Cytokine therapy in immune-mediated demyelinating diseases of the central nervous system: a novel gene therapy approach

J Neuroimmunol. 2000 Jul 24;107(2):184-90. doi: 10.1016/s0165-5728(00)00236-8.

Abstract

Pro-inflammatory cytokines play a crucial role in the regulatory and effector phase of the immune-mediated mechanism sustaining multiple sclerosis pathogenesis (MS) thus supporting the use of anti-inflammatory cytokines as a therapeutic option. Systemic administration of cytokines shows, however, limited therapeutic efficacy and undesirable/unpredictable side-effects. We have developed a non-toxic system to deliver cytokines within the central nervous system (CNS) based on the intrathecal (i.c.) administration of non-replicative herpes simplex (HSV) type-1-derived viral vectors engineered with heterologous cytokine genes. Compared to controls, mice affected by experimental autoimmune encephalomyelitis (EAE) and i.c. injected with an HSV-1-derived vector containing the gene of the anti-inflammatory cytokine IL-4 showed a significant amelioration of clinical and pathological EAE signs. A decreased mRNA expression of the monocyte chemoattractant protein-1 (MCP-1) by mononuclear CNS-infiltrating cells was also observed. Peripheral T cells from IL-4-treated mice were not affected both in their antigen-specific proliferative response and in the cytokine secretion pattern. Our results indicate that CNS cytokine delivery with HSV-1-derived vectors is a feasible therapeutic strategy and might represent an alternative approach for the treatment of immune-mediated demyelinating diseases. Advantages of this approach over systemic cytokine administration are the high cytokine level reached within the CNS and the absence of side-effects on the peripheral immune system. The short-lasting cytokine production in the CNS after a single vector administration (4 weeks) is the limiting factor of this novel technology which, although promising, has to be improved.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Animals
  • Chemokine CCL2 / genetics*
  • Disease Models, Animal
  • Encephalomyelitis, Autoimmune, Experimental / therapy*
  • Genetic Therapy / methods*
  • Genetic Vectors*
  • Herpesvirus 1, Human / genetics*
  • Injections, Spinal
  • Interferon-gamma / genetics
  • Interleukin-4 / genetics
  • Lac Operon
  • Mice
  • Mice, Inbred BALB C
  • Multiple Sclerosis / therapy*

Substances

  • Chemokine CCL2
  • Interleukin-4
  • Interferon-gamma

Grants and funding