PMID- 1538783 OWN - NLM STAT- MEDLINE DCOM- 19920327 LR - 20220331 IS - 0028-0836 (Print) IS - 0028-0836 (Linking) VI - 356 IP - 6364 DP - 1992 Mar 5 TI - Prevention of experimental autoimmune encephalomyelitis by antibodies against alpha 4 beta 1 integrin. PG - 63-6 AB - Experimental autoimmune encephalomyelitis (EAE) is an inflammatory condition of the central nervous system with similarities to multiple sclerosis. In both diseases, circulating leukocytes penetrate the blood-brain barrier and damage myelin, resulting in impaired nerve conduction and paralysis. We sought to identify the adhesion receptors that mediate the attachment of circulating leukocytes to inflamed brain endothelium in EAE, because this interaction is the first step in leukocyte entry into the central nervous system. Using an in vitro adhesion assay on tissue sections, we found that lymphocytes and monocytes bound selectively to inflamed EAE brain vessels. Binding was inhibited by antibodies against the integrin molecule alpha 4 beta 1, but not by antibodies against numerous other adhesion receptors. When tested in vivo, anti-alpha 4 integrin effectively prevented the accumulation of leukocytes in the central nervous system and the development of EAE. Thus, therapies designed to interfere with alpha 4 beta 1 integrin may be useful in treating inflammatory diseases of the central nervous system, such as multiple sclerosis. FAU - Yednock, T A AU - Yednock TA AD - Athena Neurosciences, South San Francisco, California. FAU - Cannon, C AU - Cannon C FAU - Fritz, L C AU - Fritz LC FAU - Sanchez-Madrid, F AU - Sanchez-Madrid F FAU - Steinman, L AU - Steinman L FAU - Karin, N AU - Karin N LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - England TA - Nature JT - Nature JID - 0410462 RN - 0 (Antibodies, Monoclonal) RN - 0 (Integrin alpha4beta1) RN - 0 (Integrins) SB - IM MH - Animals MH - Antibodies, Monoclonal/immunology/*therapeutic use MH - Autoimmune Diseases/immunology/*prevention & control MH - Blood Vessels/immunology/metabolism MH - Brain/blood supply/immunology MH - Cell Adhesion MH - Central Nervous System/immunology MH - Encephalomyelitis, Autoimmune, Experimental/immunology/*prevention & control MH - Integrin alpha4beta1 MH - Integrins/*immunology/metabolism MH - Lymphocytes/immunology/metabolism MH - Monocytes/immunology/metabolism MH - Rats MH - Rats, Inbred Lew EDAT- 1992/03/05 00:00 MHDA- 1992/03/05 00:01 CRDT- 1992/03/05 00:00 PHST- 1992/03/05 00:00 [pubmed] PHST- 1992/03/05 00:01 [medline] PHST- 1992/03/05 00:00 [entrez] AID - 10.1038/356063a0 [doi] PST - ppublish SO - Nature. 1992 Mar 5;356(6364):63-6. doi: 10.1038/356063a0.