Janus-like opposing roles of CD47 in autoimmune brain inflammation in humans and mice

May H Han1, Deborah H Lundgren, Siddhartha Jaiswal

  • 1Department of Neurology and Neurological Sciences, Stanford University School of Medicine, Stanford, CA 94305, USA. mayhan@stanford.edu

Insights

CD47, a protein found in multiple sclerosis (MS) lesions, plays a dual role in autoimmune neuroinflammation. Its absence protects against experimental autoimmune encephalomyelitis (EAE), while blocking it worsens EAE and promotes myelin phagocytosis.

Area of Science:

  • Neuroimmunology
  • Molecular Biology
  • Cellular Biology

Background:

  • Multiple sclerosis (MS) involves complex immune responses and neuroinflammation.
  • CD47, a transmembrane protein, is implicated in immune cell regulation.
  • Understanding CD47's role in MS pathogenesis is crucial for developing new therapies.

Purpose of the Study:

  • To investigate the role of CD47 in the pathogenesis of multiple sclerosis (MS).
  • To explore the dual functions of CD47 in autoimmune neuroinflammation and experimental autoimmune encephalomyelitis (EAE).

Main Methods:

  • Comparative analysis of transcriptomic and proteomic data from MS lesions.
  • Immunohistochemical staining to determine CD47 expression patterns.
  • Utilizing CD47 knockout mice and monoclonal antibody blockade in EAE models.
  • In vitro phagocytosis assays involving myelin and signal regulatory protein α (SIRP-α).

Main Results:

  • CD47 is downregulated at mRNA and protein levels in MS lesions.
  • CD47 knockout mice are resistant to EAE due to impaired immune cell activation.
  • Blocking CD47 exacerbates EAE and enhances peripheral immune activation.
  • CD47 blockade promotes myelin phagocytosis in a SIRP-α-dependent manner.

Conclusions:

  • CD47 exhibits Janus-like roles in autoimmune neuroinflammation, with context-dependent effects on EAE.
  • CD47 signaling influences immune regulation and phagocytosis in the central nervous system.
  • Targeting CD47 may offer therapeutic potential for MS, but requires careful consideration of its opposing functions.

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