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Pertussis toxin-induced reversible encephalopathy dependent on monocyte chemoattractant protein-1 overexpression in

DeRen Huang1, Marie Tani, Jintang Wang

  • 1Department of Neurosciences, Lerner Research Institute, The Cleveland Clinic Foundation, Cleveland, Ohio 44195, USA.

Insights

A novel animal model, PREMO, mimics human encephalopathy by overexpressing monocyte chemoattractant protein-1 (MCP-1). This model, dependent on MCP-1 and CC chemokine receptor 2 (CCR2), offers insights into inflammatory brain disorders.

Area of Science:

  • Neuroscience
  • Immunology
  • Pathology

Background:

  • Encephalopathic complications are seen in inflammatory disorders like viral meningoencephalitis, Lyme neuroborreliosis, and multiple sclerosis (MS).
  • Existing animal models do not fully recapitulate the complex features of these human conditions.

Purpose of the Study:

  • To develop and characterize a novel animal model of reversible encephalopathy.
  • To investigate the role of monocyte chemoattractant protein-1 (MCP-1) and CC chemokine receptor 2 (CCR2) in inflammatory encephalopathy.

Main Methods:

  • Generation of transgenic (tg) mice with varying levels of MCP-1 overexpression.
  • Induction of encephalopathy using pertussis toxin (PTx) and complete Freund's adjuvant (CFA).
  • Assessment of neurological function, mortality, T-cell involvement, and CCR2 disruption effects. Cytokine profiling of CNS tissues.

Main Results:

  • High-level MCP-1 overexpression in tg mice (MCP-1(hi)) led to transient, severe encephalopathy with high mortality after PTx/CFA. Survivors showed functional recovery.
  • The disorder was milder in T-cell deficient mice and abolished by CC chemokine receptor 2 (CCR2) disruption.
  • Elevated proinflammatory cytokines (TNF-alpha, IL-1beta, IFN-gamma, IL-2, RANTES, IP-10) were observed in CNS tissues.

Conclusions:

  • The study characterizes a novel model of reversible inflammatory encephalopathy (PREMO) dependent on MCP-1 and CCR2.
  • This model mimics human encephalopathic complications and highlights the interplay of genetic and environmental factors.
  • The findings underscore the critical role of MCP-1, CCR2, and T-cells in the pathogenesis of inflammatory encephalopathy.

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