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Updated: Jun 5, 2026

Induction and Diverse Assessment Indicators of Experimental Autoimmune Encephalomyelitis
Published on: September 9, 2022
EAE: imperfect but useful models of multiple sclerosis
Bert A 't Hart1, Bruno Gran, Robert Weissert
1Department of Immunobiology, Biomedical Primate Research Center, Lange Kleiweg 161, 2288 GJ Rijswijk, The Netherlands. hart@bprc.nl
Abstract:
The high failure rate of immunotherapies in multiple sclerosis (MS) clinical trials demonstrates problems in translating new treatment concepts from animal models to the patient. One main reason for this 'immunotherapy gap' is the usage of immunologically immature, microbiologically clean and genetically homogeneous rodent strains. Another reason is the artificial nature of the experimental autoimmune encephalomyelitis model, which favors CD4+ T cell driven autoimmune mechanisms, whereas CD8+ T cells are prevalent in MS lesions. In this paper, we discuss preclinical models in humanized rodents and non-human primates that are genetically closer to MS. We also discuss models that best reproduce specific aspects of MS pathology and how these can potentially improve preclinical selection of promising therapies from the discovery pipeline.
Insights
Translating immunotherapies for multiple sclerosis (MS) requires better preclinical models. Current models fail to mimic MS pathology, leading to high clinical trial failure rates for MS treatments.
Area of Science:
- Neuroimmunology
- Translational Medicine
- Preclinical Research
Background:
- Immunotherapies for multiple sclerosis (MS) exhibit high failure rates in clinical trials.
- This failure is partly due to limitations in current preclinical models, including the use of genetically homogeneous rodents and the experimental autoimmune encephalomyelitis (EAE) model's focus on CD4+ T cells, unlike MS pathology.
Purpose of the Study:
- To discuss advanced preclinical models for multiple sclerosis (MS) research.
- To address the 'immunotherapy gap' by exploring models that better reflect MS pathology and patient genetics.
Main Methods:
- Discussion of preclinical models using humanized rodents and non-human primates.
- Analysis of models that replicate specific aspects of MS pathology.
Main Results:
- Current preclinical models inadequately represent MS, contributing to the immunotherapy gap.
- Humanized rodents and non-human primates offer improved genetic relevance for MS research.
Conclusions:
- Developing more accurate preclinical models is crucial for improving the success rate of MS immunotherapies.
- Utilizing models that better mimic MS pathology can enhance the preclinical selection of effective therapies.
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