Pentoxifylline, a widely used methylxanthine, has been proven to inhib
it the production and action of the cytokine TNF alpha. Since it has b
een suggested that TNF alpha is the major cytokine involved in the pat
hogenesis of multiple sclerosis, we tested pentoxifylline for its capa
city to prevent experimental allergic encephalomyelitis (EAE). 26 Lewi
s rats with acute EAE were treated with either pentoxifylline or salin
e. The pentoxifylline treated rats showed a significantly lower incide
nce of clinical signs as well as significantly lower histological infl
ammation. The exact mechanism of this preventive effect remains to be
clarified but it might be mainly related to inhibition of TNF alpha re
lease from central nervous system macrophages.