T cells of multiple sclerosis patients target a common environmental peptide that causes encephalitis in mice

S Winer1, I Astsaturov, R K Cheung

  • 1The Hospital For Sick Children, Research Institute, Toronto, Ontario, Canada.

Insights

Multiple sclerosis (MS) risk may be linked to cow milk protein (CMP) consumption. Researchers found specific CMP immune responses in MS patients, suggesting a potential environmental trigger for CNS autoimmunity.

Area of Science:

  • Immunology
  • Neuroscience
  • Autoimmune Diseases

Background:

  • Multiple sclerosis (MS) is a chronic autoimmune disease with unknown environmental triggers in genetically susceptible individuals.
  • Previous research suggests a link between high cow milk protein (CMP) consumption and MS risk, similar to associations found in autoimmune diabetes.
  • A rodent study indicated that immune responses to CMP (butyrophilin) could cause encephalitis via antigenic mimicry with myelin oligodendrocyte glycoprotein.

Purpose of the Study:

  • To investigate T cell immunity to CMPs in patients with multiple sclerosis.
  • To identify specific CMP epitopes targeted by the immune system in MS patients.
  • To evaluate the encephalitogenic potential of identified CMP epitopes in a mouse model.

Main Methods:

  • Assessed T cell immunity to various CMPs in MS patients and compared it to that in diabetes patients.
  • Performed epitope mapping using bovine serum albumin (BSA) to identify specific targeted peptides.
  • Induced experimental autoimmune encephalitis (EAE) in SJL/J mice using the identified epitope BSA(193) to test its encephalitogenicity.

Main Results:

  • Abnormal T cell immunity to several CMPs was observed in MS patients, similar to findings in diabetes patients.
  • A specific epitope, BSA(193), was identified as a target for most MS patients but not for diabetes patients.
  • The BSA(193) epitope demonstrated encephalitogenic properties in mice, inducing experimental autoimmune encephalitis.

Conclusions:

  • The findings suggest a potential immunological basis connecting MS risk, CMP consumption, and central nervous system (CNS) autoimmunity.
  • The identification of BSA(193) in both MS patients and an animal model of encephalitis implies a possible common endogenous ligand involved in antigenic mimicry.
  • This research expands the understanding of environmental factors contributing to MS pathogenesis through immune cross-reactivity.

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