151. Leptin increase in multiple sclerosis associates with reduced number of CD[4.sup.+]CD[25.sup.+] regulatory T cells
- Author
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Matarese, Giuseppe, Carrieri, Pietro Biagio, La Cava, Antonio, Perna, Francesco, Sanna, Veronica, De Rosa, Veronica, Aufiero, Daniela, Fontana, Silvia, and Zappacosta, Serafino
- Subjects
Leptin -- Research ,Autoimmunity -- Research ,Multiple sclerosis -- Research ,Science and technology - Abstract
We analyzed the serum and cerebrospinal fluid (CSF) leptin secretion and the interaction between serum leptin and CD[4.sup.+]CD[25.sup.+] regulatory T cells ([T.sub.Regs]) in naive-to-therapy relapsing-remitting multiple sclerosis (RRMS) patients. Leptin production was significantly increased in both serum and CSF of RRMS patients and correlated with IFN-[gamma] secretion in the CSF. T cell lines against human myelin basic protein (hMBP) produced immunoreactive leptin and up-regulated the expression of the leptin receptor (ObR) after activation with hMBP. Treatment with either anti-leptin or anti-leptin-receptor neutralizing antibodies inhibited in vitro proliferation in response to hMBP. Interestingly, in the RRMS patients, an inverse correlation between serum leptin and percentage of circulating [T.sub.Regs] was also observed. To better analyze the finding, we enumerated [T.sub.Regs] in leptin-deficient (ob/ob) and leptin-receptor-deficient (db/db) mice and observed the significant increase in [T.sub.Regs]. Moreover, treatment of WT mice with soluble ObR fusion protein (ObR:Fc) increased the percentage of [T.sub.Regs] and ameliorated the clinical course and progression of disease in proteolipid protein peptide ([PLP.sub.139-151])-induced relapsing-experimental autoimmune encephalomyelitis (R-EAE), an animal model of RRMS. These findings show an inverse relationship between leptin secretion and the frequency of [T.sub.Regs] in RRMS and may have implications for the pathogenesis of and therapy for multiple sclerosis. autoimmunity | tolerance | metabolism | hormones
- Published
- 2005