Sphingosine 1-phosphate receptor modulation suppresses pathogenic astrocyte activation and chronic progressive CNS inflammation.

Proc Natl Acad Sci U S A
Authors
Abstract

Multiple sclerosis (MS) is an autoimmune inflammatory demyelinating disease of the CNS that causes disability in young adults as a result of the irreversible accumulation of neurological deficits. Although there are potent disease-modifying agents for its initial relapsing-remitting phase, these therapies show limited efficacy in secondary progressive MS (SPMS). Thus, there is an unmet clinical need for the identification of disease mechanisms and potential therapeutic approaches for SPMS. Here, we show that the sphingosine 1-phosphate receptor (S1PR) modulator fingolimod (FTY720) ameliorated chronic progressive experimental autoimmune encephalomyelitis in nonobese diabetic mice, an experimental model that resembles several aspects of SPMS, including neurodegeneration and disease progression driven by the innate immune response in the CNS. Indeed, S1PR modulation by FTY720 in murine and human astrocytes suppressed neurodegeneration-promoting mechanisms mediated by astrocytes, microglia, and CNS-infiltrating proinflammatory monocytes. Genome-wide studies showed that FTY720 suppresses transcriptional programs associated with the promotion of disease progression by astrocytes. The study of the molecular mechanisms controlling these transcriptional modules may open new avenues for the development of therapeutic strategies for progressive MS.

Year of Publication
2017
Journal
Proc Natl Acad Sci U S A
Volume
114
Issue
8
Pages
2012-2017
Date Published
2017 Feb 21
ISSN
1091-6490
DOI
10.1073/pnas.1615413114
PubMed ID
28167760
PubMed Central ID
PMC5338419
Links
Grant list
K99 AI075285 / AI / NIAID NIH HHS / United States
R00 AI075285 / AI / NIAID NIH HHS / United States
R01 AI093903 / AI / NIAID NIH HHS / United States
R56 AI093903 / AI / NIAID NIH HHS / United States