggest that NF-{kappa}B1 plays crucial roles in the activation and differentiation of autoreactive T cells in vivo and that blocking NF-{kappa}B function can be an effective means to prevent autoimmune encephalomyelitis.


    Introduction
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Although autoreactive T cells recognizing self myelin Ags are present in all individuals, they normally remain at the precursor stage and do not induce autoimmune diseases. However, under certain genetic and environmental conditions, myelin-specific T cells can become activated, and induce demyelinating diseases. The mechanisms whereby myelin-specific precursor T cells become activated and differentiate into pathogenic effector cells in vivo are not clear; the mechanistic events leading to demyelination and neurological dysfunction remain to be established.

Development of autoimmune diseases requires coordinated expression of a number of immune-related genes. These include genes that encode costimulatory molecules, Ag receptors, cytokines, chemokines, adhesion molecules, and cytotoxic enzymes. These molecules play crucial roles in the activation, migration, and the effector functions of inflammatory cells. The outcomes of autoimmune diseases are largely dictated by the relative contributions of these molecules. To date, little is known about the molecular events leading to the expression of these immune-related genes in autoimmune diseases, although a combination of genetic and environmental factors has been implicated. Elucidation of the molecular mechanisms whereby expression of these genes is regulated is essential for our understanding the pathogenesis of autoimmune diseases.

Expression of immune-related genes is regulated by several families of transcription factors including NF-{kappa}B/Rel family, AP-1, and NF-IL-6. The NF-{kappa}B/Rel family consists of at least five members: NF-{kappa}B1 (p50/p105), NF-{kappa}B2 (p52/p100), RelA (p65), RelB, and c-Rel (1, 2, 3, 4). Although initially identified as a transcription factor for the {kappa} light-chain gene in murine B cells, NF-{kappa}B is constitutively expressed in a variety of cell types, including lymphocytes, monocytes/macrophages, and granulocytes, as well as cells of nonimmune systems (1, 2, 3, 5, 6, 7). It is located primarily in the cytoplasm as an inactive homo- or heterodimeric protein in association with the inhibitory protein called I{kappa}B. There are at least seven I{kappa}Bs that all act by masking the nuclear localization signal of NF-{kappa}B, preventing its nuclear translocation. A wide variety of stimuli, including cytokines, Ags, stress factors, and viral and bacterial products can activate NF-{kappa}B (1, 2, 3, 4, 8). Activation of NF-{kappa}B involves phosphorylation and proteolytic degradation of the inhibitory protein I{kappa}B by specific I{kappa}B kinases. The free NF-{kappa}B then passes into the nucleus, where it binds to the {kappa}B sites of gene promoters. Many immune-related genes contain the {kappa}B binding sites in their promoter regions, and may, therefore, be activated by NF-{kappa}B. These include genes that encode costimulatory molecules, MHC molecules, cytokines (such as TNF-{alpha}, IL-1ß, IL-2, IL-6, GM-CSF), chemokines (such as IL-8, macrophage-inflammatory protein-1{alpha}, macrophage-chemotactic protein-1, and eotaxin), inflammatory enzymes (such as inducible nitric oxide synthase, inducible cyclooxygenase, 5-lipoxygenase, and phospholipase-A2), and adhesion molecules (such as ICAM-1, VCAM-1, and E-selectin) (1, 2, 3, 4, 9, 10, 11, 12).

Recent studies in NF-{kappa}B-deficient mice suggest that different forms of NF-{kappa}B may be endowed with different functions. Thus, mice deficient in NF-{kappa}B1 (p50/p105) develop normally and acquire a structurally normal immune system. However, they are more susceptible to intracellular and extracellular Gram-positive bacterial infections, and are partially compromised in their B cell responses to LPS (3). Surprisingly, they are resistant to viral and Gram-negative bacterial infections (3). By contrast, mice deficient in NF-{kappa}B2 suffer from severe developmental defects. Both their spleens and lymph nodes are bereft of B lymphocytes, undermining their capacity to form germinal centers (13, 14). Not surprisingly, NF-{kappa}B1/NF-{kappa}B2 double-deficient mice suffer from both developmental and immunological abnormalities. RelA-deficient mice die in utero, presumably due to enhanced hepatocyte apoptosis (2, 15). Both RelB- and c-Rel-deficient mice develop normally, but suffer from severe disorders ranging from splenomegaly to chronic microbial infections (16, 17). These studies strongly suggest that members of the NF-{kappa}B/Rel family perform nonoverlapping functions, and that loss of function mutations of NF-{kappa}B/Rel genes cannot be compensated by other members of the NF-{kappa}B/Rel family.

To determine the roles of NF-{kappa}B in the development of autoimmune diseases, we studied experimental autoimmune encephalomyelitis (EAE)4 in NF-{kappa}B1-deficient B6.129 mice. As NF-{kappa}B1-deficient mice do not suffer from developmental abnormalities, the differences in EAE between these mice and their littermate controls can be solely attributed to NF-{kappa}B1. Our results strongly suggest that NF-{kappa}B1 plays crucial roles in the activation and differentiation of myelin oligodendrocyte glycoprotein (MOG)-specific T cells in vivo.


    Materials and Methods
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Mice

Four- to six-week-old (B6 x 129)F2 (B6.129) mice homozygous for NF-{kappa}B1 mutation and their littermate controls were purchased from The Jackson Laboratory (Bar Harbor, ME), and were housed in the University of Pennsylvania Animal Care Facilities (Philadelphia, PA). The NF-{kappa}B1 gene mutation was created by inserting the neor cassette into the sixth exon of the NF-{kappa}B1 gene (13). Mice were screened for NF-{kappa}B1 gene mutation by RT-PCR and Southern blot analysis (13).

Induction and clinical evaluation of EAE

For the induction of EAE, mice received 1) a s.c. injection on flanks of 200 µg MOG38–50 peptide in 0.1 ml PBS emulsified in an equal volume of CFA containing 4 mg/ml of Mycobacterium tuberculosis H37RA (Difco, St. Louis, MO), and 2) an i.v. or i.p. injection of 200 ng pertussis toxin in 0.1 ml PBS. A second injection of pertussis toxin (200 ng per mouse) was given 24 or 48 h later. Mice were examined daily for signs of EAE and scored as follows (18, 19): 0, no disease; 1, tail paralysis; 2, hind limb weakness; 3, hind limb paralysis; 4, hind limb plus forelimb paralysis; 5, moribund or dead.

Ags, Abs, recombinant cytokines, and ELISA

Mouse MOG38–50 peptide was synthesized using Fmoc solid-phase methods and purified through HPLC by Research Genetics (Huntsville, AL). Pertussis toxin was purchased from List Biological Laboratories (Campbell, CA). The following reagents were purchased from PharMingen (San Diego, CA): purified rat anti-mouse IL-2, IL-4, IL-10, and IFN-{gamma} mAb; recombinant mouse IL-2, IL-4, IL-10, and IFN-{gamma}. Quantitative ELISA for IL-2, IL-4, IL-10, and IFN-{gamma} was performed using paired mAbs specific for corresponding cytokines per manufacturer’s recommendations (20).

Cell culture

For cytokine assays, splenocytes were cultured at 1.5 x 106 cells/well in 0.2 ml of serum-free medium X-Vivo 20 (BioWhittaker, Walkersville, MD), containing various concentrations of MOG38–50 peptide, OVA, or Con A (Sigma, St. Louis, MO) (19). Culture supernatants were collected 40 h later, and cytokine concentrations were determined by ELISA. For proliferation assays, 0.75 x 10 6 cells/well were used. [3H]Thymidine was added to each culture at 72 h, and cells were harvested 16 h later. Radioactivity was determined using a flatbed beta counter (Wallac, Gaithersburg, MD).

Histology

Brains and spinal cords were harvested at the end of each experiment, fixed in 10% Formalin, and embedded in paraffin. Five-micrometer-thick paraffin sections were stained with hematoxylin and eosin (HE) or with Luxol fast blue, as described (21).

Flow cytometry

Single cell suspensions of spinal cords were prepared as follows. Mice were first anesthetized by i.p. injection of xylazine ketamine, and perfused through the left ventricle with PBS. Spinal cords were removed, placed in ice-cold RPMI medium containing 27% Percoll, and pressed through a 70-µm Falcon cell strainer (#2350; Becton Dickinson, Franklin Lakes, NJ). The resulting cell suspension was brought to a volume of 50 ml with 27% Percoll, mixed, and centrifuged at 300 x g for 15 min. The pellet was kept on ice, while the myelin layer and the supernatant were transferred to a new 50-ml tube, homogenized by shaking, and centrifuged again at 300 x g for 15 min. The pellets were then combined and washed three times in RPMI medium at 4°C.

For flow cytometry analysis, single cell suspensions of spinal cords and spleens were first incubated for 45 min with either 1) anti-mouse CD11b-FITC (clone M1/70.15), anti-mouse B220-tricolor (clone RA3-6B2), anti-mouse CD3-biotin (clone 500-A2), (Caltag Laboratories, Burlingame, CA) together with PE-labeled anti-mouse B7-2 (clone GL-1), CD45RB (clone C363.16A, also known as 16A), or CD122 (clone TM-B1) (PharMingen, San Diego, CA), or 2) anti-mouse CD3-biotin, anti-mouse B220-tricolor, and anti-mouse B7-1-FITC (clone 16-10A1; PharMingen). Cells were then washed three times, incubated with streptavidin-APC (PharMingen), and analyzed directly using a FACScan flow cytometer (Becton Dickinson Immunocytometry Systems, Mountain View, CA).

Statistical analysis

Disease severity, day of onset, and cytokine concentrations were analyzed by ANOVA. Disease scores were analyzed by Mann-Whitney test.


    Results
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
NF-{kappa}B-deficient mice are resistant to EAE

To study the roles of NF-{kappa}B in the development of EAE, we immunized NF-{kappa}B1-deficient B6.129 mice (NF-{kappa}B-/-) and their control littermates (NF-{kappa}B+/+) with MOG38–50 peptide, and monitored the disease by both physical examination and histochemistry. Fig. 1Go illustrates typical disease courses in control and NF-{kappa}B-deficient B6.129 mice. EAE developed in most (88%) control B6.129 mice, starting ~10 days after immunization and reaching a maximal mean clinical score of 2.6 two weeks later. The disease took a remitting-relapsing course with a low mortality rate. By contrast, in NF-{kappa}B1-deficient group, only 38% of mice developed symptoms of EAE. The disease severity was dramatically reduced, reaching a maximal mean disease score of only 0.8. The onset of the disease was also delayed by ~6 days (Fig. 1Go, Table IGo).



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FIGURE 1. NF-{kappa}B-deficient mice are resistant to the induction of EAE. Normal ({circ}, NF-{kappa}B+/+) and NF-{kappa}B-deficient (•, NF-{kappa}B-/-) mice, eight mice per group, were immunized for EAE with MOG38–50 peptide, as described in Materials and Methods. Data presented are means ± SEM of disease scores. The differences between the two groups are statistically significant (p < 0.001), as determined by Mann-Whitney test.

 

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Table I. Clinical features of MOG-induced EAE in B6.129 micea

 
Consistent with these clinical findings, histological examination of the CNS tissues revealed dramatic differences in the two groups. In the control B6.129 group, multiple inflammatory foci were observed in the cerebrum, cerebellum, brain stem, and spinal cords. Hematoxylin and eosin staining revealed various inflammatory cell types in the infiltrates (Fig. 2Go). These include cells with morphological characteristics of lymphocytes, granulocytes, macrophages, microglial cells, as well as astrocytes. By contrast, no lesions were detected in the CNS of NF-{kappa}B-deficient mice that showed no symptoms of EAE. In those NF-{kappa}B-deficient mice that did develop EAE, similar inflammatory infiltrates were observed (Fig. 2Go). Luxol fast blue staining was also performed to visualize demyelination in the CNS (21); severe demyelination was noted only in mice with disease scores above 2 (E. B. Samoilova and Y. Chen, unpublished data). Taken together, these results strongly suggest that NF-{kappa}B plays important roles in EAE.



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FIGURE 2. Histopathological profiles of CNS B6.129 mice were immunized for EAE, as in Fig. 1Go, and sacrificed 32 days later. Brains were harvested, fixed in 10% Formalin, and embedded in paraffin. Five-micrometer sections were stained with hematoxylin and eosin (HE) (original magnifications, x200). NF-{kappa}B+/+, control B6.129 mice with a disease score of 4; NF-{kappa}B-/-, NF-{kappa}B-deficient mice with a disease score of 1.

 
Activation and differentiation of autoreactive T cells are blocked in NF-{kappa}B-deficient animals

Resistance to EAE in NF-{kappa}B-deficient mice can be either due to the inability of myelin-specific T cells to differentiate into effector T cells in the periphery, or due to the inability of differentiated effector T cells to induce demyelinating inflammation in the CNS, or both. To address this issue, we first examined whether activation and differentiation of myelin-specific T cells were normal in NF-{kappa}B-deficient animals. Splenocytes were, therefore, collected from both control and NF-{kappa}B-deficient mice 32 days after immunization, and tested in vitro for their cytokine production and proliferation in response to MOG38–50 peptide. As shown in Fig. 3Go, splenocytes of control animals proliferated vigorously in response to MOG peptide and produced significant amounts of both Th1 (IL-2 and IFN-{gamma})- and Th2 (IL-4, IL-10)-type cytokines. By contrast, splenocytes from NF-{kappa}B-deficient animals produced significantly less amounts of these cytokines, and proliferated poorly in response to MOG stimulation (Fig. 3Go). (The relatively low degree of proliferation of Con A-stimulated cells may relate to the time point used for [3H]thymidine pulsing.) Interestingly, NF-{kappa}B appears to have a more dramatic effect on Th2 cytokine production. Even Con A-induced Th2 cytokine release was affected by the NF-{kappa}B deficiency, with IL-4 production being increased while IL-10 production decreased in NF-{kappa}B-deficient mice. Further studies are required to address the potential differential effects of NF-{kappa}B on Th2 cytokines.



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FIGURE 3. MOG-specific proliferation and cytokine production in vitro. Mice were treated as in Fig. 1Go and sacrificed 32 days after immunization. Splenocytes were cultured in serum-free medium with various concentrations of MOG38–50 peptide or Con A. Culture supernatants were collected 40 h later and tested for cytokines by ELISA. For proliferation assays, cells were pulsed with [3H]thymidine, and radioactivity was determined, as described in Materials and Methods. Results are shown as mean ± SD from a total of 12 mice, with 6 mice per group. The differences between the two groups are statistically significant, as determined by ANOVA for all the parameters presented (p < 0.01). The experiments were repeated twice with similar results.

 
Taken together, these results indicate that both activation and differentiation of MOG-specific T cells are hindered in NF-{kappa}B-deficient mice.

Frequencies of normal and NF-{kappa}B-deficient inflammatory cells in the CNS

Having had established a role for NF-{kappa}B in the activation and differentiation of encephalitogenic T cells, we next sought to explore the potential roles of NF-{kappa}B in the effector stage of EAE. Adoptive transfer experiment could not be performed in B6.129 F2 mice because the F2 mice are not 100% identical in their genetic makeup (although the collective genetic makeup of a group of B6.129 F2 mice should be identical with that of other groups). We, therefore, performed a series of flow-cytometric analyses of inflammatory cells infiltrating the CNS, in an attempt to define the phenotypic and functional characteristics of these cells in the CNS.

Large numbers of control and NF-{kappa}B1-deficient B6.129 F2 mice were, therefore, immunized with MOG to generate mice with comparable degrees of EAE. Mice were then divided into two groups based on their disease severity: group 1, those with mild EAE (scores 1–2), and group 2, those with severe EAE (scores 3–5). Single cell suspensions of spinal cords were then prepared from these mice and examined by flow cytometry as in Fig. 4Go.



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FIGURE 4. Phenotypic analysis of cells isolated from spinal cord and spleen of mice with EAE. Spinal cord and spleen cells were prepared as described in Materials and Methods. Cells were stained with Abs against mouse CD3, B220, and CD11b. Leukocytes were gated by their forward and side scatter characteristics and analyzed for their fluorescence intensity. The percentages of cells in the quadrants are indicated. Data presented are for cells isolated from control mice with disease scores of 2–5.

 
Table IIGo summarizes the results of these experiments. First, we found that the numbers of inflammatory cells isolated in this manner correlated extremely well with the severity of the disease (Table IIGo). Thus, the numbers of CD11b+, CD3+, and B220+ cells in the spinal cord of NF-{kappa}B-deficient mice with mild EAE (scores 1–2) were 59,525, 52,500, and 21,450, respectively. These were increased ~4-fold in NF-{kappa}B-deficient mice with severe EAE (scores 3–5). A roughly 2-fold increase was observed in control B6.129 mice (Table IIGo).


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Table II. Numbers of infiltrating leukocytes in the spinal cord of mice with EAEa

 
Second, we were surprised to find that the numbers of inflammatory cells in NF-{kappa}B-deficient mice were dramatically increased as compared with control mice with severe EAE. Specifically, the numbers of CD11b+, CD3+, and B220+ cells per spinal cord of control mice with severe EAE were 90,563, 93,194, and 37,376, respectively; these were increased by 2-fold in the NF-{kappa}B-deficient mice (Table IIGo). As the clinical scores of these two groups are essentially the same, this increase in inflammatory cells in NF-{kappa}B-deficient mice suggests that NF-{kappa}B may be involved in regulating migration and/or effector functions of inflammatory cells. In this regard, it has been reported that NF-{kappa}B regulates the expression of a number of genes involved in leukocyte extravasation (e.g., VCAM-1, ICAM-1, E-selectin, and chemokines) and effector functions (e.g., proinflammatory cytokines, inducible nitric oxide synthase, cyclooxygenase-2, etc.) (1, 2, 3, 4, 9, 10, 11, 12). In the absence of NF-{kappa}B, expression of these genes may be hindered, and migration/effector functions of inflammatory cells dysregulated. Further studies are needed to prove or disprove this theory.

It is to be noted that in mice with mild EAE (scores 1–2), no differences in inflammatory cell frequencies were observed between control and NF-{kappa}B-deficient mice, suggesting that NF-{kappa}B may not be equally involved in the development of mild EAE. It is also to be noted that the differences in inflammatory cell frequencies may not be due to changes in leukocyte numbers in the periphery, because the numbers of leukocytes in NF-{kappa}B-deficient mice were either comparable with, or slightly less than those of control mice (Table IIIGo) (3). In parallel experiments, we have also immunized B6.129 mice with CFA and pertussis toxin in the absence of myelin Ags; this did not lead to the development of EAE, and no significant numbers of lymphoid/myeloid cells could be isolated from the CNS of treated animals.


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Table III. Numbers of cells in the spleen of normal and NF-{kappa}B-deficient micea

 
B7, CD45RB, and CD122 expression by control and NF-{kappa}B-deficient cells in the CNS

To determine whether NF-{kappa}B-deficient cells differ from normal cells in their activation marker expression, we tested CD45RB, CD122, and B7 expression by flow cytometry (Fig. 5Go). We found that most CD3+ cells infiltrating CNS are CD45RBlow, suggesting that they are activated T cells. Although only a small percentage of these cells express high levels of CD122, ~60% of them express both B7-1 and B7-2 (Table IVGo). Surprisingly, no differences were detected between control and NF-{kappa}B-deficient cells (Table IVGo). Similarly, CD3- cells infiltrating the CNS also express B7 and CD45RB. Again, no differences were observed between normal and NF-{kappa}B-deficient mice (Fig. 5Go, Table IVGo). These results suggest that NF-{kappa}B deficiency may not affect B7, CD45RB, and CD122 expression in the CNS.



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FIGURE 5. Cell surface marker expression in the spinal cord of mice with EAE. Single cell suspensions of spinal cord were stained with anti-CD3 together with anti-B7-1, anti-B7-2, anti-CD45RB, or anti-CD122 mAb, as described in Materials and Methods. Data presented are the percentages of gated CD3 cells that are positive for the respective markers. The dotted line represents the background fluorescence of control cells stained with isotype-matched control Abs. M designates marker. For CD45RB, M1 designates CD45RBlow cells, whereas M2 designates CD45RBhigh cells.

 

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Table IV. Effect of NF-{kappa}B-deficiency on activation marker expression in the spinal cord1

 

    Discussion
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Development of autoimmune diseases requires coordinated expression of a number of genes that are involved in the activation, migration, and effector functions of inflammatory cells. These include genes that encode costimulatory molecules, cytokines, chemokines, adhesion molecules, and inflammatory enzymes. Expression of these genes is regulated by several families of transcription factors, which include NF-{kappa}B, AP-1, and NF-IL-6. These factors, acting either alone or in combination, orchestrate the initiation and/or progression of autoimmune diseases. The transcription factor NF-{kappa}B is expressed by both the immune and nervous systems, and may, therefore, regulate autoimmune inflammation in the CNS through different mechanisms. By directly binding to the corresponding DNA sequence (the {kappa}B site) located in the promoter regions of target genes, NF-{kappa}B expressed by lymphocytes and cells of the innate immune system may orchestrate autoimmune encephalomyelitis through two distinct pathways. First, NF-{kappa}B regulates the expression of both TCR and costimulatory molecules that are required for the activation and differentiation of myelin-specific precursor T cells (4, 22, 23, 24). Second, NF-{kappa}B regulates expression of genes required for migration (chemokines, adhesion molecules) and effector functions of inflammatory cells (cytokines, inflammatory enzymes) (1, 2, 3, 4, 9, 10, 11, 12, 22, 25, 26, 27, 28, 29) and induces expression of antiapoptotic proteins such as TNF receptor-associated factor and inhibitor of apoptosis (which in turn protect inflammatory cells from apoptosis) (30, 31, 32, 33, 34, 35, 36). Therefore, the combined effect of NF-{kappa}B action in the immune system may be to promote formation, and to prevent resolution, of inflammatory lesions in the CNS. By contrast, NF-{kappa}B expressed in the CNS may play opposite roles in autoimmune encephalomyelitis. By activating genes encoding antiapoptotic proteins, NF-{kappa}B expressed by neural cells may prevent them from inflammation-induced cell death, and therefore promote remyelination and disease recovery. Thus, the net effect of NF-{kappa}B on autoimmune inflammation is most likely determined by a balance between these opposing actions. Studies presented in this work seek to address this issue using a model of MOG-induced autoimmune encephalomyelitis. To our knowledge, this is the first report examining the roles of NF-{kappa}B in EAE using transcription factor-deficient mice.

Our results suggest that at least one member of the NF-{kappa}B family, i.e., NF-{kappa}B1, plays a crucial role in the inductive phase of EAE. The inductive phase of EAE involves primarily activation of myelin-specific lymphocytes. In the present study, this was achieved by immunizing mice with MOG peptide together with CFA. Although it is clear that MOG and the adjuvant activate specific T cells through generating the first and the second signals, the transcriptional elements involved in this process are poorly understood. Our observation that MOG-specific T cell activation is hindered in NF-{kappa}B1-deficient mice suggests that NF-{kappa}B1 may be one of the transcriptional regulators that are important for the initiation of the disease. In the absence of NF-{kappa}B1, autoreactive T cells may not be fully activated and may not effectively differentiate into Th1- or Th2-type cells; therefore, severe autoimmune encephalomyelitis may not develop even with active immunization with myelin Ags and adjuvants.

The precise mechanisms of NF-{kappa}B action in the generation of autoreactive effector T cells need now to be investigated. As alluded to above, NF-{kappa}B may be directly involved in the TCR or costimulatory signaling. In this regard, it has been shown that NF-{kappa}B is directly involved in T cell activation in a number of systems (12, 22, 24, 26, 37). Alternatively, NF-{kappa}B may indirectly regulate T cell activation through modulating the expression of such molecules as cytokines, chemokines, MHC, and costimulatory and adhesion molecules, which are required for T cell activation (1, 2, 3, 4, 9, 10, 11, 12, 23). In the absence of NF-{kappa}B, these pathways may be blocked. Experiments are underway to prove or disprove these hypotheses.

It is to be noted that our experiments do not directly address the question whether NF-{kappa}B plays a role in the effector stage of EAE. Activation of autoreactive T cells is severely compromised in NF-{kappa}B-deficient mice, making it difficult to determine the functions of NF-{kappa}B-deficient effector cells in EAE. The B6.129 F2 mice used in this study are not 100% identical in their genetic makeup, precluding adoptive transfer experiments using isolated T cells. Nonetheless, our observation that the numbers of inflammatory cells present in NF-{kappa}B-deficient mice with severe EAE were significantly higher than those in control mice suggests that NF-{kappa}B may be indeed involved in the effector stage of EAE. In the absence of NF-{kappa}B, migration and/or effector functions of inflammatory cells may be dysregulated. In support of this theory, Vanderlugt et al. recently showed that PS-519, a selective inhibitor of the ubiquitin-proteasome pathway that inhibits activation of NF-{kappa}B, could down-regulate ongoing EAE (38). Administration of PS-519 during the remission phase, following acute clinical disease, was effective in significantly reducing the incidence of clinical relapses, CNS histopathology, and T cell responses to both the initiating and relapse-associated proteolipid protein epitopes (38). Further studies are required to address these issues.

In summary, we have discovered a critical role for NF-{kappa}B in the development of EAE. This finding may not only be important for our understanding of the basic mechanisms of autoimmunity, but also aid in designing novel therapeutic strategies for the treatment of autoimmune diseases such as multiple sclerosis.


    Footnotes
 
1 This work was supported by grants from the National Institutes of Health (NS53681, AI41060, and AR44914). Back

2 B.H. and E.B.S. contributed equally to this work. Back

3 Address correspondence and reprint requests to Dr. Youhai Chen, BRB-1, Room 401, Institute for Human Gene Therapy and Department of Molecular and Cellular Engineering, University of Pennsylvania School of Medicine, 422 Curie Boulevard, Philadelphia, PA 19104. E-mail address: Back

4 Abbreviations used in this paper: EAE, experimental autoimmune encephalomyelitis; MOG, myelin oligodendrocyte glycoprotein. Back

Received for publication February 18, 1999. Accepted for publication June 22, 1999.


    References
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 

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