Cytokine production in T lymphocyte-microglia interaction is attenuated by glatiramer acetate: a mechanism for therapeutic efficacy in multiple sclerosis

Mult Scler. 2002 Aug;8(4):299-306. doi: 10.1191/1352458502ms810oa.

Abstract

The efficacy of glatiramer acetate in multiple sclerosis (MS) is thought to involve the production of Th2 regulatory lymphocytes that secrete anti-inflammatory cytokines; however, other mechanisms cannot be excluded Given that activated T lymphocytes infiltrate into the CNS and become in dose proximity to microglia, we evaluated whether glatiramer acetate affects the potential interaction between T cells and microglia. We report that the co-culture of activated T lymphocytes with microglia led to the induction of several cytokines, and that these were reduced by glatiramer acetate treatment Morphological transformation of bipolar/ramified microglia into an activated ameboid form was attenuated by glatiramer acetate. These results reveal a novel mechanism for glatiramer acetate: the impairment of activated T cells to effectively interact with microglia to produce cytokines. The net result of a non-inflammatory milieu within the CNS, in spite of T cell infiltration, may help account for the amelioration of disease activity in MS patients on glatiramer acetate therapy.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Cell Adhesion / drug effects
  • Cell Adhesion / immunology
  • Cell Communication / drug effects*
  • Cell Communication / immunology
  • Cells, Cultured
  • Coculture Techniques
  • Cytokines / metabolism
  • Glatiramer Acetate
  • Humans
  • Immunosuppressive Agents / pharmacology*
  • Macrophages / cytology
  • Microglia / cytology*
  • Multiple Sclerosis / drug therapy*
  • Multiple Sclerosis / immunology
  • Peptides / pharmacology*
  • T-Lymphocytes / cytology*
  • T-Lymphocytes / metabolism

Substances

  • Cytokines
  • Immunosuppressive Agents
  • Peptides
  • Glatiramer Acetate