Abstract:Purpose-Human remyelination promoting IgM mAbs target oligodendrocytes (OLs) and function in animal models of multiple sclerosis (MS). However, their mechanism of action is unknown. This study seeks to identify the cellular mechanism of action of a recombinant human IgM on OL survival.Methods-Binding of rHIgM22 to the surface of rat OLs was studied by co-localization with various markers. RHIgM22-mediated effects on apoptotic signaling in OLs, differentiation markers and signaling molecules were detected by We… Show more
“…However, it is clear that the antigen(s) of IgM22 can be presented to activate natural IgM production without inducing autoimmunity. As previously mentioned, HIgM22 can mediate signaling to promote oligodendrocyte precursor cell proliferation in cultured mixed glia [86] and accelerate myelin repair in vivo [4]. This finding has provided evidence that, in addition to regulating the immune system, natural IgMs signal the neural cells directly and/or indirectly to mediate a novel CNS function distinctive to the traditional view of natural IgMs in maintaining homeostasis.…”
Section: Neural Reactive Natural Igms and The Nature Of Neural Surface mentioning
The immune system generates antibodies and antigen-specific T-cells as basic elements of the immune networks that differentiate self from non-self in a finely tuned manner. The antigen-specific nature of immune responses ensures that normal immune activation contains non-self when tolerating self. Here we review the B-1 subset of lymphocytes which produce self-reactive antibodies. By analyzing the IgM class of natural antibodies that recognize antigens from the nervous system, we emphasize that natural antibodies are biomarkers of how the immune system monitors the host. The immune response activated against self can be detrimental when triggered in an autoimmune genetic background. In contrast, tuning immune activity with natural antibodies is a potential therapeutic strategy.
“…However, it is clear that the antigen(s) of IgM22 can be presented to activate natural IgM production without inducing autoimmunity. As previously mentioned, HIgM22 can mediate signaling to promote oligodendrocyte precursor cell proliferation in cultured mixed glia [86] and accelerate myelin repair in vivo [4]. This finding has provided evidence that, in addition to regulating the immune system, natural IgMs signal the neural cells directly and/or indirectly to mediate a novel CNS function distinctive to the traditional view of natural IgMs in maintaining homeostasis.…”
Section: Neural Reactive Natural Igms and The Nature Of Neural Surface mentioning
The immune system generates antibodies and antigen-specific T-cells as basic elements of the immune networks that differentiate self from non-self in a finely tuned manner. The antigen-specific nature of immune responses ensures that normal immune activation contains non-self when tolerating self. Here we review the B-1 subset of lymphocytes which produce self-reactive antibodies. By analyzing the IgM class of natural antibodies that recognize antigens from the nervous system, we emphasize that natural antibodies are biomarkers of how the immune system monitors the host. The immune response activated against self can be detrimental when triggered in an autoimmune genetic background. In contrast, tuning immune activity with natural antibodies is a potential therapeutic strategy.
“…The impact of these molecules on OPCs remains controversial, with reports suggesting both a beneficial outcome on myelination and induction of OPC death. For example, TNFα is highly expressed in demyelinating MS lesions and has been shown to potentiate IFN-γ-induced cell death in vitro (Andrews et al, 1998; Watzlawik et al, 2010). Arnett et al showed a modest delay in cuprizone-induced oligodendrocyte death in TNF-α knockout mice, implicating it as a potentially harmful cytokine (Arnett et al, 2001).…”
Oligodendrocyte progenitor cells (OPCs) are the often-overlooked fourth glial cell type in the central nervous system (CNS), comprising about 5% of the CNS. For a long time, our vision of OPC function was limited to the generation of mature oligodendrocytes. However, new studies have highlighted the multifaceted nature of the OPCs. During homeostatic and pathological conditions, OPCs are the most proliferative cell type in the CNS, a property not consistent with the need to generate new oligodendrocytes. Indeed, OPCs modulate neuronal activity and OPC depletion in the brain can trigger depressive-like behavior. More importantly, OPCs are actively recruited to injury sites, where they orchestrate glial scar formation and contribute to the immune response. The following is a comprehensive analysis of the literature on OPC function beyond myelination, in the context of the healthy and diseased adult CNS.
“…rHIgM22 is a true human monoclonal antibody that crosses the blood brain barrier [23,24] and targets demyelinating lesions [25]. This antibody increases Ca 2+ signaling in oligodendrocytes and astrocytes [26] stimulates proliferation of progenitor oligodendrocytes by reorganizing plasma membranes of oligodendrocyte surfaces and inducing a signaling complex [27]. In contrast, rHIgM12 binds to neurons and protects against axonal injury in chronic TMEV murine model and ALS model [12].…”
Abstract. A single peripheral dose of CNS-binding IgMs promote remyelination and preserve axons in a number of animal models of neurologic disease. A myelin-binding recombinant human IgM (rHIgM22) is presently in a safety trial in MS patients following an acute MS exacerbation. rHIgM22 (directed against oligodendrocytes) or rHIgM12 (directed against neurons) were administered to mice with MOG-induced experimental autoimmune encephalomyelitis (EAE) with study endpoints: clinical deficits and brain and spinal cord pathology. IgMs were administered at a therapeutic dose of 100 µg intra peritoneal at the time of immunization (day −1, 0, +1), disease onset (15 days) or peak of the disease (28 days). Disease course was not worsened by either human IgM regardless of the time of treatment. Of note, the human IgM that recognizes a carbohydrate epitope on gangliosides and NCAM, rHIgM12, reduced brain pathology when given at time of immunization or at onset of disease, but did not reduce clinical deficits or spinal cord disease burden. Hence, treatment with rHIgM12 resulted in marked reduction in meningeal inflammation. Data consistent with the hypothesis that in the EAE model this molecule has an immune-modulatory effect. Treatment with an anti-CD4 blocking IgG prevented both clinical course and CNS pathology. This pre-clinical study further supports the safety of therapeutic CNS-binding human IgMs in the presence of autoimmunity and clearly differentiates them from IgGs directed against MOG or aquaporin-4 that worsen neurologic disease.
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