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  4. Exogenous activation of tumor necrosis factor receptor 2 promotes recovery from sensory and motor disease in a model of multiple sclerosis

Exogenous activation of tumor necrosis factor receptor 2 promotes recovery from sensory and motor disease in a model of multiple sclerosis

Brain Behav Immun, 2019 · DOI: 10.1016/j.bbi.2019.06.021 · Published: October 1, 2019

ImmunologyNeurology

Simple Explanation

This study explores the therapeutic potential of activating tumor necrosis factor receptor 2 (TNFR2) in a mouse model of multiple sclerosis (MS). The researchers found that systemic administration of a TNFR2 agonist alleviated both peripheral and central inflammation. The treatment reduced demyelination and neurodegeneration, suggesting that the protective signals induced by TNFR2 outweigh any potential harmful effects. Behavioral data indicated that a TNFR2 agonist is therapeutic on motor symptoms and promotes long-term recovery from neuropathic pain. The study suggests that activating TNFR2 could be a promising therapeutic approach for treating motor and sensory diseases in MS, as well as other inflammatory diseases or neuropathic pain conditions, due to its dual mode of action in suppressing CNS autoimmunity and promoting remyelination.

Study Duration
Not specified
Participants
Female C57BL/6 mice
Evidence Level
Not specified

Key Findings

  • 1
    Systemic administration of a TNFR2 agonist alleviates sensory and motor deficits in EAE, indicating that protective responses via Tregs and/or CNS-resident cells exceed potential pathogenic responses.
  • 2
    TNFR2 agonist administration expands peripheral Treg levels but does not impact macrophage activation, suggesting an immunosuppressive effect without interfering with macrophage activity.
  • 3
    TNFR2 agonist administration reduces neurodegeneration and demyelination in the spinal cord, indicating a protective effect on nerve cells and myelin.

Research Summary

This study investigates the therapeutic potential of targeting TNFR2 in an EAE mouse model of MS. The results demonstrate that systemic administration of a TNFR2 agonist alleviates sensory and motor deficits, reduces inflammation, and promotes remyelination. The findings suggest that the protective responses induced by TNFR2 activation outweigh potential pathogenic responses, making TNFR2 a promising therapeutic target for MS. The study highlights the potential of TNFR2 agonists as a novel drug class for MS, with a dual mode of action involving autoimmune suppression and remyelination.

Practical Implications

Therapeutic Potential for MS

TNFR2 agonists may offer a new therapeutic avenue for treating motor and sensory impairments in MS patients.

Dual Mode of Action

The dual mode of action of TNFR2 agonists, involving autoimmune suppression and remyelination, could provide comprehensive benefits for MS patients.

Safer Alternative to Anti-TNF

Selective modulation of TNFR signaling may offer a safer and more effective alternative to unspecific anti-TNF therapies, which have shown limited success in MS clinical trials.

Study Limitations

  • 1
    The study was conducted on female mice, and further research is needed to determine the therapeutic effects in male mice.
  • 2
    The precise mechanisms underlying the analgesic role of TNFR2 require further investigation.
  • 3
    The long-term effects and potential side effects of TNFR2 agonist treatment need to be evaluated in future studies.

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