Abstract
Multiple sclerosis (MS) is a neurological autoimmune diseases characterized by inflammatory demyelination with subsequent neuronal degeneration in the central nervous system. Experimental autoimmune encephalomyelitis (EAE) mouse is widely used as an animal model of MS. Both MS and EAE have been considered as autoreactive T-helper type 1 (Th1) and T-helper-17 (Th17) cells-mediated diseases. CD4+CD25+ regulatory T (Treg) cell is a crucial mediator of autoimmune tolerance so that abnormalities in Treg cell function may contribute to the development of autoimmune diseases. However, the factors that regulate Treg cells are largely unknown. We recently showed that deficiency in midkine (MK) attenuated EAE due to an expansion of the Treg cell population as well as a decrease in the numbers of autoreactive Th1 and Th17 cells. MK decreased the Treg cell population by suppression of STAT5 phosphorylation which is essential for the expression of Foxp3, the master transcriptional factor of Treg cell differentiation. Furthermore, pharmacological inhibition of MK by specific RNA aptamer significantly expanded the Treg cell population and alleviated EAE symptoms without detectable adverse effects. Therefore, MK is a critical suppressor of Treg cell expansion, and the inhibition of MK may provide an effective therapeutic strategy against autoimmune diseases including MS.
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Funding: This work was supported in part by a Neuroimmunological Disease Research Committee grant from the Ministry of Health, Labour and Welfare of Japan; a grant-in aid for young scientists; a grant-in-aid for a twenty-first Century Center of Excellence (COE) program from the Ministry of Education, Culture, Sports, Science and Technology of Japan; a Collaborative Development of Innovative Seeds grant; a Core Research for Evolution Science and Technology (CREST) grant from the Japan Science and Technology Agency; and a grant-in-aid for the RNA Information Network from the Ministry of Education, Culture, Sports, Science and Technology of Japan.
Conflicts of Interest: I declare no conflicts of interest associated with the present study.
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Takeuchi, H. (2012). Midkine and Multiple Sclerosis. In: Ergüven, M., Muramatsu, T., Bilir, A. (eds) Midkine: From Embryogenesis to Pathogenesis and Therapy. Springer, Dordrecht. https://doi.org/10.1007/978-94-007-4234-5_12
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DOI: https://doi.org/10.1007/978-94-007-4234-5_12
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