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.

Scientific Reports
|April 6, 2023
PubMed

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).