Immunoregulation of a viral model of multiple sclerosis using the synthetic cannabinoid R+WIN55,212

J Clin Invest. 2003 Apr;111(8):1231-40. doi: 10.1172/JCI17652.

Abstract

Theiler murine encephalomyelitis virus-induced demyelinating disease (TMEV-IDD) is a mouse model of chronic-progressive multiple sclerosis (MS) characterized by Th1-mediated CNS demyelination and spastic hindlimb paralysis. Existing MS therapies reduce relapse rates in 30% of relapsing-remitting MS patients, but are ineffective in chronic-progressive disease, and their effects on disability progression are unclear. Experimental studies demonstrate cannabinoids are useful for symptomatic treatment of spasticity and tremor in chronic-relapsing experimental autoimmune encephalomyelitis. Cannabinoids, however, have reported immunosuppressive properties. We show that the cannabinoid receptor agonist, R+WIN55,212, ameliorates progression of clinical disease symptoms in mice with preexisting TMEV-IDD. Amelioration of clinical disease is associated with downregulation of both virus and myelin epitope-specific Th1 effector functions (delayed-type hypersensitivity and IFN-gamma production) and the inhibition of CNS mRNA expression coding for the proinflammatory cytokines, TNF-alpha, IL1-beta, and IL-6. Clinical trials investigating the therapeutic potential of cannabinoids for the symptomatic treatment of MS are ongoing, and this study demonstrates that they may also have potent immunoregulatory properties.

Publication types

  • Research Support, Non-U.S. Gov't
  • Research Support, U.S. Gov't, P.H.S.

MeSH terms

  • Animals
  • Benzoxazines
  • Brain / virology
  • Cardiovirus Infections / complications
  • Cytokines / biosynthesis
  • Disease Models, Animal*
  • Dronabinol / metabolism
  • Female
  • Hypersensitivity, Delayed / prevention & control
  • Lymphocyte Activation / drug effects
  • Mice
  • Morpholines / therapeutic use*
  • Multiple Sclerosis / drug therapy*
  • Multiple Sclerosis / immunology
  • Myelin Proteolipid Protein / immunology
  • Naphthalenes / therapeutic use*
  • Peptide Fragments / immunology
  • RNA, Messenger / analysis
  • Theilovirus*
  • Viral Load

Substances

  • Benzoxazines
  • Cytokines
  • Morpholines
  • Myelin Proteolipid Protein
  • Naphthalenes
  • Peptide Fragments
  • RNA, Messenger
  • myelin proteolipid protein (139-151)
  • (3R)-((2,3-dihydro-5-methyl-3-((4-morpholinyl)methyl)pyrrolo-(1,2,3-de)-1,4-benzoxazin-6-yl)(1-naphthalenyl))methanone
  • Dronabinol