The therapeutic effects of ginkgolides in Guillain-Barré syndrome and experimental autoimmune neuritis

J Clin Neurosci. 2021 May:87:44-49. doi: 10.1016/j.jocn.2021.02.016. Epub 2021 Mar 11.

Abstract

Background: Guillain-Barré syndrome (GBS) is an acquired immune-mediated inflammatory peripheral neuropathy. The immune regulation of ginkgolides have been revealed in recent years. We herein investigate the potential therapeutic effects of ginkgolides both on GBS and its animal model, experimental autoimmune neuritis (EAN).

Methods: EAN in C57BL/6 mice induced by subcutaneous injection with peripheral nerve myelin P0 protein peptide 180-199 (P0 peptide) were treated with ginkgolides at three different doses. GBS patients were randomly divided into two groups, the experimental group and the control group. The experimental group were treated with ginkgolides as soon as diagnosed.

Results: Our data indicated that ginkgolides administration daily ameliorated the score of EAN and delayed the peak of disease in EAN mice. Ginkgolides also down-regulated the proportions of T helper (Th) 17 cells in EAN spleens. Furthermore, we also found that administration of ginkgolides significantly decreased the levels of interferon (IFN)-γ and interleukin-12 (IL)-12 in GBS patients.

Conclusions: Our results suggested that ginkgolides ameliorated the clinical score of EAN through down-regulating the proportions of Th 17 cells. Ginkgolides also suppressed inflammation response by decreasing pro-inflammatory cytokines IFN-γ and IL-12, suggesting ginkgolides had potential therapeutic effects on GBS patients and EAN in the future.

Keywords: Cytokines; Experimental autoimmune neuritis; Ginkgolides; Guillain-Barré syndrome; Th cells.

MeSH terms

  • Adult
  • Aged
  • Animals
  • Cytokines / metabolism
  • Disease Models, Animal
  • Female
  • Ginkgolides / metabolism
  • Ginkgolides / pharmacology*
  • Ginkgolides / therapeutic use
  • Guillain-Barre Syndrome / drug therapy*
  • Guillain-Barre Syndrome / immunology
  • Guillain-Barre Syndrome / metabolism
  • Humans
  • Male
  • Mice
  • Mice, Inbred C57BL
  • Middle Aged
  • Myelin P0 Protein
  • Neuritis, Autoimmune, Experimental / drug therapy*
  • Neuritis, Autoimmune, Experimental / immunology
  • Neuritis, Autoimmune, Experimental / metabolism
  • Peripheral Nerves
  • Th17 Cells / immunology
  • Th17 Cells / metabolism

Substances

  • Cytokines
  • Ginkgolides
  • Myelin P0 Protein