Memantine abrogates neurological deficits, but not CNS inflammation, in Lewis rat experimental autoimmune

E Wallström1, P Diener, A Ljungdahl

  • 1Department of Medicine, Karolinska Institute, Karolinska Hospital, Stockholm, Sweden.

Insights

Memantine ameliorates neurological deficits in experimental autoimmune encephalomyelitis (EAE) by targeting neurons via N-methyl-D-aspartate (NMDA) receptors, not by reducing inflammation or immune cell activity.

Area of Science:

  • Neuroimmunology
  • Pharmacology

Background:

  • Experimental autoimmune encephalomyelitis (EAE) is a model for multiple sclerosis.
  • N-methyl-D-aspartate (NMDA) receptors are implicated in neurological function.

Purpose of the Study:

  • To investigate the therapeutic effects of memantine in a Lewis rat EAE model.
  • To elucidate the mechanisms underlying memantine's efficacy in EAE.

Main Methods:

  • Administration of memantine to Lewis rats with EAE.
  • Immunohistochemical and in situ hybridization analysis of spinal cord tissue.
  • Ex vivo and in vitro assessment of immune cell function.

Main Results:

  • Memantine dose-dependently improved neurological deficits in EAE rats.
  • No significant reduction in central nervous system inflammation was observed.
  • Interferon gamma (IFN-gamma) mRNA expression and IFN-gamma secretion by lymphocytes were not decreased.
  • Memantine did not affect lymphocyte proliferation or IFN-gamma secretion in vitro.

Conclusions:

  • The therapeutic effects of memantine in EAE are not mediated by anti-inflammatory or immunosuppressive mechanisms.
  • Neurological deficits in EAE may involve NMDA receptor-dependent mechanisms.
  • Neurons are potential targets during autoimmune neuroinflammation in EAE.