G-CSF therapy of ongoing experimental allergic encephalomyelitis via chemokine-and cytokine-based immune deviation

F Zavala, S Abad, S Ezine, V Taupin… - The Journal of …, 2002 - journals.aai.org
F Zavala, S Abad, S Ezine, V Taupin, A Masson, JF Bach
The Journal of Immunology, 2002journals.aai.org
Converging evidence that G-CSF, the hemopoietic growth factor of the myeloid lineage, also
exerts anti-inflammatory and pro-Th2 effects, prompted us to evaluate its direct therapeutic
potential in autoimmune diseases. Here we report a novel activity of G-CSF in experimental
allergic encephalomyelitis, a murine model for multiple sclerosis, driven by Th1-oriented
autoaggressive cells. A short 7-day treatment with G-CSF, initiated at the onset of clinical
signs, provided durable protection from experimental autoimmune encephalomyelitis. G …
Abstract
Converging evidence that G-CSF, the hemopoietic growth factor of the myeloid lineage, also exerts anti-inflammatory and pro-Th2 effects, prompted us to evaluate its direct therapeutic potential in autoimmune diseases. Here we report a novel activity of G-CSF in experimental allergic encephalomyelitis, a murine model for multiple sclerosis, driven by Th1-oriented autoaggressive cells. A short 7-day treatment with G-CSF, initiated at the onset of clinical signs, provided durable protection from experimental autoimmune encephalomyelitis. G-CSF-treated mice displayed limited demyelination, reduced recruitment of T cells to the CNS, and very discrete autoimmune inflammation, as well as barely detectable CNS mRNA levels of cytokines and chemokines. In the periphery, G-CSF treatment triggered an imbalance in the production by macrophages as well as autoreactive splenocytes of macrophage inflammatory protein-1α and monocyte chemoattractant protein-1, the prototypical pro-Th1 and pro-Th2 CC chemokines, respectively. This chemokine imbalance was associated with an immune deviation of the autoreactive response, with reduced IFN-γ and increased IL-4 and TGF-β1 levels. Moreover, G-CSF limited the production of TNF-α, a cytokine also associated with early CNS infiltration and neurological deficit. These findings support the potential application of G-CSF in the treatment of human autoimmune diseases such as multiple sclerosis, taking advantage of the wide clinical favorable experience with this molecule.
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