Pharmacological modulation of inflammatory oligodendrocyte progenitor cells using three multiple sclerosis disease

Larissa Jank1, Riley B Catenacci2, Veronica Minney1

  • 1Department of Neurology, Johns Hopkins University School of Medicine, United States.

Insights

Existing multiple sclerosis therapies like cladribine, dimethylfumarate, and interferon-beta do not promote oligodendrocyte progenitor cell differentiation or block immune cell formation. Separate strategies are needed for maximal repair in multiple sclerosis.

Area of Science:

  • Neuroimmunology
  • Regenerative Medicine
  • Pharmacology

Background:

  • Multiple sclerosis (MS) preclinical studies often overlook inflammatory effects on remyelination.
  • Interferon-gamma (IFN-γ) inhibits oligodendrocyte progenitor cell (OPC) differentiation and promotes an immune OPC (iOPC) phenotype.
  • iOPCs express major histocompatibility complex (MHC) molecules, contributing to the inflammatory milieu.

Purpose of the Study:

  • To evaluate the impact of cladribine (CDB), dimethylfumarate (DMF), and interferon-beta (IFN-β) on IFN-γ-induced iOPC formation.
  • To assess the effects of these MS therapies on OPC differentiation block.
  • To investigate the modulation of MHC expression on iOPCs by these drugs.

Main Methods:

  • In vitro testing of CDB, DMF, and IFN-β on OPC proliferation and differentiation.
  • Assessment of drug cytotoxicity at physiological concentrations.
  • Live cell imaging of MHC expression in iOPCs derived from MHC reporter mice.

Main Results:

  • IFN-β and DMF inhibited OPC proliferation; CDB had no effect.
  • No tested drug promoted OPC differentiation under basal or inflammatory conditions.
  • IFN-β suppressed MHC class II induction, DMF suppressed both class I and II, and CDB had no effect on MHC expression.

Conclusions:

  • Promoting OPC proliferation, differentiation, and suppressing iOPC induction may necessitate distinct therapeutic approaches for effective MS repair.
  • Current MS therapies have varied effects on the immune response within the central nervous system.
  • An in vitro MHC screening assay can be utilized to evaluate drug candidates and disease-related stimuli across various cell types.