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Immune cell trafficking from the brain maintains CNS immune tolerance
Mohammad G. Mohammad, Vicky W.W. Tsai, Marc J. Ruitenberg, Masoud Hassanpour, Hui Li, Prue H. Hart, Samuel N. Breit, Paul E. Sawchenko, David A. Brown
Mohammad G. Mohammad, Vicky W.W. Tsai, Marc J. Ruitenberg, Masoud Hassanpour, Hui Li, Prue H. Hart, Samuel N. Breit, Paul E. Sawchenko, David A. Brown
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Research Article

Immune cell trafficking from the brain maintains CNS immune tolerance

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Abstract

In the CNS, no pathway dedicated to immune surveillance has been characterized for preventing the anti-CNS immune responses that develop in autoimmune neuroinflammatory disease. Here, we identified a pathway for immune cells to traffic from the brain that is associated with the rostral migratory stream (RMS), which is a forebrain source of newly generated neurons. Evaluation of fluorescently labeled leukocyte migration in mice revealed that DCs travel via the RMS from the CNS to the cervical LNs (CxLNs), where they present antigen to T cells. Pharmacologic interruption of immune cell traffic with the mononuclear cell-sequestering drug fingolimod influenced anti-CNS T cell responses in the CxLNs and modulated experimental autoimmune encephalomyelitis (EAE) severity in a mouse model of multiple sclerosis (MS). Fingolimod treatment also induced EAE in a disease-resistant transgenic mouse strain by altering DC-mediated Treg functions in CxLNs and disrupting CNS immune tolerance. These data describe an immune cell pathway that originates in the CNS and is capable of dampening anti-CNS immune responses in the periphery. Furthermore, these data provide insight into how fingolimod treatment might exacerbate CNS neuroinflammation in some cases and suggest that focal therapeutic interventions, outside the CNS have the potential to selectively modify anti-CNS immunity.

Authors

Mohammad G. Mohammad, Vicky W.W. Tsai, Marc J. Ruitenberg, Masoud Hassanpour, Hui Li, Prue H. Hart, Samuel N. Breit, Paul E. Sawchenko, David A. Brown

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Figure 8

CNS-derived DCs modulate anti-CNS immunity in the CxLNs.

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CNS-derived DCs modulate anti-CNS immunity in the CxLNs.
(A) CxLN DCs we...
(A) CxLN DCs were purified from C57BL/6 mice treated with RMS-fingolimod or -vehicle, or icv fingolimod or vehicle, for 4 weeks. These or acellular vehicle were injected into each pinna of separate C57BL/6 mice prior to MOG DTH assessment (see Methods). Only DCs from fingolimod-treated mice increased MOG DTH responses (RMS-fingolimod, n = 12/group; icv fingolimod, n = 6/group; P = 0.003; 3 independent experiments). (B) Separate C57BL/6 mice were treated with fingolimod or vehicle i.p. for 14 days (n = 10; 3 independent experiments), and CNS DCs were FACS purified and tested in the DTH model, which showed they similarly modified DTH and were not altered by direct fingolimod exposure. (C) 10 mice (5 vehicle; 5 fingolimod) were randomly selected from A, and CxLNs draining the vehicle control– or DC-treated ears were isolated separately for Treg functional assessment. Only the CxLNs draining ears that had RMS-fingolimod DCs delivered had significantly reduced Treg activity (n = 5; P = 0.01). (D) CNS CD45hiCD3–CD11c+CD11b+ and CD45hiCD3–CD11c+CD11b– cells were isolated from 10 normal mice, after which each DC subset (2 × 102 cells) was assessed in the DTH model in separate mice. Only CD11b– CNS DCs significantly reduced DTH to MOG (n = 10; P = 0.011; 3 independent experiments). (E) We repeated the experiment in D, except MOG was replaced by methylated BSA (n = 3/group). There was no significant modulation of methylated BSA response (P > 0.9), which — in contrast to MOG DTH DC–mediated modulation — suggests a CNS-antigen specific mechanism. Data represent mean ± SEM. *P < 0.05.

Copyright © 2026 American Society for Clinical Investigation
ISSN: 0021-9738 (print), 1558-8238 (online)

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