MRI-based monitoring of inflammation and tissue damage in acute and chronic relapsing EAE

M Rausch1, P Hiestand, D Baumann

  • 1Novartis Institute for Biomedical Research, Basel, Switzerland. martin.rausch@pharma.novartis.com

Insights

Experimental autoimmune encephalomyelitis (EAE), an animal model for multiple sclerosis (MS), reveals infiltrating monocytes drive demyelination. Monocyte infiltration and blood-brain barrier (BBB) breakdown appear as independent inflammatory processes.

Area of Science:

  • Neuroimmunology
  • Neuroinflammation
  • Magnetic Resonance Imaging (MRI)

Background:

  • Experimental autoimmune encephalomyelitis (EAE) serves as a key animal model for human multiple sclerosis (MS).
  • Understanding the dynamics of neuroinflammation and demyelination in EAE is crucial for developing effective MS therapies.

Purpose of the Study:

  • To investigate the role of infiltrating monocytes in demyelination during EAE using advanced MRI techniques.
  • To compare imaging findings with behavioral outcomes in EAE rats during acute and relapsing phases.

Main Methods:

  • Utilized in vivo ultrasmall particles of iron oxide (USPIO) for macrophage tracking.
  • Employed blood-brain barrier (BBB) breakdown assessment and magnetization transfer imaging (MTI).
  • Correlated MRI data with immunohistological staining and behavioral readouts in Lewis rats.

Main Results:

  • Activated monocytes were detected in the brain stem and cortex during acute and relapsing EAE phases.
  • Areas of USPIO accumulation showed significant magnetization transfer ratio (MTR) changes (up to 35%), indicating demyelination.
  • Monocyte infiltration partially overlapped with BBB breakdown sites, but these processes were temporally and spatially independent.

Conclusions:

  • Infiltrating monocytes are identified as the primary drivers of demyelination in the EAE model.
  • The findings suggest that monocyte infiltration and BBB breakdown are distinct inflammatory events in EAE pathogenesis.
  • This study highlights the utility of combined MRI techniques for dissecting inflammatory processes in neurodegenerative diseases like MS.

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