Bystander CD8 T cell-mediated demyelination after viral infection of the central nervous system

J Immunol. 2002 Aug 1;169(3):1550-5. doi: 10.4049/jimmunol.169.3.1550.

Abstract

Multiple sclerosis, a chronic inflammatory disease of the CNS, is characterized by immune-mediated demyelination. Many patients have a remitting-relapsing course of disease with exacerbations often following unrelated microbial illnesses. The relationship between the two events remains obscure. One possibility is that T cells specific for the inciting microbial pathogen are able to effect demyelination at a site of ongoing inflammation within the CNS. This possibility was examined in mice infected with mouse hepatitis virus, a well-described model of virus-induced demyelination. Using transgenic TCR/recombination activation gene 2(-/-) mice with only non-mouse hepatitis virus-specific T cells, we show that CD8 T cells are able to cause demyelination in the absence of cognate Ag in the CNS, but only if specifically activated. These findings demonstrate a novel mechanism for immune-mediated neuropathology and show that activated CD8 T cells may serve as important mediators of bystander demyelination during times of infection, including in patients with multiple sclerosis.

Publication types

  • Research Support, Non-U.S. Gov't
  • Research Support, U.S. Gov't, P.H.S.

MeSH terms

  • Animals
  • Bystander Effect
  • CD8-Positive T-Lymphocytes / immunology*
  • Central Nervous System Viral Diseases / complications*
  • Chemokines / biosynthesis
  • Coronavirus Infections / complications
  • Cytokines / biosynthesis
  • Demyelinating Autoimmune Diseases, CNS / etiology*
  • Demyelinating Autoimmune Diseases, CNS / immunology
  • Homeodomain Proteins / physiology
  • Lymphocyte Activation
  • Mice
  • Mice, Inbred C57BL
  • Multiple Sclerosis / etiology
  • Murine hepatitis virus

Substances

  • Chemokines
  • Cytokines
  • Homeodomain Proteins
  • RAG-1 protein