Toll-like receptor 9 antagonist suppresses humoral immunity in experimental autoimmune myasthenia gravis

Mol Immunol. 2018 Feb:94:200-208. doi: 10.1016/j.molimm.2018.01.005. Epub 2018 Jan 12.

Abstract

Recent studies have demonstrated the important role of toll-like receptor 9 (TLR9) signalling in autoimmune diseases, but its role in myasthenia gravis (MG) has not been fully established. We show herein that blocking TLR9 signalling via the suppressive oligodeoxynucleotide (ODN) H154 alleviated the symptoms of experimental autoimmune myasthenia gravis (EAMG). With the downregulation of dendritic cells (DCs), TLR9 interruption reduced follicular helper T cells (Tfh) and germinal centre (GC) B cells, leading to decreased antibody production. In addition, TLR9+ B cells as well as total B cells in the spleen were inhibited by H154. These findings highlight the critical role of TLR9 in EAMG and suggest that the inhibition of the TLR9 pathway might be a potential pharmacological strategy for the treatment of myasthenia gravis.

Keywords: Experimental autoimmune myasthenia gravis; Follicular helper T cells; Germinal centre; Toll-like receptor 9.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Animals
  • B-Lymphocytes / drug effects
  • B-Lymphocytes / immunology
  • Cell Proliferation / drug effects
  • Dendritic Cells / drug effects
  • Dendritic Cells / immunology
  • Down-Regulation / drug effects
  • Down-Regulation / genetics
  • Female
  • Germinal Center / drug effects
  • Germinal Center / pathology
  • Immunity, Humoral / drug effects*
  • Immunity, Humoral / genetics
  • Myasthenia Gravis, Autoimmune, Experimental / drug therapy*
  • Myasthenia Gravis, Autoimmune, Experimental / genetics
  • Myasthenia Gravis, Autoimmune, Experimental / immunology*
  • Myasthenia Gravis, Autoimmune, Experimental / pathology
  • Oligodeoxyribonucleotides, Antisense / pharmacology*
  • Oligodeoxyribonucleotides, Antisense / therapeutic use*
  • Rats
  • Rats, Inbred Lew
  • Spleen / drug effects
  • Spleen / immunology
  • T-Lymphocytes, Helper-Inducer / drug effects
  • T-Lymphocytes, Helper-Inducer / immunology
  • Toll-Like Receptor 9 / antagonists & inhibitors*
  • Toll-Like Receptor 9 / genetics

Substances

  • Oligodeoxyribonucleotides, Antisense
  • Toll-Like Receptor 9