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Departments of Neurology (Dr. Rodriguez) and Immunology (Drs. Rodriguez and Lindsley), Mayo Medical School, Rochester, MN.
Immunosuppression using cyclophosphamide or anti-T cell monoclonal antibodies (mAbs) directed at CD4 or CD8 promoted remyelination of CNS axons in the spinal cords of mice infected chronically with Theiler's virus. Treatment with a mAb directed at class II major histocompability gene products did not increase the extent of CNS remyelination. Following immunosuppressive treatment, quantitative morphometry revealed a five- to sevenfold increase in new myelin synthesis. Proliferating nervous system cells were identified at the edges of remyelinated lesions by their incorporation of [3H]thymidine. CNS remyelination occurred in mice depleted of selected subsets of T lymphocytes despite the local persistence of viral antigen. These findings indicate that CNS remyelination occurs as a normal consequence of primary myelin injury, but factors associated with immune T cells somehow impair remyelination. Interference with the function of immune T cells enhances CNS remyelination by oligodendrocytes. Similar depletion of immune T cells may allow for enhanced remyelination in the CNS of patients with chronic multiple sclerosis.
Address correspondence and reprint requests to Dr. Moses Rodriguez, Department of Immunology, Mayo Clinic/Foundation, Rochester, MN 55905.
Supported by grants NS 24180 and CA-09127 from the National Institutes of Health and RG 1878-B1 and RG-2174-A-3 from the National Multiple Sclerosis Society.
Received May 31, 1991. Accepted for publication in final form July 24, 1991.
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