A role for alpha 4 integrins in different forms of the multiple sclerosis-l
ike disease experimental autoimmune encephalomyelitis (EAE) has been demons
trated. but the individual contributions of alpha 4 beta 1, alpha 4 beta 7,
and the related alpha E beta 7 integrin have not been determined. The beta
7 integrins alpha 4 beta 7 and alpha E beta 7 play a central role in chron
ic inflammation, mediating the trafficking, entry, and/or adhesion of lymph
ocytes in the inflamed pancreas and gut, and their ligands MAdCAM-1 VCAM-1
and E-cadherin are expressed on brain endothelial cells and/or on microvess
els in the inflamed central nervous system. Here, we show that an antibody
directed against the beta 7 subunit greatly attenuates a non-remitting form
of EAE, induced by adoptive transfer of myelin oligodendrocyte peptide (MO
G(35-55))-stimulated T cells. Combinational treatment with both anti-beta 7
and alpha 4 integrin subunit antibodies led to more rapid and complete rem
ission than that obtained with anti-alpha 4 antibody alone, potentially imp
licating a role for alpha E beta 7 in disease progression. Remission correl
ated with the down-regulation of the vascular addressins VCAM-1. MAdCAM-1.
and ICAM-1 on cerebral blood vessels. Attenuated forms of disease were indu
ced by adoptive transfer of either wild-type encephalitogenic T cells to be
ta 7-deficient gene knockout mice, or of beta 7(-/-)encephalitogenic T cell
s to wild-type recipients. The former finding indicates that beta 7(+ve) re
cruited cells contribute to disease progression. Thus alpha 4 beta 1, alpha
4 beta 7 and alpha E beta 7 integrins may all play a contributory role in
the progression of chronic forms of demyelinating disease, and together wit
h their ligands could represent potential targets for improved treatment of
some forms of multiple sclerosis. (C) 2000 Elsevier Science B.V. All right
s reserved.