Abstract
Two hallmarks of chronic multiple sclerosis lesions are the absence of significant spontaneous remyelination and primary as well as secondary neurodegeneration. Both characteristics may be influenced by the presence of inhibitory factors preventing myelin and neuronal repair. We investigated the potential of antibodies against Nogo-A, a well-known inhibitory protein for neuronal growth and plasticity, to enhance neuronal regeneration and remyelination in two animal models of multiple sclerosis. We induced a targeted experimental autoimmune encephalomyelitis (EAE) lesion in the dorsal funiculus of the cervical spinal cord of adult rats resulting in a large drop of skilled forelimb motor functions. We subsequently observed improved recovery of forelimb function after anti-Nogo-A treatment. Anterograde tracing of the corticospinal tract revealed enhanced axonal sprouting and arborisation within the spinal cord gray matter preferentially targeting pre-motor and motor spinal cord laminae on lesion level and above in the anti-Nogo-A-treated animals. An important additional effect of Nogo-A-neutralization was enhanced remyelination observed after lysolecithin-induced demyelination of spinal tracts. Whereas remyelinated fiber numbers in the lesion site were increased several fold, no effect of Nogo-A-inhibition was observed on oligodendrocyte precursor proliferation, migration, or differentiation. Enhancing remyelination and promoting axonal regeneration and plasticity represent important unmet medical needs in multiple sclerosis. Anti-Nogo-A antibodies hold promise as a potential new therapy for multiple sclerosis, in particular during the chronic phase of the disease when neurodegeneration and remyelination failure determine disability evolution.
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Acknowledgements
The authors thank the assistance and support of the Center for Microscopy and Image Analysis for support with the Axio Scan Slidescanner. We thank SJ. Feinberg and L. Godowsky for help with surgery.
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BVI, MES, CB, SK, BZ, and ML contributed to the conceptual development; BVI, CB, MPS, and SK did the targeted EAE surgery, BVI, CB, and NG analyzed data from the targeted EAE experiments; BVI, PSP, NG, MSM, and JK carried out and analyzed all experiments using lysolecithin; BVI compiled figures, BVI and MES wrote the manuscript, and ML and RM provided critical input on the manuscript.
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We are thankful for funding from the Swiss National Science Foundation (grant no. 31003A-149315-1 to MES), the Christopher and Dana Reeve Foundation (to MES), the Swiss MS Society, the Hartmann-Müller Foundation, Zurich, the Desirée-and-Niels-Yde Foundation (to BVI) and an MD-PhD fellowship of the Swiss National Science Foundation (No. 323530_151488, to BVI).
Conflict of interest
MES is a founder and board member of the University of Zurich spin-off company NovaGo Therapeutics Inc. seeking at developing Nogo-A-neutralizing therapies. RM is supported by the Clinical Research Priority Project MS of the University Zurich. BVI, SK, CB, NG, PSP, MSM, JK, MPS, ML, and BZ declare no conflict of interest.
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For all studies including animals, all applicable international, national, and/or institutional guidelines for the care and use of animals were followed. All animal procedures and protocols were approved by the Veterinary Office of the Canton of Zurich, Switzerland. This study is written in accordance with the adapted ARRIVE guidelines for reporting of studies using MS animal models [1, 24].
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Ineichen, B.V., Kapitza, S., Bleul, C. et al. Nogo-A antibodies enhance axonal repair and remyelination in neuro-inflammatory and demyelinating pathology. Acta Neuropathol 134, 423–440 (2017). https://doi.org/10.1007/s00401-017-1745-3
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DOI: https://doi.org/10.1007/s00401-017-1745-3