Nature Communications (Dec 2019)

CD8+ T cell-mediated endotheliopathy is a targetable mechanism of neuro-inflammation in Susac syndrome

  • Catharina C. Gross,
  • Céline Meyer,
  • Urvashi Bhatia,
  • Lidia Yshii,
  • Ilka Kleffner,
  • Jan Bauer,
  • Anna R. Tröscher,
  • Andreas Schulte-Mecklenbeck,
  • Sebastian Herich,
  • Tilman Schneider-Hohendorf,
  • Henrike Plate,
  • Tanja Kuhlmann,
  • Markus Schwaninger,
  • Wolfgang Brück,
  • Marc Pawlitzki,
  • David-Axel Laplaud,
  • Delphine Loussouarn,
  • John Parratt,
  • Michael Barnett,
  • Michael E. Buckland,
  • Todd A. Hardy,
  • Stephen W. Reddel,
  • Marius Ringelstein,
  • Jan Dörr,
  • Brigitte Wildemann,
  • Markus Kraemer,
  • Hans Lassmann,
  • Romana Höftberger,
  • Eduardo Beltrán,
  • Klaus Dornmair,
  • Nicholas Schwab,
  • Luisa Klotz,
  • Sven G. Meuth,
  • Guillaume Martin-Blondel,
  • Heinz Wiendl,
  • Roland Liblau

DOI
https://doi.org/10.1038/s41467-019-13593-5
Journal volume & issue
Vol. 10, no. 1
pp. 1 – 19

Abstract

Read online

Susac syndrome is an inflammatory pathology of the brain endothelium. Here the authors show that the pathology is driven by CD8 T cells attacking the endothelium, and that blocking T cell-endothelial adhesion ameliorates the disease in a mouse model, and associates with improved clinical score in 4 patients.