Abstract

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.

Details

Title
CD8+ T cell-mediated endotheliopathy is a targetable mechanism of neuro-inflammation in Susac syndrome
Author
Gross, Catharina C 1   VIAFID ORCID Logo  ; Meyer, Céline 2 ; Bhatia, Urvashi 1   VIAFID ORCID Logo  ; Yshii, Lidia 2 ; Kleffner, Ilka 3   VIAFID ORCID Logo  ; Bauer, Jan 4   VIAFID ORCID Logo  ; Tröscher, Anna R 4   VIAFID ORCID Logo  ; Schulte-Mecklenbeck, Andreas 1   VIAFID ORCID Logo  ; Herich, Sebastian 1   VIAFID ORCID Logo  ; Schneider-Hohendorf, Tilman 1   VIAFID ORCID Logo  ; Plate, Henrike 1   VIAFID ORCID Logo  ; Kuhlmann, Tanja 5   VIAFID ORCID Logo  ; Schwaninger, Markus 6 ; Brück, Wolfgang 7   VIAFID ORCID Logo  ; Pawlitzki, Marc 1   VIAFID ORCID Logo  ; David-Axel Laplaud 8   VIAFID ORCID Logo  ; Loussouarn, Delphine 9 ; Parratt, John 10 ; Barnett, Michael 11 ; Buckland, Michael E 12   VIAFID ORCID Logo  ; Hardy, Todd A 13 ; Reddel, Stephen W 13 ; Ringelstein, Marius 14   VIAFID ORCID Logo  ; Dörr, Jan 15 ; Wildemann, Brigitte 16 ; Kraemer, Markus 17   VIAFID ORCID Logo  ; Lassmann, Hans 4   VIAFID ORCID Logo  ; Höftberger, Romana 18 ; Beltrán, Eduardo 19   VIAFID ORCID Logo  ; Dornmair, Klaus 20   VIAFID ORCID Logo  ; Schwab, Nicholas 1   VIAFID ORCID Logo  ; Klotz, Luisa 1   VIAFID ORCID Logo  ; Meuth, Sven G 21   VIAFID ORCID Logo  ; Martin-Blondel, Guillaume 22 ; Wiendl, Heinz 23 ; Liblau, Roland 2   VIAFID ORCID Logo 

 Department of Neurology with Institute of Translational Neurology, University Hospital Münster, University of Münster, Münster, Germany 
 Centre de Physiopathologie Toulouse-Purpan (CPTP), Université de Toulouse, CNRS, Inserm, UPS, CHU Purpan – BP 3028 – 31024, Toulouse, France 
 Department of Neurology with Institute of Translational Neurology, University Hospital Münster, University of Münster, Münster, Germany; Department of Neurology, University Hospital Knappschaftskrankenhaus Bochum, Ruhr University Bochum, Bochum, Germany 
 Department of Neuroimmunology, Center for Brain Research, Medical University of Vienna, Vienna, Austria 
 Institute of Neuropathology, University Hospital Münster, University of Münster, Münster, Germany 
 Institute of Experimental and Clinical Pharmacology and Toxicology, University of Lübeck, Lübeck, Germany 
 Institute of Neuropathology, University Medical Center Göttingen, Göttingen, Germany 
 UMR 1064, INSERM, Centre de Recherche en Transplantation et Immunologie, Université de Nantes, CHU Nantes - Hôtel Dieu Bd Jean Monnet, Nantes Cedex 01, France; Service Neurologie, CHU Nantes, Nantes, France 
 Service d’Anatomo-Pathologie, CHU Nantes, Hôtel-Dieu, rez-de-jardin, Nantes Cedex 1, France 
10  Department of Neurology, Royal North Shore Hospital, Sydney, Australia; Australia Northern Clinical School, University of Sydney, Sydney, NSW, Australia 
11  Brain and Mind Centre, Medical Faculty, University of Sydney, Sydney, NSW, Australia 
12  Brain and Mind Centre, Medical Faculty, University of Sydney, Sydney, NSW, Australia; Department of Neuropathology, Royal Prince Alfred Hospital, 94, Sydney, NSW, Australia 
13  Brain and Mind Centre, Medical Faculty, University of Sydney, Sydney, NSW, Australia; Department of Neurology, Concord Hospital, University of Sydney, Sydney, NSW, Australia 
14  Department of Neurology, Medical Faculty, Heinrich Heine University, Düsseldorf, Germany; Department of Neurology, Center of Neurology und Neuropsychiatry, LVR-Klinikum, Heinrich Heine University Düsseldorf, Düsseldorf, Germany 
15  Max Delbrueck Center for Molecular Medicine and Charité – Universitätsmedizin Berlin, corporate member of Freie Universität Berlin, Humboldt-Universität zu Berlin, and Berlin Institute of Health, NeuroCure, Experimental and Clinical Research Center, Berlin, Germany 
16  Molecular Neuroimmunology Group, Department of Neurology, University of Heidelberg, Heidelberg, Germany 
17  Department of Neurology, Medical Faculty, Heinrich Heine University, Düsseldorf, Germany; Department of Neurology, Alfried Krupp Hospital, Essen, Germany 
18  Institute of Neurology, Medical University of Vienna, Vienna, Austria 
19  Institute of Clinical Neuroimmunology, Biomedical Center and Hospital of the Ludwig-Maximilians-University Munich, Munich, Germany 
20  Institute of Clinical Neuroimmunology, Biomedical Center and Hospital of the Ludwig-Maximilians-University Munich, Munich, Germany; Munich Cluster for Systems Neurology (SyNergy), Munich, Germany 
21  Department of Neurology with Institute of Translational Neurology, University Hospital Münster, University of Münster, Münster, Germany; Cells in Motion (CiM), Münster, Germany 
22  Centre de Physiopathologie Toulouse-Purpan (CPTP), Université de Toulouse, CNRS, Inserm, UPS, CHU Purpan – BP 3028 – 31024, Toulouse, France; Department of Infectious and Tropical Diseases, Toulouse University Hospital, Toulouse, France 
23  Department of Neurology with Institute of Translational Neurology, University Hospital Münster, University of Münster, Münster, Germany; Australia Northern Clinical School, University of Sydney, Sydney, NSW, Australia; Cells in Motion (CiM), Münster, Germany 
Pages
1-19
Publication year
2019
Publication date
Dec 2019
Publisher
Nature Publishing Group
e-ISSN
20411723
Source type
Scholarly Journal
Language of publication
English
ProQuest document ID
2328304817
Copyright
© 2019. This work is published under http://creativecommons.org/licenses/by/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.