Suppression of experimental autoimmune encephalomyelitis using estrogen receptor-selective ligands

J Endocrinol. 2005 May;185(2):243-52. doi: 10.1677/joe.1.06063.

Abstract

Estrogens have been shown to modulate disease activity in experimental autoimmune encephalomyelitis (EAE), the mouse model for multiple sclerosis. Consistent with these findings, the severity of disease is reduced in pregnant women with multiple sclerosis when levels of estrogens are high. Estrogens bind to two known estrogen receptors (ER), ERalpha and ERbeta. The relative contribution of these receptors to estrogen-mediated suppression of EAE was explored using ER-selective ligands. The ER antagonist ICI 182 780 reversed the suppressive effects of 17beta-estradiol (E2), demonstrating that the protective effects of E2 on disease are dependent upon ER signaling. Treatment of SJL mice with the ERalpha-selective agonist proteolipid protein (PPT) prior to the induction of disease resulted in suppression of clinical symptoms of disease, whereas treatment with an ERbeta-selective agonist (WAY-202041) had no effect. Treatment of mice with PLP peptide 139-151 (PPT) was also associated with decreased immune responses associated with disease. Consistent with its lack of effect on disease, the ERbeta agonist had minimal effects on immune responses. The use of selective estrogen receptor modulators (SERMs) in this model was also explored, and we show that raloxifene and WAY-138923 were also effective in suppressing disease. These results demonstrate the beneficial effects of estrogen receptor ligands, in particular ERalpha-selective ligands, and may have implications in the development of therapeutic strategies for multiple sclerosis.

MeSH terms

  • Adoptive Transfer
  • Animals
  • Cell Proliferation / drug effects
  • Cytokines / immunology
  • Encephalomyelitis, Autoimmune, Experimental / drug therapy*
  • Encephalomyelitis, Autoimmune, Experimental / immunology
  • Estradiol / analogs & derivatives*
  • Estradiol / therapeutic use
  • Estrogen Receptor alpha / agonists
  • Estrogen Receptor alpha / antagonists & inhibitors
  • Estrogen Receptor beta / agonists
  • Estrogen Receptor beta / antagonists & inhibitors
  • Female
  • Flow Cytometry
  • Fulvestrant
  • Mice
  • Mice, Inbred Strains
  • Ovariectomy
  • Raloxifene Hydrochloride / therapeutic use*
  • Selective Estrogen Receptor Modulators / therapeutic use*
  • T-Lymphocytes, Regulatory / drug effects

Substances

  • Cytokines
  • Estrogen Receptor alpha
  • Estrogen Receptor beta
  • Selective Estrogen Receptor Modulators
  • Fulvestrant
  • Raloxifene Hydrochloride
  • Estradiol