Prophylactic treatment against GM-CSF, but not IL-17, abolishes relapses in a chronic murine model of multiple

Catherine Uyttenhove1,2, Mélanie Gaignage1,2, Dominique Donckers1,2

  • 1Ludwig Cancer Research, Brussels Branch, Brussels, Belgium.

Insights

Granulocyte-macrophage colony-stimulating factor (GM-CSF) plays a critical role in experimental autoimmune encephalomyelitis (EAE), a model for multiple sclerosis (MS). Anti-GM-CSF treatment effectively prevented and resolved both relapsing and chronic EAE in mice.

Area of Science:

  • Neuroimmunology
  • Immunology
  • Experimental Neurology

Background:

  • The pathogenic roles of Interleukin-17 (IL-17) and Granulocyte-Macrophage Colony-Stimulating Factor (GM-CSF) are established in experimental autoimmune encephalomyelitis (EAE), a mouse model for multiple sclerosis (MS).
  • Existing EAE models often display monophasic attacks, failing to replicate the relapsing-remitting and chronic disease courses observed in MS patients.

Purpose of the Study:

  • To investigate the efficacy of anti-GM-CSF monoclonal antibody (mAb) treatment in a relapsing-remitting EAE model that mimics chronic MS.
  • To evaluate the impact of GM-CSF neutralization on pro-inflammatory mediator production and disease progression in different EAE models.

Main Methods:

  • Induction of relapsing EAE (EAE-II) in SJL mice using proteolipid protein peptide (PLP139-151) after recovery from primary EAE (EAE-I).
  • Treatment with anti-IL-17-mAb and anti-GM-CSF-mAb during different phases of EAE (EAE-I and EAE-II).
  • Assessment of disease severity, relapse prevention, and recovery in treated mice; analysis of T-cell transcription factors, cytokines, and chemokines.

Main Results:

  • Anti-IL-17-mAb failed to prevent severe, irreversible relapses in the EAE-II model, unlike in EAE-I.
  • Prophylactic anti-GM-CSF-mAb treatment prevented both EAE-I and EAE-II, silencing key T-cell transcription factors and inflammatory mediators.
  • Anti-GM-CSF-mAb treatment during EAE-II mitigated relapses and promoted full recovery, also resolving monophasic EAE and preventing further relapses upon re-vaccination in C57Bl/6 mice.

Conclusions:

  • GM-CSF is a critical mediator of pro-inflammatory cytokine and chemokine production in EAE.
  • Anti-GM-CSF neutralization demonstrates significant preventive and curative potential in both relapsing and chronic EAE models.
  • These findings highlight GM-CSF as a promising therapeutic target for progressive forms of multiple sclerosis.

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