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Updated: Jan 24, 2026

Induction and Diverse Assessment Indicators of Experimental Autoimmune Encephalomyelitis
Published on: September 9, 2022
Mode of Action of Aspirin in Experimental Autoimmune Encephalomyelitis
Swarupa Pahan1, Kalipada Pahan1,2
11 Division of Research and Development, Jesse Brown Veterans Affairs Medical Center, Chicago, Illinois.
Abstract:
Multiple sclerosis (MS) is a chronic and debilitating autoimmune disorder of the central nervous system in which the autoimmune T cells destroy myelin, thus causing lesion, damage, and neuronal dysfunction. Experimental autoimmune encephalomyelitis (EAE) is an animal model of MS that is particularly useful for testing new therapeutic approaches against MS. Aspirin (acetyl salicylic acid) is one of the oldest and widely used medicines in the world, and recently it has been shown that low-dose aspirin is capable of suppressing the disease process of EAE in mice. One of the root causes of this autoimmune disease process is the decrease and/or suppression of Foxp3-expressing anti-autoimmune regulatory T cells (Tregs) and associated increase in autoimmune T-helper 1 (Th1) and Th17 cells. Aspirin upregulates Tregs and decreases Th1 and Th17 responses. Accordingly, the suppression of Tregs abrogates the protective effect of aspirin on EAE, indicating that aspirin protects EAE via Tregs. While there are several mechanisms for the maintenance of Tregs under immune insults, aspirin increases the level of interleukin-11 (IL-11), an immunomodulatory cytokine, and IL-11 alone is sufficient to protect Tregs. Being a multifunctional molecule, aspirin stimulates the activation of cAMP-response element-binding (CREB) to promote the recruitment of CREB to the IL-11 gene promoter and stimulate the transcription of IL-11 in splenocytes. Therefore, it appears that low-dose aspirin protects EAE via CREB-mediated stimulation of IL-11-Treg pathway and that aspirin may have therapeutic importance in MS.
Insights
Low-dose aspirin suppresses experimental autoimmune encephalomyelitis (EAE) by upregulating regulatory T cells (Tregs). Aspirin achieves this by stimulating interleukin-11 (IL-11) production via the CREB pathway, highlighting its therapeutic potential for multiple sclerosis (MS).
Area of Science:
- Neuroimmunology
- Pharmacology
Background:
- Multiple sclerosis (MS) is a central nervous system autoimmune disorder characterized by myelin destruction.
- Experimental autoimmune encephalomyelitis (EAE) serves as a key animal model for studying MS pathogenesis and therapeutic strategies.
- A decrease in regulatory T cells (Tregs) and an increase in T-helper 1 (Th1) and T-helper 17 (Th17) cells are implicated in MS and EAE.
Purpose of the Study:
- To investigate the therapeutic potential of low-dose aspirin in an animal model of multiple sclerosis (MS).
- To elucidate the underlying mechanisms by which aspirin exerts its protective effects in experimental autoimmune encephalomyelitis (EAE).
Main Methods:
- Administration of low-dose aspirin to mice with EAE.
- Assessment of Treg, Th1, and Th17 cell populations.
- Measurement of interleukin-11 (IL-11) levels.
- Analysis of cAMP-response element-binding (CREB) activation and its role in IL-11 gene transcription.
Main Results:
- Low-dose aspirin significantly suppressed the disease progression in EAE mice.
- Aspirin treatment led to an upregulation of Tregs and a downregulation of Th1 and Th17 cells.
- Aspirin was found to increase IL-11 levels, which were sufficient to protect Tregs.
- The protective effect of aspirin was dependent on Tregs and mediated by CREB-stimulated IL-11 production.
Conclusions:
- Low-dose aspirin demonstrates therapeutic efficacy in EAE, likely through the modulation of T cell responses.
- The aspirin-mediated protection in EAE is critically dependent on the induction of Tregs.
- Aspirin promotes Treg stability and function via the CREB-mediated induction of IL-11, suggesting a novel therapeutic pathway for MS.
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