Fasudil mediates cell therapy of EAE by immunomodulating encephalomyelitic T cells and macrophages

Chun-Yun Liu1, Shang-De Guo, Jie-Zhong Yu

  • 1Institute of Brain Science, Department of Neurology, Medical School, Shanxi Datong University, Datong, China.

Insights

Fasudil treatment modulates T cells and macrophages, shifting them towards an anti-inflammatory profile. Fasudil-treated cells show therapeutic potential in experimental autoimmune encephalomyelitis (EAE), suggesting a novel cell therapy strategy for multiple sclerosis (MS).

Area of Science:

  • Immunology
  • Neuroscience
  • Pharmacology

Background:

  • Fasudil's therapeutic potential in experimental autoimmune encephalomyelitis (EAE) is recognized, but its precise mechanism of action remains unclear.
  • Understanding Fasudil's immunomodulatory effects is crucial for developing effective cell therapies for autoimmune neurological diseases.

Purpose of the Study:

  • To investigate the immunomodulatory effects of Fasudil on encephalitogenic mononuclear cells (MNCs).
  • To evaluate the therapeutic potential of Fasudil-treated MNCs in an active EAE model.
  • To elucidate the autoantigen-independent mechanisms underlying Fasudil's effects.

Main Methods:

  • Assessed Fasudil's impact on T cell populations (IFN-γ, IL-17, IL-10, TGF-β) and macrophage phenotypes (CD16/32, IL-12, CD206, CD23, IL-10, iNOS, Arg-1).
  • Investigated the modulation of Toll-like receptor 4 (TLR-4)/nuclear factor-kappa B (NF-κB) signaling and tumor necrosis factor-alpha (TNF-α).
  • Evaluated the in vitro capacity of Fasudil-treated MNCs to transfer EAE and their therapeutic efficacy in actively induced EAE mice.

Main Results:

  • Fasudil inhibited T cell migration and pro-inflammatory cytokine production (IFN-γ, IL-17) while promoting anti-inflammatory cytokines (IL-10, TGF-β).
  • Fasudil induced a shift from M1 to M2 macrophage phenotype by downregulating M1 markers and upregulating M2 markers, and inhibited TLR-4/NF-κB signaling.
  • Fasudil-treated MNCs demonstrated reduced capacity to transfer EAE adoptively and exhibited therapeutic potential in EAE mice, independent of autoantigen presence.

Conclusions:

  • Fasudil effectively modulates T cells and induces M2 polarization of macrophages in an autoantigen-independent manner.
  • Fasudil-treated MNCs possess therapeutic potential for EAE, highlighting a novel cell therapy strategy for multiple sclerosis (MS).
  • This study provides mechanistic insights into Fasudil's immunomodulatory actions relevant to autoimmune CNS diseases.