B. Engelhardt et al., The development of experimental autoimmune encephalomyelitis in the mouse requires alpha 4-integrin but not alpha 4 beta 7-integrin, J CLIN INV, 102(12), 1998, pp. 2096-2105
Because monoclonal antibodies (mAbs) directed against alpha 4-integrin and
VCAM-1 inhibit the development of experimental autoimmune encephalomyelitis
(EAE) in vivo, it has been concluded that the successful therapeutic effec
t is due to interference with alpha 4 beta 1/VCAM-1-mediated interaction of
autoaggressive T cells with the blood-brain barrier. A possible role for a
lpha 4 beta 7-integrin, or interference with other T cell mediated events d
uring the pathogenesis of EAE, has not been considered. We have compared th
e effects of mAb therapy on the development of EAE in the SJL/N mouse, usin
g a large panel of mAbs directed against alpha 4, beta 7, the alpha 4 beta
7-heterodimer, and against VCAM-1. Although encephalitogenic T cells expres
s both alpha 4-integrins, mAbs directed against the alpha 4 beta 7-heterodi
mer or against the beta 7-subunit did not interfere with the development of
EAE. In contrast, mAbs directed against alpha 4 and VCAM-1 inhibited or di
minished clinical or histopathological signs of EAE, Our data demonstrate f
or the first time that alpha 4 beta 7 is not essential for the development
of EAE. Furthermore, our in vitro studies suggest that the therapeutic effe
ct of anti-alpha 4-treatment of EAE might also be caused by inhibition of a
ntigen-specific T cell proliferation.