Downregulation of macrophage inhibitory molecules in multiple sclerosis lesions

Nathalie Koning1, Lars Bö, Robert M Hoek

  • 1Netherlands Institute for Neuroscience, Amsterdam, the Netherlands. n.koning@nin.knaw.nl

Annals of Neurology
|September 21, 2007
PubMed
Abstract

Insights

Decreased expression of immune inhibitory molecules CD200 and CD47 in multiple sclerosis (MS) lesions suggests reduced macrophage regulation. This may drive inflammation and damage around active MS lesions.

Area of Science:

  • Neuroimmunology
  • Multiple Sclerosis Pathogenesis

Background:

  • Activated macrophages (microglia and blood-borne) are key in multiple sclerosis (MS) lesion development.
  • Neuronal glycoproteins CD200 and CD47 normally inhibit macrophage activity via their receptors.

Purpose of the Study:

  • To investigate the expression of immune inhibitory molecules (CD200, CD47) in relation to MS lesion pathology.
  • To determine how these molecules correlate with macrophage activation markers in different MS lesion areas.

Main Methods:

  • Quantitative gene expression analysis using laser dissection microscopy and real-time PCR.
  • Examination of specific regions: lesion rim, center, and normal-appearing white matter in chronic active and inactive MS lesions.

Main Results:

  • CD200 and CD47 were downregulated in MS lesion centers and CD47 in active lesion rims.
  • Normal-appearing white matter near active lesions showed similar expression changes, unlike that near inactive lesions.
  • While some MS hallmarks were confirmed, osteopontin and alphaB-crystallin expression decreased; CD200R and signal-regulatory protein alpha expression remained unchanged.

Conclusions:

  • Reduced CD200 and CD47 expression in MS lesions may impair immune inhibition, disrupting macrophage/microglia balance.
  • This imbalance could promote a pro-inflammatory state around active lesions, contributing to axonal injury, demyelination, and lesion expansion.