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Manipulating Antigenic Ligand Strength to Selectively Target Myelin-Reactive CD4+ T Cells in EAE

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  • Published:
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Abstract

The development of antigen-specific therapies for the selective tolerization of autoreactive T cells remains the Holy Grail for the treatment of T-cell-mediated autoimmune diseases such as multiple sclerosis (MS) and its animal model experimental autoimmune encephalomyelitis (EAE). This quest remains elusive, however, as the numerous antigen-specific strategies targeting myelin-specific T cells over the years have failed to result in clinical success. In this review, we revisit the antigen-based therapies used in the treatment of myelin-specific CD4+ T cells in the context of the functional avidity and the strength of signal of the encephalitogenic CD4+ T cell repertoire. In light of differences in activation thresholds, we propose that autoreactive T cells are not all equal, and therefore tolerance induction strategies must incorporate ligand strength in order to be successful in treating EAE and ultimately the human disease MS.

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Abbreviations

AICD:

Antigen-induced cell death

APL:

Altered peptide ligand

EAE:

Experimental autoimmune encephalomyelitis

MHC:

Major histocompatibility complex

MVP:

MHC variant peptide

MS:

Multiple sclerosis

MBP:

Myelin basic protein

MOG:

Myelin oligodendrocyte glycoprotein

PLP:

Proteolipid protein

TCR:

T cell receptor

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Correspondence to Brian D. Evavold.

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This work was supported by grants from the NIH R01 NS062358 and National Multiple Sclerosis Society RG 4047.

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Sabatino, J.J., Rosenthal, K.M. & Evavold, B.D. Manipulating Antigenic Ligand Strength to Selectively Target Myelin-Reactive CD4+ T Cells in EAE. J Neuroimmune Pharmacol 5, 176–188 (2010). https://doi.org/10.1007/s11481-009-9181-3

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