PMID- 12390966 OWN - NLM STAT- MEDLINE DCOM- 20021213 LR - 20190513 IS - 0006-8950 (Print) IS - 0006-8950 (Linking) VI - 125 IP - Pt 11 DP - 2002 Nov TI - Glatiramer acetate-specific T-helper 1- and 2-type cell lines produce BDNF: implications for multiple sclerosis therapy. Brain-derived neurotrophic factor. PG - 2381-91 AB - The clinical effects of glatiramer acetate (GA), an approved therapy for multiple sclerosis, are thought to be largely mediated by a T-helper 1 (TH1) to T-helper 2 (TH2) shift of GA-reactive T-lymphocytes. Current theories propose that activated GA-reactive TH2 cells penetrate the CNS, release anti-inflammatory cytokines such as interleukin (IL)-4, IL-5 and IL-10, and thus inhibit neighbouring inflammatory cells by a mechanism termed 'bystander suppression'. We demonstrate that both GA-specific TH2 and TH1 cells produce the neurotrophin brain-derived neurotrophic factor (BDNF). As the signal-transducing receptor for BDNF, the full-length 145 tyrosine kinase receptor (trk) B, is expressed in multiple sclerosis lesions, it is likely that the BDNF secreted by GA-reactive TH2 and TH1 has neurotrophic effects in the multiple sclerosis target tissue. This may be an additional mechanism of action of GA, and may be relevant for therapies with altered peptide ligands in general. To demonstrate that GA-reactive T cells produce BDNF, we selected four GA-specific, long-term T-cell lines (TCLs), which were characterized according to their cytokine profile by intracellular double-fluorescence flow cytometry. Three TCLs (isolated from a normal subject) had the phenotypes TH1, TH1/TH0, and TH0; the fourth, derived from a GA-treated patient, had the phenotype TH2. To demonstrate BDNF production, we used a combination of RT-PCR (reverse transcription-polymerase chain reaction) and two specially designed techniques for BDNF protein detection: one was based on ELISA (enzyme-linked immunosorbent assay) of supernatants from co-cultures of GA-specific TCLs plus GA-pulsed antigen-presenting cells, and the other on the direct intracellular staining of BDNF in individual T cells and flow cytometric analysis. The different assays and different TCLs yielded similar, consistent results. All four GA-specific T-cell lines, representing the major different TH phenotypes, could be stimulated to produce BDNF. FAU - Ziemssen, Tjalf AU - Ziemssen T AD - Department of Neuroimmunology, Max Planck Institute of Neurobiology, Martinsried, Germany. FAU - Kumpfel, Tania AU - Kumpfel T FAU - Klinkert, Wolfgang E F AU - Klinkert WE FAU - Neuhaus, Oliver AU - Neuhaus O FAU - Hohlfeld, Reinhard AU - Hohlfeld R LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - England TA - Brain JT - Brain : a journal of neurology JID - 0372537 RN - 0 (Brain-Derived Neurotrophic Factor) RN - 0 (Immunosuppressive Agents) RN - 0 (Peptides) RN - 5M691HL4BO (Glatiramer Acetate) SB - IM CIN - Brain. 2002 Nov;125(Pt 11):2379-80. PMID: 12390965 MH - Brain/*immunology MH - Brain-Derived Neurotrophic Factor/genetics/*immunology/*metabolism MH - Cell Culture Techniques MH - Cell Line MH - Enzyme-Linked Immunosorbent Assay MH - Female MH - Flow Cytometry MH - Glatiramer Acetate MH - Humans MH - Immunosuppressive Agents/therapeutic use MH - Middle Aged MH - Multiple Sclerosis, Relapsing-Remitting/drug therapy/*immunology MH - Peptides/therapeutic use MH - Phenotype MH - Th1 Cells/*immunology MH - Th2 Cells/*immunology MH - Transcription, Genetic/genetics/immunology EDAT- 2002/10/23 04:00 MHDA- 2002/12/17 04:00 CRDT- 2002/10/23 04:00 PHST- 2002/10/23 04:00 [pubmed] PHST- 2002/12/17 04:00 [medline] PHST- 2002/10/23 04:00 [entrez] AID - 10.1093/brain/awf252 [doi] PST - ppublish SO - Brain. 2002 Nov;125(Pt 11):2381-91. doi: 10.1093/brain/awf252.