Corticosteroids delay remyelination of experimental demyelination in the rodent central nervous system
High dose corticosteroid (CS) administration is a common mode of therapy in treatment of acute relapses in multiple sclerosis (MS) but the effects of CS on remyelination and the cellular mechanisms mediating this repair process are controversial. We have examined CS effects on repair of toxin‐induce...
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Published in: | Journal of neuroscience research Vol. 83; no. 4; pp. 594 - 605 |
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Abstract | High dose corticosteroid (CS) administration is a common mode of therapy in treatment of acute relapses in multiple sclerosis (MS) but the effects of CS on remyelination and the cellular mechanisms mediating this repair process are controversial. We have examined CS effects on repair of toxin‐induced demyelinating lesions in the adult rat spinal cord. Corticosteroids reduced the extent of oligodendrocyte remyelination at 1 month post lesion (whereas Schwann‐cell mediated repair was unaffected). However, CS did not cause permanent impairment of remyelination as lesions were fully remyelinated at 2 months after cessation of treatment. The delay in oligodendrocyte mediated repair could be attributed to inhibition of differentiation of oligodendrocyte progenitor cells (OPCs) into oligodendrocytes, with no effect of CS treatment observed on OPC colonisation of the lesions. No differences were observed in animals treated with methylprednisolone succinate alone or with a subsequent prednisone taper indicating that CS effects occur at an early stage of repair. The potential consequences of delayed remyelination in inflammatory lesions are discussed. © 2006 Wiley‐Liss, Inc. |
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AbstractList | High dose corticosteroid (CS) administration is a common mode of therapy in treatment of acute relapses in multiple sclerosis (MS) but the effects of CS on remyelination and the cellular mechanisms mediating this repair process are controversial. We have examined CS effects on repair of toxin‐induced demyelinating lesions in the adult rat spinal cord. Corticosteroids reduced the extent of oligodendrocyte remyelination at 1 month post lesion (whereas Schwann‐cell mediated repair was unaffected). However, CS did not cause permanent impairment of remyelination as lesions were fully remyelinated at 2 months after cessation of treatment. The delay in oligodendrocyte mediated repair could be attributed to inhibition of differentiation of oligodendrocyte progenitor cells (OPCs) into oligodendrocytes, with no effect of CS treatment observed on OPC colonisation of the lesions. No differences were observed in animals treated with methylprednisolone succinate alone or with a subsequent prednisone taper indicating that CS effects occur at an early stage of repair. The potential consequences of delayed remyelination in inflammatory lesions are discussed. © 2006 Wiley‐Liss, Inc. High dose corticosteroid (CS) administration is a common mode of therapy in treatment of acute relapses in multiple sclerosis (MS) but the effects of CS on remyelination and the cellular mechanisms mediating this repair process are controversial. We have examined CS effects on repair of toxin-induced demyelinating lesions in the adult rat spinal cord. Corticosteroids reduced the extent of oligodendrocyte remyelination at 1 month post lesion (whereas Schwann-cell mediated repair was unaffected). However, CS did not cause permanent impairment of remyelination as lesions were fully remyelinated at 2 months after cessation of treatment. The delay in oligodendrocyte mediated repair could be attributed to inhibition of differentiation of oligodendrocyte progenitor cells (OPCs) into oligodendrocytes, with no effect of CS treatment observed on OPC colonisation of the lesions. No differences were observed in animals treated with methylprednisolone succinate alone or with a subsequent prednisone taper indicating that CS effects occur at an early stage of repair. The potential consequences of delayed remyelination in inflammatory lesions are discussed. |
Author | Franklin, Robin J.M. Chari, Divya M. Blakemore, William F. Zhao, Chao Kotter, Mark R. |
Author_xml | – sequence: 1 givenname: Divya M. surname: Chari fullname: Chari, Divya M. email: dmc35@hermes.cam.ac.uk organization: Cambridge Centre for Brain Repair and Department of Veterinary Medicine, University of Cambridge, Cambridge, United Kingdom – sequence: 2 givenname: Chao surname: Zhao fullname: Zhao, Chao organization: Cambridge Centre for Brain Repair and Department of Veterinary Medicine, University of Cambridge, Cambridge, United Kingdom – sequence: 3 givenname: Mark R. surname: Kotter fullname: Kotter, Mark R. organization: Cambridge Centre for Brain Repair and Department of Veterinary Medicine, University of Cambridge, Cambridge, United Kingdom – sequence: 4 givenname: William F. surname: Blakemore fullname: Blakemore, William F. organization: Cambridge Centre for Brain Repair and Department of Veterinary Medicine, University of Cambridge, Cambridge, United Kingdom – sequence: 5 givenname: Robin J.M. surname: Franklin fullname: Franklin, Robin J.M. organization: Cambridge Centre for Brain Repair and Department of Veterinary Medicine, University of Cambridge, Cambridge, United Kingdom |
BackLink | https://www.ncbi.nlm.nih.gov/pubmed/16429447$$D View this record in MEDLINE/PubMed |
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SubjectTerms | Adrenal Cortex Hormones - pharmacology Animals Central Nervous System - drug effects Central Nervous System - pathology corticosteroids Demyelinating Diseases - chemically induced Demyelinating Diseases - pathology demyelination Ethidium Female Glial Fibrillary Acidic Protein - metabolism Immunohistochemistry In Situ Hybridization Macrophages - drug effects multiple sclerosis Myelin Sheath - drug effects oligodendrocyte progenitors Oligodendroglia - drug effects Oligodendroglia - pathology Phagocytosis Rats remyelination Stem Cells - drug effects Stem Cells - pathology |
Title | Corticosteroids delay remyelination of experimental demyelination in the rodent central nervous system |
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