PMID- 16733654 OWN - NLM STAT- MEDLINE DCOM- 20070201 LR - 20071115 IS - 0001-6322 (Print) IS - 0001-6322 (Linking) VI - 112 IP - 2 DP - 2006 Aug TI - Chemokine expression by astrocytes plays a role in microglia/macrophage activation and subsequent neurodegeneration in secondary progressive multiple sclerosis. PG - 195-204 AB - The pathological hallmarks of secondary progressive (SP) multiple sclerosis (MS) include slowly expanding demyelination and axonal damage with less inflammation. To elucidate the pathomechanisms of secondary progressive (SP) multiple sclerosis (MS), we have investigated the expression of chemokines, chemokine receptors, matrix metalloproteinase-9 (MMP-9) and immunoglobulins in the demyelinating plaques. Immunohistochemical analysis revealed that numerous hypertrophic astrocytes were observed at the rim, but not in the center, of the chronic active lesions. Microglia/macrophages phagocytosing myelin debris were also found at the lesion border. In contrast, T cell infiltration was minimal in these plaques. Characteristically, at the rim of the lesions, there were abundant immunoreactivities for monocyte chemoattractant protein-1 (MCP-1)/CCL2 and interferon-gamma inducible protein-10 (IP-10)/CXCL10 and their receptors, CCR2 and CXCR3, while these immunoreactivities were weak in the center, thus forming a chemokine gradient. Double immunofluorescense staining demonstrated that cellular sources of MCP-1/CCL2 and IP-10/CXCL10 were hypertrophic astrocytes and that both astrocytes and microglia/macrophages expressed CCR2 and CXCR3. MMP-9 was also present at the rim of the lesions. These results suggest that MCP-1/CCL2 and IP-10/CXCL10 produced by astrocytes may activate astrocytes in an autocrine or paracrine manner and direct reactive gliosis followed by migration and activation of microglia/macrophages as effector cells in demyelinating lesions. Targeting chemokines in SPMS may therefore be a powerful therapeutic approach to inhibit lesional expansion. FAU - Tanuma, Naoyuki AU - Tanuma N AD - Department of Molecular Neuropathology, Tokyo Metropolitan Institute for Neuroscience, Fuchu, Tokyo, 183-8526, Japan. FAU - Sakuma, Hiroshi AU - Sakuma H FAU - Sasaki, Atsushi AU - Sasaki A FAU - Matsumoto, Yoh AU - Matsumoto Y LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20060530 PL - Germany TA - Acta Neuropathol JT - Acta neuropathologica JID - 0412041 RN - 0 (CCL2 protein, human) RN - 0 (CCR2 protein, human) RN - 0 (CXCL10 protein, human) RN - 0 (CXCR3 protein, human) RN - 0 (Chemokine CCL2) RN - 0 (Chemokine CXCL10) RN - 0 (Chemokines) RN - 0 (Chemokines, CXC) RN - 0 (Receptors, CCR2) RN - 0 (Receptors, CXCR3) RN - 0 (Receptors, Chemokine) RN - EC 3.4.24.35 (Matrix Metalloproteinase 9) SB - IM MH - Adult MH - Aged MH - Astrocytes/*metabolism/pathology MH - Cell Movement MH - Chemokine CCL2/genetics/metabolism MH - Chemokine CXCL10 MH - Chemokines/genetics/*metabolism MH - Chemokines, CXC/genetics/metabolism MH - Female MH - Gene Expression Regulation MH - Humans MH - Macrophage Activation/*physiology MH - Male MH - Matrix Metalloproteinase 9/genetics/metabolism MH - Microglia/*physiology MH - Middle Aged MH - Multiple Sclerosis, Chronic Progressive/metabolism/pathology/*physiopathology MH - Nerve Degeneration/*physiopathology MH - Receptors, CCR2 MH - Receptors, CXCR3 MH - Receptors, Chemokine/genetics/metabolism EDAT- 2006/05/31 09:00 MHDA- 2007/02/03 09:00 CRDT- 2006/05/31 09:00 PHST- 2006/03/29 00:00 [received] PHST- 2006/05/04 00:00 [accepted] PHST- 2006/05/03 00:00 [revised] PHST- 2006/05/31 09:00 [pubmed] PHST- 2007/02/03 09:00 [medline] PHST- 2006/05/31 09:00 [entrez] AID - 10.1007/s00401-006-0083-7 [doi] PST - ppublish SO - Acta Neuropathol. 2006 Aug;112(2):195-204. doi: 10.1007/s00401-006-0083-7. Epub 2006 May 30.