Melanoma cell adhesion molecule identifies encephalitogenic T lymphocytes and promotes their recruitment to the

Catherine Larochelle1, Romain Cayrol, Hania Kebir

  • 1Neuroimmunology Research Laboratory, Centre of Excellence in Neuromics, Centre de Recherche du Centre Hospitalier de l’Université de Montréal (CRCHUM), Montréal, Québec, H2L 2W5, Canada.

Insights

Melanoma cell adhesion molecule (MCAM) is found on T cells that drive multiple sclerosis. Blocking MCAM reduces neuroinflammation and disease severity, suggesting MCAM as a therapeutic target.

Area of Science:

  • Neuroimmunology
  • Cellular and Molecular Immunology

Background:

  • Encephalitogenic CD4(+) lymphocytes use adhesion molecules to infiltrate the central nervous system in multiple sclerosis.
  • Melanoma cell adhesion molecule (MCAM) expression was identified on human effector memory CD4(+) lymphocytes and blood-brain barrier endothelium.

Purpose of the Study:

  • To investigate the role of MCAM in T cell migration and its potential as a biomarker and therapeutic target in multiple sclerosis.

Main Methods:

  • Proteomic techniques to identify MCAM expression.
  • Flow cytometry to characterize MCAM(+) CD4(+) T lymphocytes.
  • In vivo studies using experimental autoimmune encephalomyelitis (EAE) models.
  • In vitro assays to assess T cell migration across blood-brain barrier endothelium.

Main Results:

  • MCAM is a stable surface marker identifying specific subsets of memory CD4(+) T lymphocytes (interleukin-17+, interleukin-22+, RAR-related orphan receptor γ+, interleukin-23 receptor+).
  • MCAM(+) lymphocytes exhibit higher expression of granulocyte/macrophase colony-stimulating factor and granzyme B.
  • Increased proportion of MCAM(+) CD4(+) lymphocytes in multiple sclerosis patients and EAE animals; MCAM is upregulated at the blood-brain barrier in lesions.
  • MCAM blockade or MCAM(+) CD4(+) T cell depletion reduced T(H)17 cell migration and EAE severity.

Conclusions:

  • MCAM is a potential biomarker for multiple sclerosis.
  • MCAM represents a promising therapeutic target for neuroinflammatory conditions.
  • Targeting MCAM may inhibit T cell infiltration into the central nervous system and ameliorate disease.

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