eLife (Jul 2015)

A pain-mediated neural signal induces relapse in murine autoimmune encephalomyelitis, a multiple sclerosis model

  • Yasunobu Arima,
  • Daisuke Kamimura,
  • Toru Atsumi,
  • Masaya Harada,
  • Tadafumi Kawamoto,
  • Naoki Nishikawa,
  • Andrea Stofkova,
  • Takuto Ohki,
  • Kotaro Higuchi,
  • Yuji Morimoto,
  • Peter Wieghofer,
  • Yuka Okada,
  • Yuki Mori,
  • Saburo Sakoda,
  • Shizuya Saika,
  • Yoshichika Yoshioka,
  • Issei Komuro,
  • Toshihide Yamashita,
  • Toshio Hirano,
  • Marco Prinz,
  • Masaaki Murakami

DOI
https://doi.org/10.7554/eLife.08733
Journal volume & issue
Vol. 4

Abstract

Read online

Although pain is a common symptom of various diseases and disorders, its contribution to disease pathogenesis is not well understood. Here we show using murine experimental autoimmune encephalomyelitis (EAE), a model for multiple sclerosis (MS), that pain induces EAE relapse. Mechanistic analysis showed that pain induction activates a sensory-sympathetic signal followed by a chemokine-mediated accumulation of MHC class II+CD11b+ cells that showed antigen-presentation activity at specific ventral vessels in the fifth lumbar cord of EAE-recovered mice. Following this accumulation, various immune cells including pathogenic CD4+ T cells recruited in the spinal cord in a manner dependent on a local chemokine inducer in endothelial cells, resulting in EAE relapse. Our results demonstrate that a pain-mediated neural signal can be transformed into an inflammation reaction at specific vessels to induce disease relapse, thus making this signal a potential therapeutic target.

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