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Migration of Multiple Sclerosis Lymphocytes Through Brain Endothelium
Alexandre Prat, MD, PhD;
Katarzyna Biernacki, MSc;
Jean-Francois Lavoie, BSc;
Josee Poirier, B Inf;
Pierre Duquette, MD;
Jack P. Antel, MD
Arch Neurol. 2002;59:391-397.
Context T-lymphocyte migration through the blood-brain barrier is a central
event in the process of lesion formation in multiple sclerosis (MS).
Objectives To assess the ability of lymphocytes derived from the peripheral blood
of patients with clinically active and inactive MS to migrate across an artificial
model of the blood-brain barrier and to elucidate the molecular mechanisms
involved in such a process.
Design We developed an in vitro model of lymphocyte migration using a Boyden
chamber coated with a monolayer of human brain microvascular endothelial cells.
Results The rates of migration of lymphocytes obtained from patients with acutely
relapsing and active secondary progressive MS was significantly increased
compared with those obtained from healthy controls and patients with inactive
secondary progressive disease. Ribonuclease protection assays and enzyme-linked
immunosorbent assays indicated that monocyte chemoattractant protein 1 and
interleukin 8 were the major chemokines produced by brain endothelial cells
grown under the culture conditions used for the migration assays. The rate
of migration of the MS lymphocytes could be inhibited by 60% with an antimonocyte
chemoattractant protein 1 monoclonal antibody, indicating a functional role
for this chemokine in the migration process. In agreement with previous reports,
we found that the tissue inhibitor of metalloproteinase 1, a matrix metalloproteinase
inhibitor, also reduced migration of MS lymphocytes by 50%.
Conclusions The results demonstrate an increased migration rate of MS T lymphocytes
across the brain endothelium barrier and that such migration is dependent
on chemokine monocyte chemoattractant protein 1 and on matrix metalloproteinases.
From the Neuroimmunology Unit, Montréal Neurological Institute,
McGill University, Montréal, Québec (Drs Prat and Antel, Mss
Biernacki and Poirier, and Mr Lavoie); and the Department of Neurology, Hopital
Nôtre-Dame, Université de Montréal, Montréal (Drs
Prat and Duquette).
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