Tubulin polymerization promoting protein (TPPP/p25) as a marker for oligodendroglial changes in multiple sclerosis

Romana Höftberger1, Stephanie Fink, Fahmy Aboul-Enein

  • 1Institute of Neurology, Medical University of Vienna, Vienna, Austria.

Glia
|August 26, 2010
PubMed

Insights

Tubulin polymerization promoting protein (TPPP/p25) is upregulated in multiple sclerosis (MS) white matter, indicating impaired oligodendrocyte precursor cell function. This suggests TPPP/p25 may serve as a diagnostic marker for MS progression.

Area of Science:

  • Neuroscience
  • Immunology
  • Cell Biology

Background:

  • Multiple sclerosis (MS) is a chronic inflammatory demyelinating disease affecting the central nervous system.
  • Remyelination in MS involves oligodendrocyte precursor cells (OGCs) differentiating into mature oligodendrocytes (OGs).
  • Tubulin polymerization promoting protein (TPPP/p25) is found in mature OGs and is implicated in oligodendroglial cytoplasmic inclusions.

Purpose of the Study:

  • To develop a novel monoclonal antibody against TPPP/p25 for quantifying OGs in MS.
  • To investigate OG changes and TPPP/p25 expression in various MS subtypes and disease stages.
  • To explore TPPP/p25 as a potential diagnostic and prognostic marker for MS.

Main Methods:

  • Evaluation of autopsy brain tissue from 25 MS cases and 5 controls.
  • Immunohistochemical analysis using a novel anti-TPPP/p25 antibody.
  • Quantification of TPPP/p25-positive OGs and assessment of cytoplasmic area and immunoreactivity.

Main Results:

  • Loss of TPPP/p25-positive OGs observed in demyelinated MS lesions.
  • TPPP/p25 expression initially in OG cytoplasm during remyelination, later in myelin sheaths.
  • Increased TPPP/p25-immunoreactive OGs found in normal-appearing white matter (NAWM) of MS patients.
  • Enlarged TPPP/p25-positive OG cytoplasmic area in periplaque regions compared to NAWM and plaques.
  • TPPP/p25 immunoreactive OG cytoplasmic area inversely correlated with disease duration.
  • Absence of specific protein aggregates (phospho-TDP-43, phospho-tau, α-synuclein, ubiquitin) in enlarged OG cytoplasm.

Conclusions:

  • Data suggest impaired differentiation, migration, and activation of OGs in later MS stages.
  • Upregulation of TPPP/p25 in periplaque white matter OGs may indicate an activation state.
  • Distinct and increased TPPP/p25 expression in MS highlights its potential as a prognostic and diagnostic marker.