Alleviation of extensive visual pathway dysfunction by a remyelinating drug in a chronic mouse model of multiple

Maria T Sekyi1,2, Kelli Lauderdale1, Kelley C Atkinson1

  • 1Division of Biomedical Sciences, Riverside School of Medicine, University of California, Riverside, CA, USA.

Insights

Multiple sclerosis (MS) causes visual deficits. A study using an MS animal model found that chloroindazole (IndCl) improved visual pathway speed but did not fully restore function, highlighting persistent axon damage.

Area of Science:

  • Neuroscience
  • Immunology
  • Ophthalmology

Background:

  • Visual deficits are common in multiple sclerosis (MS).
  • Experimental autoimmune encephalomyelitis (EAE) is a key animal model for studying MS.
  • The visual pathway's vulnerability in MS necessitates understanding disease mechanisms and therapeutic interventions.

Purpose of the Study:

  • To investigate visual pathway dysfunction in EAE, an MS model.
  • To evaluate the therapeutic potential of chloroindazole (IndCl), an estrogen receptor β ligand, on visual pathway integrity and function.
  • To assess the impact of IndCl on inflammation, demyelination, neurodegeneration, and axonal health.

Main Methods:

  • In vivo assessment of the afferent visual pathway using optical coherence tomography (OCT), electroretinography (ERG), and visually evoked cortical potentials (VEPs).
  • Ex vivo analysis of inflammation, demyelination, and neurodegeneration via immunohistochemistry.
  • Treatment with IndCl in EAE mice to evaluate its therapeutic effects.

Main Results:

  • EAE induced significant visual electrophysiological deficits, including reduced ERG and VEP amplitudes and increased latencies.
  • IndCl treatment improved VEP conduction speed, associated with increased myelin basic protein, and preserved retinal ganglion cells and oligodendrocytes.
  • Despite remyelination and latency improvements, IndCl did not fully restore VEP amplitudes, and persistent axonal pathology (varicosities) was observed, indicating impaired energy homeostasis.

Conclusions:

  • IndCl demonstrates therapeutic potential in the MS visual pathway by reducing latency and preserving neural elements.
  • However, functional recovery remains incomplete, with persistent axon damage suggesting limitations in current therapeutic strategies.
  • Early intervention is crucial to mitigate axon damage and improve outcomes in MS-related visual impairment.