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Cladribine interferes with IL-1β synaptic effects in experimental multiple sclerosis
Alessandra Musella1, Georgia Mandolesi, Antonietta Gentile
1Fondazione Santa Lucia, Centro Europeo per la Ricerca sul Cervello (CERC), 00143 Rome, Italy; UOC Neurologia, Dipartimento di Medicina dei Sistemi, Università Tor Vergata, 00133 Rome, Italy.
Cladribine, delivered intracerebroventricularly, reduced multiple sclerosis (MS) symptoms in mice by protecting against synaptic damage. This neuroprotection occurred independently of its immunosuppressive effects.
Area of Science:
- Neuroimmunology
- Neuropharmacology
- Neurophysiology
Background:
- Multiple sclerosis (MS) involves glutamate-mediated synaptic transmission alterations.
- Experimental autoimmune encephalomyelitis (EAE) models MS, exhibiting similar synaptic dysfunction.
- Central nervous system inflammation in EAE impacts glutamatergic synapses.
Purpose of the Study:
- To investigate the effects of intracerebroventricular (Icv) cladribine administration on EAE.
- To determine if cladribine offers neuroprotection in experimental MS.
- To elucidate the mechanism of cladribine's action on synaptic alterations in EAE.
Main Methods:
- Intracerebroventricular (Icv) infusion of cladribine in EAE mice.
- Assessment of clinical EAE scores.
- Electrophysiological recordings to measure excitatory postsynaptic current (sEPSC) frequency.
- Evaluation of microglial and astroglial activation.
- Analysis of interleukin-1β (IL-1β) involvement.
Main Results:
- Icv cladribine administration significantly reduced clinical deficits in EAE mice.
- Cladribine reversed the EAE-induced enhancement of sEPSC frequency, indicating protection against glutamatergic synaptopathy.
- Cladribine did not affect EAE-induced microglial or astroglial activation.
- Cladribine blocked EAE synaptic alterations by interfering with interleukin-1β effects.
Conclusions:
- Intracerebroventricular cladribine exhibits neuroprotective properties in experimental MS (EAE).
- Cladribine's neuroprotection in EAE is mediated by interfering with IL-1β effects on synaptic function.
- These neuroprotective effects are independent of cladribine's peripheral immunosuppressant actions.
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