The Journal of Immunology, 2003, 170: 831-837.
Copyright © 2003 by The American Association of Immunologists
Nonmyelin-Specific T Cells Accelerate Development of Central Nervous System APC and Increase Susceptibility to Experimental Autoimmune Encephalomyelitis1
Richard E. Jones2,*,
,
,
Thomas Kay*,
Thomas Keller
and
Dennis Bourdette*,
* Veterans Affairs Medical Center, Departments of
Neurology and
Microbiology and Molecular Immunology, Oregon Health & Science University, and
Oregon Cancer Institute, Portland, OR 97239
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Abstract
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Previously we demonstrated that both myelin-specific and
nonmyelin-specific rat T cells were capable of accelerating the
development of transplanted rat BM-derived APC in the CNS of SCID
C.B-17/scid (SCID) mice. This suggested that
nonmyelin-specific T cells might be capable of increasing
susceptibility to EAE by increasing the number and function of APC in
the CNS before disease induction. To assess this possibility, we
evaluated disease incidence, day of onset, duration, mean peak
severity, cumulative disease index, and histopathology in the presence
or absence of nonmyelin-specific T cells. The results demonstrate an
association between T cell responses to nonmyelin Ags, accelerated
development of BM-derived CNS APC before disease induction, and
heightened susceptibility to CNS inflammation mediated by
myelin-specific T cells. This suggests that T cell responses to
nonmyelin Ags can potentiate CNS inflammation by elevating the
functional presence of CNS APC.
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Introduction
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Multiple
sclerosis (MS)3 is a
debilitating, paralytic disease characterized by inflammation,
demyelination, and other harmful pathologic processes in the CNS
(1). Studies in experimental autoimmune encephalomyelitis
(EAE) have demonstrated that myelin-specific T cells cause autoimmune
CNS inflammation and paralysis in laboratory rodents
(2, 3, 4, 5). Immune status studies have suggested that
myelin-specific T cells also cause the clinical paralysis of MS
(6, 7). However, under a variety of conditions,
myelin-specific rodent T cells do not induce EAE (8, 9, 10)
and many healthy humans possess circulating myelin-specific T cells
(11, 12, 13). Furthermore, histocompatible APC in the CNS are
required for myelin-specific T cells to induce disease (14, 15). Therefore, the presence and activity of myelin-specific T
cells are necessary but not sufficient to cause CNS inflammation. In
addition to myelin-specific T cells, disease-potentiating
characteristics such as the presence and activity of CNS APC control
susceptibility to CNS inflammation.
Using the interspecies bone marrow cell (BMC) and T cell cotransfer
method in EAE-susceptible SCID mice, it was shown previously that
nonmyelin-specific T cells promoted the development of functional, bone
marrow (BM)-derived APC in the CNS (16). Since CNS APC are
required for EAE (14, 15), these results suggested that
previous immune responses to nonmyelin Ags might be capable of
augmenting susceptibility to CNS inflammation induced subsequently by
myelin-specific T cells. For this report, the Lewis rat-SCID mouse
xenogeneic cell transfer model of EAE was used to evaluate the
influence of nonmyelin specific T cells on the severity and course of
disease induced by myelin-specific T cells. In the presence of chicken
OVA-specific T cells, formation of BM-derived CNS APC was enhanced and
mice were much more susceptible to disease induction compared with the
absence of OVA-specific T cells. A higher disease incidence, an earlier
day of onset, a longer duration, a higher peak severity, and a higher
cumulative disease index (CDI) each indicated a highly significant
enhancement of disease susceptibility associated with
nonmyelin-specific T cells. Furthermore, the number of myelin-specific
encephalitogenic T cells required to induce EAE was greatly reduced in
the presence of nonmyelin-specific T cells.
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Materials and Methods
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Animals
Six- to 8-wk-old female Lewis rats were obtained from Harlan
Sprague Dawley (Indianapolis, IN). Inbred female SCID mice (811 wk
old) were obtained from the SCID mouse breeding facility within the
Veterinary Medical Unit at the Veterans Affairs Medical Center. Animal
care was in accordance with institutional guidelines.
Rat T cell lines
Eight rats per line were each immunized by s.c. injection with a
synthetic peptide of basic protein (BP) (BP8799), chicken OVA (100
µg Ag/rat), or no Ag in CFA containing 100 µg of heat-inactivated
Mycobacterium tuberculosis strain H37RA (Difco, Detroit,
MI). Nine days after immunization, draining lymph nodes (LN) were
collected and a single-cell suspension of LN cells was prepared. LN
cells were stimulated in vitro (8 x 106
cells/ml) for 3 days with Ag (BP8799 or chicken OVA; 200 µg/ml)
depending on the desired specificity of the line. Stimulated cells were
expanded in rIL-2-containing medium for 57 days. This was followed by
restimulation of the T cells with Ag in the presence of Lewis rat
irradiated thymocytes for 3 days. Cells were selected and maintained
through alternate cycles of stimulation with Ag and expansion in IL-2.
Ag specificity was verified for each cell line during Ag stimulation
using an in vitro thymidine uptake proliferation assay, and the
disease-inducing potential of the T cell lines was confirmed by
adoptive transfer of activated T cells (1020 x
106 cells/rat, i.p. injection) into Lewis rats
(data not shown). T cell lines were evaluated for expression of the
indicated phenotype markers by fluorescent mAb staining and flow
cytometry.
Isolation of Lewis rat BMC
All experiments involving rat BMC utilized T cell-depleted BMC.
Two or three adult female Lewis rats were used as BM donors. The femurs
and tibias were dissected free of surrounding tissue and collected in
ice-cold RPMI 1640 medium. After cutting off the ends of each
bone, BMC were flushed out with ice-cold RPMI 1640 using a 1-ml
syringe. BMC were pelleted by centrifugation, resuspended in 10 ml of
ice-cold RPMI 1640, counted, and then incubated with a 1/160 dilution
(final) of mouse anti-rat CD3 mAb (BD PharMingen, San Diego, CA)
for 30 min on ice. Following this, cells were washed and incubated with
goat anti-rat IgG Ab-coated magnetic beads (Miltenyi Biotec,
Auburn, CA). Cells were then washed and run through a magnetized column
(Miltenyi Biotec) that had been pretreated with PBS/4% BSA for 30 min.
The column was washed five to six times with elution medium
(PBS/0.5% BSA/2 mM EDTA) to elute all unbound, CD3-negative cells. The
column was then demagnetized by removal from the magnet and
CD3-positive cells were eluted from the column. The total yield
obtained from the column depletion procedure was 80- 95%. Undepleted,
T cell-depleted, and T cell-enriched BM fractions were stained with
mAbs specific for rat T cells to verify the purity of the respective
populations and to evaluate the effectiveness of the magnetic sort.
After T cell depletion, it was not possible to detect T cells in the T
cell-depleted BMC fraction by fluorescent mAb staining and flow
cytometry using Abs specific for rat CD3. BMC were evaluated for
expression of the indicated phenotype markers by fluorescent mAb
staining.
Cell transfer into SCID mice
The indicated number of Lewis rat T cell-depleted BMC were
injected (0.2 ml/mouse) by i.v. injection into anesthetized, irradiated
(300350 Gy) C.B-17/scid mice. BMC were injected either
alone or within 5 min of Lewis rat OVA-specific T cells (0.2 ml/mouse,
i.p.). Seven days after injection of BMC, mice received an injection of
BP-specific, encephalitogenic rat T cells (0.2 ml/mouse, i.p.). Groups
of mice were followed daily and compared for the presence of clinical
neurologic deficit (paralysis).
Evaluation of clinical disease severity (paralysis)
Mice were evaluated daily for disease and scored as follows: 0,
normal; 1, limp tail or mild hind limb weakness; 2, limp tail and
moderate hind limb weakness or mild ataxia; 3, moderately severe hind
limb weakness; 4, limp tail and severe hind limb weakness or moderate
ataxia; 5, paraplegia with no more than moderate forelimb weakness; or
6, limp tail and paraplegia with severe forelimb weakness or severe
ataxia.
Spinal cord cellular phenotyping
Spinal cord cells from SCID mice were evaluated for the presence
of rat cells using rat-specific fluorescent mAbs (BD PharMingen)
specific for rat myelomonocytic cells (CD11b/c, clone OX-42,
noncross-reactive with mouse cells), T cells (CD3, clone G4.18), and
rat class II MHC (RT-1B, clone OX-6). A single-cell suspension of
spinal cord cells was isolated from euthanized donor mice. The cells
from a single spinal cord were resuspended in 5 ml of 80% Percoll
(Pharmacia, Peapeck, NJ) and overlaid with 5 ml of 40% Percoll in a
15-ml centrifuge tube. Cells were centrifuged for 30 min at 1600 rpm
and cells from the 80/40 interface were collected. Cells were washed,
counted, and aliquoted for mAb staining. Cells were incubated with
fluorescent mAbs (1 x 105 cells/0.2
ml/tube) for 20 min on ice. Reactivity with specific mAbs was evaluated
by flow cytometry using a BD Biosciences FACScan (Mountain View, CA).
Dot plots of fluorescence intensity for FITC- and PE-labeled cells were
evaluated using CellQuest software (BD Biosciences) to identify and
quantitate distinct populations of cells. Isotype-matched (control)
fluorescent Abs were used at the same concentration as each specific Ab
for every experiment. Percentage of true positive staining was
determined by subtracting the percentage of the isotype control
staining (background) from the percent staining of each specific
mAb.
RT-PCR
RT-PCR was used with rat-specific cytokine primer pairs to
detect cytokine-specific mRNA in cultured, OVA-specific or BP-specific
rat T cells. mRNA was isolated from an in vitro stimulation culture
containing 10 x 106 Lewis rat T cells.
Frozen pelleted cells were treated with 1 ml of TRIzol reagent
(phenol/guanidine isothiocyanate; Molecular Research Center,
Cincinnati, OH,). After 5 min at room temperature, 0.2 ml of chloroform
was added. After 15 min, the samples were centrifuged at 12,000 rpm for
15 min at 4°C. The aqueous phase was removed to a new tube and 0.5 ml
of isopropanol was added. After mixing, mRNA was stored for 10 min at
room temperature. This was centrifuged at 12,000 rpm for 8 min at
4°C. The supernatant was carefully aspirated away and the remaining
pellet was mixed with 1 ml of 70% (v/v) ethyl alcohol and spun
at 7500 rpm for 5 min at 4°C. After aspirating away the ethyl
alcohol, the pellet was air dried and resuspended in 10 µl of diethyl
pyrocarbonate-treated water. This was transferred to a 0.65-ml
tube and 2 µl of random primers (Life Technologies, Rockville, MD)
was added. This was heated to 70°C for 10 min and then quick chilled
on ice for 3 min. To this was added 4 µl of first-strand buffer (Life
Technologies), 2 µl of 0.1 M DTT, 1 µl of 10 mM dNTP (nucleotides),
and 1 µl of reverse transcriptase (Superscript II; Life
Technologies). The mixture was incubated for 1 h at 42°C. The
reaction was terminated by incubation at 70°C for 15 min. This
20-µl volume of cDNA was aliquoted and stored at -80°C for later
use in the PCR. For the PCR, 0.5 µl of cDNA was added to each PCR
tube containing 2.5 µl of 10x PCR buffer (Life Technologies), 0.5
µl of 50 mM MgCl2, 0.5 µl of 10 mM dNTP, 0.5
µl of 20 mM specific 5' primer, 0.5 µl of 20 mM specific 3' primer,
2.5 µl of Taq polymerase enzyme (Life Technologies), and
17.5 µl of diethyl pyrocarbonate-treated water. Samples were
amplified on a thermocycler (PerkinElmer 9600, PerkinElmer, Norwalk,
CT) for 30 or 35 cycles (depending on the primer): 94°C, 45 s
melting; 57°C, 45 s annealing; and 72°C, 90 s elongation.
From each tube, 10 µl of the amplified DNA was added to each lane of
a 1.5% agarose gel. PCR products were run for
1 h at
constant voltage (96 V). A Polaroid photograph was taken of each gel
using a UV illuminator. PCR primers were specific for rat sequences and
were designed by Dr. T. Keller (Oregon Health and Science
University Molecular Biology Core Service, Portland, OR) to be
noncross-reactive with mouse sequences. Detection of specific PCR
products of the correct predicted molecular size was dependent on the
addition of rat cDNA.
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Results
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Groups of SCID mice were prepared by transferring by injection
T-depleted BMC alone or BMC with OVA-specific T cells (Fig. 1). Migration of BM-derived
CD11b/c+ rat cells in the mouse CNS was evaluated
for each group 711 days following BMC transfer in the presence and
absence of OVA-specific rat T cells (Fig. 2). On days 811, the percentage of
CD11b/c+ BM-derived rat cells was greatly
elevated in the spinal cord of individual mice that received BMC
injected along with OVA T cells. The proportion of BM-derived cells in
the CNS was
5- to 10-fold greater during this time period in the
animals that received OVA-specific T cells.

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FIGURE 1. Transfer of rat BMC and T cells into SCID mice. Lewis rat BMC were
depleted of CD3+ T cells and transferred into groups of
SCID mice alone or in combination (+/-) with chicken OVA-specific
Lewis rat T cells. These two groups of mice were compared for the
presence of rat BM-derived CD11b/c+ cells in the spinal
cord 711 days later (Fig. 2) or were tested for susceptibility to EAE
by challenge with encephalitogenic rat BP-specific T cells 7 days after
BMC transfer (Fig. 3).
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Groups of mice that had received BMC alone or BMC with OVA-specific T
cells were compared for susceptibility to EAE following i.p. injection
of BP-specific T cells 7 days after injection of BMC with or without
OVA-specific T cells (Fig. 3). Two, 8, or
15 x 106 myelin-specific T cells (Fig. 3)
induced a more severe paralytic disease course in recipients of BMC and
OVA-specific T cells compared with recipients of BMC alone (Fig. 2).
Disease severity in the two groups was also evaluated by comparing
disease incidence, day of onset, disease duration (days), mean maximal
(peak) severity, and CDI (Table I and
Fig. 4). Groups of animals that received
BMC and OVA-specific T cells exhibited a higher disease incidence, an
earlier day of onset, a longer disease duration, a higher mean maximal
disease severity, and a higher CDI compared with groups of mice that
received BMC without OVA-specific T cells (Table I and Fig. 3). The
number of encephalitogenic, BP-specific T cells required to induce a
particular level of disease was much less in recipients of BMC plus
OVA-specific T cells compared with recipients of BMC alone (Fig. 4).
Spinal cord inflammation was more severe in recipients of BMC and
OVA-specific T cells compared with recipients of BMC alone (Fig. 5).

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FIGURE 4. Comparison of clinical disease severity between groups of mice
with BMC alone or BMC plus OVA T cells. Mean peak severity
(A) and CDI (B) were calculated for
groups of SCID mice with EAE (same groups as in Table I) induced by
transfer of BP-specific rat T cells at the indicated cell numbers (2,
8, or 15 x 106) 7 days after BMC transfer (alone or
in combination with OVA-specific T cells). Groups of mice were prepared
with 20 x 106 BMC alone or 20 x 106
BMC plus 20 x 106 OVA-specific T cells (*,
p < 0.05; **, p < 0.01).
Susceptibility differences can be quantified in two ways: 1) based on
differences in the magnitude of disease induced with comparable numbers
of T cells and 2) based on differences in the number of BP-specific T
cells required to induce disease of comparable severity.
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FIGURE 5. Paraffin-embedded spinal cord sections from SCID mice stained with
Luxol fast blue-periodic acid-Schiff-hematoxylin.
A and B, BMC alone, day -7 (no disease);
C and D, BMC plus OVA-specific T cells,
day -7 (no disease); E and F, BMC alone,
day -7, BP-specific T cells day 0 (mild disease); G and
H, BMC plus BP-specific T cells, day -7 (moderate
disease); and I and J, BMC plus OVA T
cells, day -7, BP T cells day 0 (severe disease). Left
column reveals white matter infiltrates in E,
G, and I. Right column
reveals gray matter infiltrates (H and
J).
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The nonmyelin (OVA)-specific and myelin (BP)-specific T cells were
compared to assess the likelihood that nonmyelin-specific and
myelin-specific T cells might differ in their potential to augment
susceptibility to disease. OVA-specific and BP-specific T cells
appeared to be very similar with respect to expression of CD4 (Fig. 6A) and CD49d (Fig. 6B). The OVA- and BP-specific T cell lines expressed similar
cytokines at detectable levels (Fig. 6D). Although the PCR
products for monocyte chemoattractant protein- 1,
stromal-derived factor-1
, IL-10, and TNF-
appeared to be somewhat
greater from the OVA-specific T cells, these quantitative differences
are not significant since the assay was not performed in a quantitative
fashion. Neither cell line expressed detectable IL-4 mRNA when assayed
by RT-PCR. MHC class II expression was difficult to assess based on its
low level of expression and therefore appeared to vary only slightly
between the two T cell lines, with a higher percentage of the
BP-specific line expressing MHC class II (RT-1B, Fig. 6C).
OVA-selected and BP8799-selected rat T cell lines were specific for
their respective selecting stimulus and did not cross-react (Fig. 7). The elevated susceptibility to
disease in BMC plus OVA-specific T cell recipients depended on BMC and
BP-specific T cells and was not merely due to the animals having more T
cells since mice that received 40 x 106
OVA-specific T cells and 40 x 106
BP-specific T cells failed to develop EAE (Table II).

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FIGURE 7. Specificity of OVA-specific and BP-specific T cell lines. In vitro
proliferation assay used tritiated thymidine uptake as a measure of
response to stimulation with nonspecific (IL-2), irrelevant (purified
protein derivative of M. tuberculosis (PPD)), or
selecting Ags (OVA and BP8799 peptide). The rat T cells selected with
OVA or BP were specific and did not express a cross-reactive response
when stimulated to proliferate by addition of the nonselecting Ag.
BP8799-selected T cells responded to BP8799 peptide and not OVA.
OVA-selected T cells responded to OVA and not to BP8799
peptide.
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Discussion
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The results reported here provide experimental evidence of a
positive association between three conditions: 1) the presence and
activity of nonmyelin-specific T cells in the CNS before disease; 2) an
increase in the number of BM-derived cells in the CNS; and 3) a
heightened susceptibility to paralytic CNS inflammation induced
indirectly by myelin-specific T cells. Thus, nonmyelin-specific T cells
appear to elicit a heightened susceptibility to CNS inflammation by
promoting an elevation in the number and function of BM-derived APC in
the CNS. The results also establish a crucial, prepathogenic role for
circulating BM-derived APC precursors in disease susceptibility induced
by nonmyelin-specific T cells.
Enhanced susceptibility to CNS inflammation mediated by
nonmyelin-specific T cells may be relevant to the etiology of CNS
inflammation in MS. Conditions that cause the onset of new disease and
that determine the progression of clinical disease in MS are not
adequately understood (17). Certain crucial immune system
characteristics are thought to be important, including the number,
frequency, phenotype, specificity, location, and activity of effector
and regulatory myelin-specific and nonspecific T cells
(18). The results reported here reveal a distinct,
disease-enhancing functional capability of nonmyelin-specific T cells
during periods preceding disease onset. Thus, immune responses to
nonmyelin Ags (during infections or following other common antigenic
challenges) could exert chronic and/or acute influences over
susceptibility to T cell-induced inflammation by promoting a shift in
conditions within the CNS whereby the pathogenic functions of
myelin-specific T cells are more easily triggered. Although the
molecular signals which trigger this distinct activity in
nonmyelin-specific T cells have not been defined, it seems reasonable
and likely that these are simply the same signals provided by the in
vitro conditions used to generate the nonmyelin-specific and
myelin-specific T cell lines and are the same signals as are present
during Ag activation in the peripheral LN (19).
Because of the apparent in vitro phenotypic similarities between the
OVA- and BP-specific T cells and because of the previously demonstrated
ability of BP-specific T cells to recruit CD11b+
BM-derived cells to the CNS in the same time frame as
nonmyelin-specific T cells (16), it seems most likely that
nonmyelin-specific and myelin-specific T cells are similar with regard
to their potential to recruit circulating BM-derived myelomonocytic
lineage cells to the CNS before Ag recognition. Thus, the
molecular recognition of specific myelin Ag and MHC is not required for
enhanced formation of BM-derived CNS APC and enhanced susceptibility to
CNS inflammation mediated by either nonmyelin-specific or
myelin-specific T cells. This raises the fascinating possibility
that, in addition to myelin-specific T cells, certain
nonmyelin-specific T cells present in the peripheral lymphoid tissues
and CNS may participate in the disease process even in the absence of
stimulation by specific neural Ag. Such a shared, early role for
myelin-specific and nonmyelin-specific T cells could involve direct or
indirect, local, or systemic effects on APC development and/or
blood-brain barrier permeability. We are currently pursuing these
possibilities to define more precisely the cellular and molecular
interactions responsible for altering susceptibility to disease.
Migration of nonmyelin-specific T cells into the CNS has been
recognized for decades in multiple rodent models (20, 21).
Enhancement of disease severity by nonmyelin-specific T cells has been
observed previously in immunocompetent rodents (22) and
nonmyelin-specific T cells in the CNS have been proposed to play a
pathologic role in EAE and MS (23). However, since the
experiments here were conducted in SCID mice in the presence of only a
very limited, defined T cell compartment, the results leave open
the possibility that nonmyelin-specific T cells might be subject
to regulation or other influences in immunocompetent animals and
humans. As examples of this, induction of an immune response to
nonmyelin Ag protected immunocompetent SJL mice from disease (24, 25) and conditions or treatments which induced suppressor
T cells inhibited EAE in immunocompetent rodent strains (26, 27). We are currently conducting experiments to evaluate these
possibilities in this model of EAE.
The current results should also be considered in the context of
previous clinical epidemiological studies since there has been
considerable interest in the reported associations among infections,
immunizations, and/or other environmental exposures and MS
(28). Although a specific environmental agent which is
causative in MS has not been identified (29, 30), several
have been suggested and experimental studies in EAE have provided
compelling evidence supporting the relevance of various infectious or
environmental agents as etiologic triggers for the pathogenic, neural
Ag-specific immune reactions which lead to CNS inflammation
(31). The results presented here demonstrate a cellular
mechanism whereby immune challenge by various environmental agents
(non-neural Ags) might induce nonpathologic changes within the CNS
which enhance susceptibility to CNS inflammation mediated subsequently
by neural Ag-specific T cells.
The results show that formation of BM-derived CNS APC and
susceptibility to EAE are reduced when nonmyelin-specific T cells are
absent compared with when they are present. This suggests that
treatments which decrease the number and activity of nonmyelin-specific
T cells may provide clinical benefit by reducing the severity of
inflammation and paralysis caused by myelin-specific T cells.
Furthermore, the results provide a rationale for understanding how
acute changes in immune status following environmental exposures might
precipitate an encephalitogenic event in MS (30). For
these reasons, it will be important to consider the number, quality,
location, and function of nonmyelin-specific T cells as crucial
susceptibility factors in CNS inflammation.
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Acknowledgments
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This work was conducted at the Veterinary Medical Unit and Research
Service, U.S. Department of Veterans Affairs Medical Center (Portland,
OR). Founder mice for the C.B-17 SCID mouse breeding colony were kindly
provided by M. Bosma. Histological specimens were prepared by
Carolyn Gendron (Pathology Laboratory, Oregon Cancer Institute) and
photographed by Michael Moody (Medical Media, Portland Veterans Affairs
Medical Center).
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Footnotes
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1 This work was supported by the U.S. Department of Veterans Affairs and the Nancy Davis Center Without Walls. 
2 Address correspondence and reprint requests to Dr. Richard E. Jones, Research Service, P-3-R&D-23, Veterans Affairs Medical Center, 3710 SW U.S. Veterans Hospital Road., Portland, OR 97239. E-mail address: jonesric{at}ohsu.edu 
3 Abbreviations used in this paper: MS, multiple sclerosis; BM, bone marrow; BMC, BM cell; BP, basic protein; CDI, cumulative disease index; EAE, experimental autoimmune encephalomyelitis; LN, lymph node. 
Received for publication August 23, 2002.
Accepted for publication November 8, 2002.
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J. R. Lees, Y. Iwakura, and J. H. Russell
Host T Cells Are the Main Producers of IL-17 within the Central Nervous System during Initiation of Experimental Autoimmune Encephalomyelitis Induced by Adoptive Transfer of Th1 Cell Lines
J. Immunol.,
June 15, 2008;
180(12):
8066 - 8072.
[Abstract]
[Full Text]
[PDF]
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