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NEUROLOGY 1992;42:348
© 1992 American Academy of Neurology

Immunosuppression promotes CNS remyelination in chronic virus-induced demyelinating disease

Moses Rodriguez, MD and Mark D. Lindsley, ScD

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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