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  4. Nogo receptor-Fc delivered by haematopoietic cells enhances neurorepair in a multiple sclerosis model

Nogo receptor-Fc delivered by haematopoietic cells enhances neurorepair in a multiple sclerosis model

Brain Communications, 2023 · DOI: https://doi.org/10.1093/braincomms/fcad108 · Published: April 4, 2023

ImmunologyNeurology

Simple Explanation

This study explores a new way to treat multiple sclerosis (MS) by using hematopoietic stem cells (HSCs) to deliver a therapeutic protein called Nogo receptor-Fc (NgR-Fc) to the brain. The idea is to help repair the damage caused by MS, specifically the loss of myelin, which protects nerve fibers. The researchers genetically modified HSCs to produce NgR-Fc, which can block the effects of substances that prevent nerve regeneration. These modified cells were then transplanted into mice with a condition similar to MS, called experimental autoimmune encephalomyelitis (EAE). The results showed that the mice receiving the modified HSCs had improved recovery from EAE, with signs of nerve regeneration and myelin repair. This suggests that using HSCs to deliver NgR-Fc could be a promising new approach for treating MS.

Study Duration
6 years
Participants
Female recipient C57Bl/6 mice transplanted with littermates male donor mice HSCs. Minimum of 12 mice were included in the transplantation experiments.
Evidence Level
Not specified

Key Findings

  • 1
    Transplantation of NgR(310)ecto-Fc-transduced HSCs into EAE mice resulted in significantly reduced clinical scores after the peak stage of disease symptoms, indicating recovery from neurological decline.
  • 2
    CD11b+ macrophages were the predominant immune-positive cell type overexpressing myc-tagged Nogo receptor(1-310)-Fc fusion protein at the peak stage of experimental autoimmune encephalomyelitis.
  • 3
    The study observed enhanced axonal regeneration and remyelination in the white matter tracts of mice transplanted with haematopoietic stem cells transduced with the lentiviral vector carrying Nogo receptor(1-310)-Fc.

Research Summary

The study investigates the therapeutic potential of delivering Nogo receptor-Fc (NgR-Fc) fusion protein via genetically modified haematopoietic stem cells (HSCs) in a mouse model of multiple sclerosis (experimental autoimmune encephalomyelitis, EAE). Results showed that transplantation of NgR(310)ecto-Fc-transduced HSCs led to clinical recovery in EAE mice, with evidence of axonal regeneration and remyelination. The study identifies a potential therapeutic approach for progressive multiple sclerosis by targeting axonal NgR1-dependent signaling, which highlights its inhibitory role in neurodegeneration.

Practical Implications

Targeted Drug Delivery

HSCs can be utilized as carriers of therapeutic proteins for specific targeting of EAE lesions.

Neuroprotection and Repair

The approach may provide a potential solution for neuroprotection and repair paradigms for individuals living with multiple sclerosis.

Clinical Translation

The lentivirus-based NgR(310)ecto-Fc-transduced HSC transplantation is clinically translatable.

Study Limitations

  • 1
    Stability and safety concerns related to lentiviral vectors.
  • 2
    Potential for random integration of lentiviral vectors.
  • 3
    The study is a proof-of-principle and requires further development in preclinical models.

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