TNFR2 limits proinflammatory astrocyte functions during EAE induced by pathogenic DR2b-restricted T cells

Itay Raphael1,2, Francisco Gomez-Rivera2,3, Rebecca A Raphael2,4

  • 1Department of Neurological Surgery, University of Pittsburgh, UPMC Children's Hospital, Pittsburgh, Pennsylvania, USA.

JCI Insight
|December 20, 2019
PubMed

Insights

Tumor Necrosis Factor Receptor 2 (TNFR2) restrains central nervous system inflammation and promotes remyelination in a multiple sclerosis (MS) model. This suggests TNFR2 signaling as a therapeutic target for progressive MS.

Area of Science:

  • Neuroimmunology
  • Genetics
  • Immunology

Background:

  • Multiple sclerosis (MS) is an autoimmune neuroinflammatory disease with unresolved progression mechanisms.
  • The HLA-DR2b allele is a major genetic risk factor for MS.
  • Tumor Necrosis Factor (TNF) and its receptors (TNFR1, TNFR2) are implicated in MS and its animal model, experimental autoimmune encephalomyelitis (EAE).

Purpose of the Study:

  • To investigate the roles of HLA-DR2b and TNFR2 in MS pathogenesis using a transgenic mouse model.
  • To elucidate the mechanisms by which TNFR2 influences central nervous system (CNS) pathology, remyelination, and T cell responses in EAE.

Main Methods:

  • Generation of transgenic mice expressing human HLA-DR2b and lacking mouse MHC-II and TNFR2 (DR2bΔR2).
  • Induction of experimental autoimmune encephalomyelitis (EAE) in DR2bΔR2 mice and control DR2b littermates.
  • Analysis of disease progression, T cell differentiation (Th17), astrogliosis, and remyelination.

Main Results:

  • DR2bΔR2 mice developed progressive EAE, unlike non-progressive disease in DR2b littermates.
  • HLA-DR2b expression promoted Th17 cell development.
  • TNFR2 expression was crucial for limiting astrogliosis-induced inflammation and Th17 responses, while promoting remyelination.

Conclusions:

  • TNFR2 signaling plays a critical role in ameliorating CNS pathology in EAE by restraining inflammation and promoting remyelination.
  • The TNFR2 pathway represents a potential therapeutic target for limiting disease progression in multiple sclerosis.