Immunomodulatory therapy with glatiramer acetate reduces endoplasmic reticulum stress and mitochondrial dysfunction
Tapas K Makar1,2, Poornachander R Guda3, Sugata Ray3
1Department of Neurology, School of Medicine, University of Maryland, College Park, USA. sandhava@umd.edu.
Abstract:
Endoplasmic reticulum (ER) stress and mitochondrial dysfunction are found in lesions of multiple sclerosis (MS) and animal models of MS such as experimental autoimmune encephalomyelitis (EAE), and may contribute to the neuronal loss that underlies permanent impairment. We investigated whether glatiramer acetate (GA) can reduce these changes in the spinal cords of chronic EAE mice by using routine histology, immunostaining, and electron microscopy. EAE spinal cord tissue exhibited increased inflammation, demyelination, mitochondrial dysfunction, ER stress, downregulation of NAD+ dependent pathways, and increased neuronal death. GA reversed these pathological changes, suggesting that immunomodulating therapy can indirectly induce neuroprotective effects in the CNS by mediating ER stress.
Insights
Glatiramer acetate (GA) treatment reversed endoplasmic reticulum (ER) stress and mitochondrial dysfunction in mice with experimental autoimmune encephalomyelitis (EAE), a model for multiple sclerosis (MS). This suggests GA offers neuroprotection in the central nervous system (CNS).
Area of Science:
- Neuroscience
- Immunology
- Cellular Biology
Background:
- Multiple sclerosis (MS) involves endoplasmic reticulum (ER) stress and mitochondrial dysfunction, contributing to neuronal loss.
- These cellular changes are observed in MS lesions and animal models like experimental autoimmune encephalomyelitis (EAE).
Purpose of the Study:
- To investigate if glatiramer acetate (GA) can mitigate ER stress and mitochondrial dysfunction in the spinal cords of chronic EAE mice.
- To explore the neuroprotective potential of immunomodulatory therapy in the context of MS pathology.
Main Methods:
- Routine histology and immunostaining were employed to assess spinal cord tissue.
- Electron microscopy was utilized to examine mitochondrial structure and ER.
- Analysis included evaluating inflammation, demyelination, ER stress markers, mitochondrial function, NAD+ pathway activity, and neuronal death.
Main Results:
- EAE mice exhibited significant inflammation, demyelination, mitochondrial dysfunction, ER stress, and neuronal death.
- A downregulation of NAD+-dependent pathways was observed in EAE spinal cords.
- GA treatment effectively reversed these pathological changes, including reducing ER stress and improving mitochondrial function.
Conclusions:
- Glatiramer acetate (GA) demonstrates efficacy in reversing key pathological hallmarks of experimental autoimmune encephalomyelitis (EAE).
- The findings suggest that immunomodulatory therapies like GA can exert indirect neuroprotective effects in the central nervous system (CNS) by modulating ER stress.
- GA's ability to alleviate cellular stress pathways offers a potential mechanism for its therapeutic benefit in multiple sclerosis (MS).
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