Frontiers in Molecular Neuroscience (Aug 2024)

Interleukin-10 contrasts inflammatory synaptopathy and central neurodegenerative damage in multiple sclerosis

  • Luana Gilio,
  • Luana Gilio,
  • Diego Fresegna,
  • Diego Fresegna,
  • Mario Stampanoni Bassi,
  • Alessandra Musella,
  • Alessandra Musella,
  • Francesca De Vito,
  • Sara Balletta,
  • Krizia Sanna,
  • Silvia Caioli,
  • Luigi Pavone,
  • Giovanni Galifi,
  • Giovanni Galifi,
  • Ilaria Simonelli,
  • Ilaria Simonelli,
  • Livia Guadalupi,
  • Livia Guadalupi,
  • Valentina Vanni,
  • Fabio Buttari,
  • Fabio Buttari,
  • Ettore Dolcetti,
  • Ettore Dolcetti,
  • Antonio Bruno,
  • Antonio Bruno,
  • Federica Azzolini,
  • Angela Borrelli,
  • Roberta Fantozzi,
  • Annamaria Finardi,
  • Roberto Furlan,
  • Roberto Furlan,
  • Diego Centonze,
  • Diego Centonze,
  • Georgia Mandolesi,
  • Georgia Mandolesi

DOI
https://doi.org/10.3389/fnmol.2024.1430080
Journal volume & issue
Vol. 17

Abstract

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Proinflammatory cytokines are implicated in promoting neurodegeneration in multiple sclerosis (MS) by affecting excitatory and inhibitory transmission at central synapses. Conversely, the synaptic effects of anti-inflammatory molecules remain underexplored, despite their potential neuroprotective properties and their presence in the cerebrospinal fluid (CSF) of patients. In a study involving 184 newly diagnosed relapsing–remitting (RR)-MS patients, we investigated whether CSF levels of the anti-inflammatory interleukin (IL)-10 were linked to disease severity and neurodegeneration measures. Additionally, we examined IL-10 impact on synaptic transmission in striatal medium spiny neurons and its role in counteracting inflammatory synaptopathy induced by IL-1β in female C57BL/6 mice with experimental autoimmune encephalomyelitis (EAE). Our findings revealed a significant positive correlation between IL-10 CSF levels and changes in EDSS (Expanded Disability Status Scale) scores one year after MS diagnosis. Moreover, IL-10 levels in the CSF were positively correlated with volumes of specific subcortical brain structures, such as the nucleus caudate. In both MS patients’ CSF and EAE mice striatum, IL-10 and IL-1β expressions were upregulated, suggesting possible antagonistic effects of these cytokines. Notably, IL-10 exhibited the ability to decrease glutamate transmission, increase GABA transmission in the striatum, and reverse IL-1β-induced abnormal synaptic transmission in EAE. In conclusion, our data suggest that IL-10 exerts direct neuroprotective effects in MS patients by modulating both excitatory and inhibitory transmission and attenuating IL-1β-induced inflammatory synaptopathy. These findings underscore the potential therapeutic significance of IL-10 in mitigating neurodegeneration in MS.

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