Treatment with Non-specific HDAC Inhibitors Administered after Disease Onset does not Delay Evolution in a Mouse

Daniela Buonvicino1, Giuseppe Ranieri1, Alberto Chiarugi1

  • 1Department of Health Sciences, Section of Clinical Pharmacology and Oncology, University of Florence, Florence, Italy.

Neuroscience
|April 16, 2021
PubMed

Insights

Histone deacetylase inhibitors (HDACi) did not prevent progressive experimental autoimmune encephalomyelitis in mice, despite reducing lymphocyte proliferation. These findings question the clinical relevance of HDACi for progressive multiple sclerosis (MS) treatment.

Area of Science:

  • Neuroimmunology
  • Epigenetics
  • Pharmacology

Background:

  • Multiple sclerosis (MS) lacks effective treatments for its progressive forms.
  • Histone deacetylase inhibitors (HDACi) are epigenetic drugs with potential immunosuppressive properties for MS therapy.

Purpose of the Study:

  • To investigate the efficacy of orally administered HDACi (panobinostat, givinostat, entinostat) in a mouse model of progressive experimental autoimmune encephalomyelitis (PEAE).
  • To assess the impact of HDACi on disease progression, lethality, and immune responses in MOG-immunized NOD mice.

Main Methods:

  • NOD mice were immunized with myelin oligodendrocyte glycoprotein (MOG) to induce PEAE.
  • Mice received daily oral administration of panobinostat, givinostat, or entinostat after disease onset.
  • In vitro lymphocyte proliferation assays were performed.
  • Disease evolution, lethality, MOG-specific lymphocyte proliferation, and spinal cord immune infiltrates (Th1, Th17) were analyzed.

Main Results:

  • HDACi significantly reduced lymphocyte proliferation in vitro in a dose-dependent manner.
  • None of the tested HDACi delayed PEAE progression or reduced mortality in NOD mice.
  • However, HDACi treatment led to significantly lower MOG-specific lymphocyte proliferation and reduced Th1/Th17 spinal cord infiltrates compared to vehicle-treated controls.

Conclusions:

  • The study casts doubt on the clinical relevance of HDACi for treating progressive multiple sclerosis (PMS).
  • The findings suggest that neuropathogenesis in this PEAE model, similar to PMS, may become independent of autoimmunity.
  • This model is corroborated as relevant for experimental PMS research.