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The Journal of Neuroscience, October 1, 1998, 18(19):7700-7708

Targeting of IgMkappa Antibodies to Oligodendrocytes Promotes CNS Remyelination

Kunihiko Asakura1, 2, David J. Miller2, Larry R. Pease2, and Moses Rodriguez1, 2

Departments of 1 Neurology and 2 Immunology, Mayo Clinic and Foundation, Rochester, Minnesota 55905

    ABSTRACT
Top
Abstract
Introduction
Materials & Methods
Results
Discussion
References

We previously identified the remyelinating activity of a natural IgMkappa oligodendrocyte-reactive autoantibody (SCH94.03), using a virus-induced murine model of multiple sclerosis. We now describe a second mouse IgMkappa monoclonal antibody (mAb) (SCH79.08) raised against normal mouse spinal cord homogenate, which reacts with myelin basic protein and also promotes remyelination. Because these two mAbs recognize different oligodendrocyte antigens, several previously identified oligodendrocyte-reactive IgMkappa mAbs (O1, O4, A2B5, and HNK-1), each with distinct antigen specificities, were evaluated and found to promote remyelination. In contrast, IgMkappa mAbs that did not bind to oligodendrocytes showed no remyelination. One of these, CH12 IgMkappa mAb, which shares variable region cDNA sequences with SCH94.03 except for amino acid differences in the complementarity-determining region 3 in both heavy and light chains, did not bind to oligodendrocytes and did not promote remyelination. The fact that multiple oligodendrocyte-reactive antibodies with distinct antigen reactivities induce remyelination argues against direct activation by a unique cell surface receptor. These findings are most consistent with the hypothesis that the binding of mAbs to oligodendrocytes in the lesions induces myelin repair via indirect immune effector mechanisms initiated by the µ-chain. Importantly, these studies indicate that oligodendrocyte-reactive natural autoantibodies may provide a powerful and novel therapeutic means to induce remyelination in multiple sclerosis patients.

Key words: Theiler's virus; oligodendrocytes; demyelination; natural autoantibody; remyelination; multiple sclerosis; immunoglobulin

    INTRODUCTION
Top
Abstract
Introduction
Materials & Methods
Results
Discussion
References

Demyelination in association with inflammation is the primary structural abnormality in multiple sclerosis (MS). Spontaneous remyelination is limited in the CNS, in part because oligodendrocytes are considered to be postmitotic cells. However, spontaneous remyelination is observed at the edge of MS plaques (Prineas and Connell, 1979). Studies have shown that oligodendrocyte/type-2 astrocyte (O-2A) progenitor cells persist in the adult CNS and proliferate (Wolswijk and Noble, 1989; Armstrong et al., 1992). Alternatively, it has been shown that mature oligodendrocytes can be induced to generate new myelin under the influence of neurons (Wood and Bunge, 1991). Basic fibroblast growth factor induces mature oligodendrocytes to reenter the cell cycle (Fressinaud et al., 1993; Grinspan et al., 1993) and converts the cells to a novel phenotype (Bansal and Pfeiffer, 1997), providing another cellular mechanism for remyelination.

One of the major goals for the treatment of MS is to develop strategies to promote remyelination. One strategy shown in vivo to enhance endogenous myelination has been the use of natural germline antibodies that react to CNS antigens (Miller et al., 1994). This approach is particularly attractive because it rapidly can be translated from the bench to the bedside as a therapy for human MS (Noseworthy et al., 1994; Fazekas et al., 1997).

We demonstrated that a mouse monoclonal antibody (mAb) raised against normal mouse spinal cord homogenate (SCH), designated SCH94.03, enhanced CNS remyelination in the Theiler's murine encephalomyelitis virus (TMEV) model of MS (Miller et al., 1994). SCH94.03 belongs to the IgMkappa subclass, is highly polyreactive against known and unknown protein antigens including cytoskeletal proteins, and is encoded by unmutated Ig germline genes, confirming that SCH94.03 is a natural autoantibody (Miller and Rodriguez, 1995a; Asakura et al., 1996a). Of unique importance, SCH94.03 recognizes an unidentified surface antigen on oligodendrocytes (Asakura et al., 1996b), providing a potential target for the mechanism of action of this antibody.

Two major hypotheses have been proposed by which SCH94.03 promotes remyelination. (1) The mAb may bind to a unique receptor on the surface of oligodendrocytes to induce myelination. This hypothesis would predict that only a limited repertoire of Abs with unique specificity would function for myelin repair. (2) The mAb may work by binding to damaged oligodendrocytes and/or myelin, which triggers a cascade of events by other resident CNS cells (i.e., astrocytes, microglia, or neurons) and in turn enhances myelin repair. An attractive hypothesis is that binding to damaged oligodendrocytes and myelin may enhance the opsonization and clearing of CNS debris by macrophages, thus allowing for the normal process of remyelination to ensue. This hypothesis would predict that many polyreactive autoantibodies with specificity to oligodendrocytes and/or myelin would be effective. To address these hypotheses and the mechanism for Ab-mediated CNS remyelination, we set out to identify additional mAbs that promote CNS remyelination in TMEV model and compared their specificities with SCH94.03. In addition, we tested the remyelination-promoting activity of well recognized oligodendrocyte-reactive mAbs O1, O4, A2B5, and HNK-1, which previously were shown to have genotypic or phenotypic features of natural autoantibodies (Asakura et al., 1995).

    MATERIALS AND METHODS
Top
Abstract
Introduction
Materials & Methods
Results
Discussion
References

mAb production and screening. Hybridomas were generated and screened as described (Miller et al., 1994). SJL/J mice were immunized with normal mouse SCH in incomplete Freund's adjuvant, and their splenocytes were fused with NS-1 myeloma cell. Hybridoma supernatants that showed high binding to SCH by ELISA were screened further for their ability to promote remyelination in the TMEV model. Therefore, the Abs were screened on the basis of their ability to promote CNS remyelination rather than for a unique antigen specificity. IgMkappa Abs were purified from hybridoma culture supernatants by ammonium sulfate precipitation and dialysis against PBS plus low-ionic-strength precipitation or by affinity chromatography, using goat anti-mouse IgM Ab (µ-chain-specific; Jackson ImmunoResearch, West Grove, PA) bound to carbonyldiimidazole-activated cross-linked agarose (Reacti-Gel 6× matrix, Pierce, Rockford, IL).

Hybridomas and mAb preparation. Hybridomas A2B5, HNK-1, and R24 were purchased from American Type Culture Collection (ATCC, Rockville, MD). Hybridomas O1 and O4 were a gift from Dr. S. E. Pfeiffer (University of Connecticut, Farmington, CT). These hybridomas were cultured in RPMI 1640 supplemented with 10% fetal calf serum (HyClone, Logan, UT) and 2 × 10-2 mM beta -mercaptoethanol. B-cell lymphoma CH12 (CH12.Lx) was provided by Dr. G. Haughton (University of North Carolina, Chapel Hill, NC). To obtain secreted IgM from CH12 lymphoma, we stimulated CH12.Lx cells with 50 µg/ml of lipopolysaccharide (Sigma, St. Louis, MO). mAbs O1, O4, and HNK-1 were purified from hybridoma culture supernatant by ammonium sulfate precipitation and dialysis against PBS plus low-ionic-strength precipitation. mAbs A2B5 and CH12 were purified by affinity chromatography. R24 was purified by protein A column. The purity of these mAbs was examined by SDS-polyacrylamide gel electrophoresis, and the immunoreactivity of these mAbs was examined by the immunostaining of rat oligodendrocytes. Control hybridoma XMMEN-OE5 producing anti-bacterial lipopolysaccharide IgMkappa Ab was purchased from ATCC. Clarified ascites of control ABPC22 IgMkappa mAb were purchased from Sigma. Both IgMkappa mAbs were purified by affinity chromatography, using goat anti-mouse IgM Ab. The purity of the mAbs was confirmed by SDS-polyacrylamide gel electrophoresis.

Virus and animals. The Daniel's strain of TMEV was used for these experiments. Female SJL/J mice from the Jackson Laboratories (Bar Harbor, ME) were used after 1 week of rest. Mice from 4 to 6 weeks of age were injected intracerebrally with 2 × 105 plaque-forming units (pfu) of TMEV in a 10 µl volume. The handling of all animals was in accordance with the institutional guidelines prescribed by National Institutes of Health and Mayo Clinic.

mAb treatment and quantitative morphometry of remyelination. Chronically infected mice (5-6 months after infection) were given intraperitoneal injections of mAb twice weekly for 5 weeks (50 µg/injection). The total dose of each Ab was 0.5 mg. The mice were killed 2 weeks after the completion of mAb treatment. Light microscopic sections were prepared as described (Miller et al., 1994). Mice were anesthetized with pentobarbital, exsanguinated by cardiac puncture, and fixed by intracardiac perfusion with Trump's fixative (phosphate-buffered 4% formaldehyde containing 1.5% glutaraldehyde, pH 7.2). The entire spinal cord was removed and sectioned into 1 mm transverse blocks. Every third block was post-fixed in 1% osmium tetroxide and embedded in Araldite (Polysciences, Warrington, PA). One micrometer sections were cut and stained with p-phenylenediamine. Ten spinal cord sections of each mouse were examined. The total areas of white matter, demyelination, and remyelination on each section were quantitated by a Zeiss (Oberkochen, Germany) interactive digital analysis system. The area of demyelination was characterized by cellular infiltrates, macrophages engulfing myelin debris, and naked axons. Abnormally thin myelin sheaths relative to axon diameter were used as the criterion for remyelination by oligodendrocytes. Those remyelinated fibers were identified readily (as shown in Fig. 1). Remyelinated areas were defined as a cluster of at least 10 remyelinated fibers. Spontaneous remyelination by Schwann cells also was present rarely in the spinal cord lesions (Miller and Rodriguez, 1995b). Remyelination by Schwann cell was characterized by abnormally thick myelin sheaths relative to axon diameter, with a one-to-one relationship between axons and Schwann cells. These peripheral-type remyelinated areas were excluded from the quantitation. The quantitation was done on coded sections without previous knowledge of the treatment to avoid bias. Statistical comparison between groups in the extent of demyelination and remyelination was performed with an unpaired Student's t test.

Cell culture and immunocytochemistry. Oligodendrocytes, astrocytes, and microglia were isolated from telencephalon of newborn Sprague Dawley rats as described (Asakura et al., 1996b). Abs were diluted in PBS. Surface staining was performed at 4°C for 15 min on unfixed cells after they were blocked with PBS containing 3% normal goat serum (NGS). Cytoplasmic antigen staining was performed on cells fixed for 10 min at 4°C with 2% paraformaldehyde and treated for 5 min at room temperature with 0.1% Triton X-100 in PBS, followed by blocking with 3% NGS in PBS. After incubation with the primary Abs and the secondary FITC-conjugated anti-mouse IgM (µ-chain-specific) Ab (Jackson ImmunoResearch), the slides were mounted in MOWIOL (Aldrich Chemical, Milwaukee, WI) containing 2.5% 1,4-diazobicyclo-[2.2.2]-octane (DABCO; Sigma) and were viewed with an epifluorescent microscope.

Immunohistochemistry. Fresh-frozen sections (10 µm) were prepared from various organs of neonatal (postnatal days 7 and 14) rats. Fresh-frozen sections were immunostained with primary Abs and then were fixed with 4% paraformaldehyde or were lightly fixed with acetone and then were immunostained with primary Abs. Bound Abs were detected by fluorochrome-conjugated secondary Ab or by the avidin-biotin immunoperoxidase technique, using the Vectastain ABC kit (Vector Laboratories, Burlingame, CA). MOPC104E (Sigma) mouse IgM mAb was used as an isotype control.

Direct ELISA. Protein antigens, including human red blood cell (RBC) spectrin, bovine myosin (heavy chain), mouse albumin, mouse hemoglobin, mouse transferrin, hen egg lysozyme (HEL), rabbit actin, rabbit myelin basic protein (MBP), and keyhole limpet hemocyanin (KLH), were purchased from Sigma. Proteins were tested for purity by SDS-polyacrylamide gel electrophoresis. All chemical haptens were purchased from Sigma and coupled to bovine serum albumin (BSA) (Miller and Rodriguez, 1995a). Protein antigens were used at 5 µg/ml and haptens at 2 µM. The proteins and hapten-BSA antigens were coated onto polystyrene or polyvinyl chloride microtiter plates in 0.1 M carbonate buffer, pH 9.5, for 18 hr at 4°C. Coated plates were blocked with PBS containing 5% nonfat dry milk and 0.05% Tween 20 for 2 hr at room temperature and were incubated with mAbs diluted in blocking buffer for 4 hr at room temperature. TEPC183 (Sigma) and XMMEN-OE5 IgMkappa mAbs were used as isotype control Abs. Bound IgM was detected with biotinylated goat anti-mouse IgM (µ-chain-specific; Jackson ImmunoResearch), followed by alkaline phosphatase conjugated to streptavidin, with p-nitrophenylphosphate as the chromogenic substrate. Absorbance was determined at 405 nm.

Immunoblotting. Purified TMEV (Njenga et al., 1996) and rabbit MBP (Sigma) were separated by SDS-polyacrylamide gel electrophoresis on 15% acrylamide gels. Proteins were transferred to a nitrocellulose membrane by electroblotting. The membrane was blocked with Tris-buffered saline containing 5% nonfat dry milk and 0.03% Tween 20 for 2 hr at room temperature. The membrane was incubated with SCH79.08, SCH94.03, O1, O4, A2B5, HNK-1, CH12, R24, control IgM (MOPC104E), rabbit polyclonal anti-TMEV (1:2000; Njenga et al., 1996), and rabbit polyclonal anti-MBP (1:200; Dako, Carpinteria, CA) Abs for 4 hr at room temperature. SCH79.08, SCH94.03, O1, O4, A2B5, HNK-1, CH12, R24, and control IgM were used at the same concentration (10 µg/ml). Bound Abs were detected with biotinylated secondary Abs (Jackson ImmunoResearch) and alkaline phosphatase-conjugated streptavidin, using 5-bromo-4-chloro-3-indolyl phosphate and nitroblue tetrazolium (BCIP/NBT).

    RESULTS
Top
Abstract
Introduction
Materials & Methods
Results
Discussion
References

IgMkappa mAb SCH79.08 promotes CNS remyelination

After cell fusion and cloning, a large panel of mAbs (~100) was screened by ELISA. One mAb, designated SCH79.08 and belonging to the IgMkappa subclass, showed significant binding to SCH by ELISA. SJL/J mice chronically infected with TMEV and treated with SCH79.08 showed significantly greater CNS remyelination than animals treated with PBS or isotype-matched control mAb (Table 1). On average, ~20% of the total demyelinated area showed CNS remyelination in mice treated with SCH79.08 (p < 0.05), as compared with 2-5% in animals treated with PBS or isotype-matched mAb, respectively. Treatment with SCH79.08 had no effect on the extent of demyelination (Table 1). Remyelinated lesions were characterized by hundreds of axons with thin myelin sheaths and a relative absence of inflammatory cells or macrophages (Fig. 1). In contrast, most lesions in mice treated with the control IgMkappa mAb ABPC22 or PBS had few, if any, remyelinated axons, and the lesions contained intense inflammation and macrophage infiltration (Fig. 1).

                              
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  		Table 1.   Enhancement of CNS remyelination by SCH79.08


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  		Figure 1.   Light micrograph demonstrating extensive CNS remyelination after treatment with SCH79.08, O1, O4, A2B5, and HNK-1. Sections are from the spinal cords of SJL/J mice chronically infected with TMEV. Note the CNS remyelination, characterized by abnormally thin myelin sheath as compared with axon diameter, in demyelinated lesions of mice treated with SCH79.08 (A), O1 (B), O4 (C), A2B5 (D), and HNK-1 (E). Note the demyelination without significant remyelination in mice treated with R24 (F), CH12 (G), and control IgMkappa ABPC22 (H). Araldite-embedded sections were stained with 1% p-phenylenediamine (magnification, 875×).

mAb SCH79.08 is polyreactive and reacts with MBP

To characterize the antigens recognized by SCH79.08, we performed immunochemistry, ELISA, and Western blotting. By immunocytochemical study, SCH79.08 strongly stained the cytoplasmic structure of most of the cultured cells (Fig. 2D). The pattern of reactivity resembled the staining with SCH94.03 (Fig. 2B), presumably to a cytoskeletal protein. In contrast to the live surface staining of oligodendrocytes, oligodendrocytes at specific stages of differentiation did not react on the surface with SCH79.08 (Fig. 2C). Immunohistochemical staining of fresh-frozen rat tissue sections showed that SCH79.08 is reactive to multiple organs, including brain (predominantly white matter glial cell population), small intestine (lamina propria), and kidney (mesangial cells). These results are consistent with the conclusion that SCH79.08 is polyreactive.


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  		Figure 2.   Indirect immunofluorescence of cultured glial cells. Note the live surface staining of oligodendrocytes with SCH94.03 (A) and R24 (E) but the absence of surface staining with SCH79.08 (C). Also note intracellular staining of the cytoplasm of astrocytes with SCH94.03 (B) and SCH79.08 (D) but the absence of staining with R24 (F). Scale bar, 20 µm. Oligodendrocytes and astrocytes were isolated from telencephalon of newborn Sprague Dawley rats.

To assess further the polyreactivity of SCH79.08, we performed ELISA, using a panel of protein antigens and chemical haptens. SCH79.08 showed prominent reactivity toward RBC spectrin, but it also reacted with rabbit actin, rabbit MBP, KLH, and mouse hemoglobin (Fig. 3A). SCH79.08 also showed reactivity toward multiple chemical haptens, including phenyloxazolone (PhoX), (4-hydroxy-3-nitrophenyl)acetyl (NP), and azophenyltrimethyl ammonium (TMA) (Fig. 3B). No reactivity was detected with the carrier protein BSA. Control IgM mAb did not react with any of the protein antigens and chemical haptens that were tested (Fig. 3C,D). By Western blotting, SCH79.08 showed reactivity against the 21.5 and 18.5 kDa isoforms of rabbit MBP, confirming the ELISA result (Fig. 4B).


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  		Figure 3.   Protein antigen reactivity (A) and chemical hapten reactivity (C) of SCH79.08 are assessed by direct ELISA. Also shown are protein antigen reactivity (B) and chemical hapten reactivity (D) of control IgM (XMMEN-OE5). Abbreviations used in these panels: Ars, azophenylarsonate; BSA, bovine serum albumin; FL, fluorescein; HEL, hen egg lysozyme; KLH, keyhole limpet hemocyanin; MBP, myelin basic protein; NP, (4-hydroxy-3-nitrophenyl)acetyl; PC, azophenylphosphoryl-choline; PhoX, phenyloxazolone; RBC, red blood cells; TMA, azophenyltrimethyl ammonium; TNP, trinytrophenyl acetyl. No reactivity to these protein antigens or chemical haptens was detected with another control IgM mAb (TEPC 183) (data not shown).


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  		Figure 4.   Western blotting of TMEV proteins (A) and MBP (B). Proteins from purified TMEV and rabbit MBP (obtained from Sigma) were separated on 15% SDS polyacrylamide gels. Bound Ig was detected with alkaline phosphatase-conjugated secondary antibodies by using BCIP/NBT. Molecular weight markers are indicated in kDa at the right or left margin. A, Lane 1, Polyclonal rabbit anti-TMEV Ab; lane 2, SCH79.08; lane 3, O1; lane 4, O4; lane 5, A2B5; lane 6, HNK-1; lane 7, CH12; lane 8, R24; lane 9, control mouse IgM (MOPC 104E). Arrows indicate TMEV capsid proteins. B, Lane 1, Control mouse IgM (MOPC 104E); lane 2, SCH94.03; lane 3, polyclonal rabbit anti-MBP Ab (obtained from Dako); lane 4, SCH79.08. Arrows indicate two MBP isoforms (21.5 and 18.5 kDa) recognized by SCH79.08.

To exclude the possibility that remyelination was the consequence of SCH79.08 reacting with TMEV, we performed Western blotting, using purified TMEV. SCH79.08 did not react with any of the known TMEV capsid proteins (Fig. 4A).

Variable region cDNA sequences of SCH79.08 are different from those of the prototypic remyelination-promoting Ab SCH94.03

Despite binding similarities, variable region cDNA sequences of SCH79.08 were completely different from those of SCH94.03 (Miller and Rodriguez, 1995a) (cDNA sequences of SCH79.08 are available from the GenBank database under accession numbers U91317 and U92070). SCH79.08 VH belonged to the VH558 family. The D segment was derived from the germline DQ52 gene. The JH region was identical to the JH2 germline gene. The Vkappa segment for the light chain belonged to the Vkappa 24 family, whereas the Jkappa segment was identical to the Jkappa 5 germline gene.

Multiple oligodendrocyte-reactive IgMkappa mAbs with unique antigen specificities promote CNS remyelination

Of interest, SCH94.03 and SCH79.08 have important similarities with a number of well characterized oligodendrocyte-reactive mAbs. Mouse IgMkappa mAbs O1, O4 (Sommer and Schachner, 1981), A2B5 (Eisenbarth et al., 1979), and HNK-1 (Abo and Balch, 1981) recognize unique differentiation stage-specific surface antigens on oligodendrocytes. O1 recognizes multiple lipid antigens, including galactocerebroside, monogalactosyl-diglyceride, and psychosine (Bansal et al., 1989); O4 recognizes proligodendroblast antigen and sulfatide (Bansal et al., 1989, 1992); and A2B5 recognizes ganglioside GQ1c and other gangliosides (Kasai and Yu, 1983; Fredman et al., 1984). The carbohydrate epitope on myelin-associated glycoprotein (MAG) appears to be the principal antigen recognized by HNK-1 (McGarry et al., 1983). This carbohydrate epitope recognized by HNK-1 is also present in other cell adhesion molecules in the nervous system. Similar to SCH94.03 and SCH79.08, these mAbs all belong to the IgMkappa subclass, are polyreactive, recognize distinct antigens on oligodendrocytes, and recognize intracellular structures of many cell types. In addition, variable region cDNA sequences of these mAbs have indicated minimal mutations from the germline Ig genes, a characteristic feature of natural autoantibodies (Asakura et al., 1995).

On the basis of these striking similarities, we tested the therapeutic efficacy of oligodendrocyte-reactive mAbs O1, O4, A2B5, and HNK-1 in the TMEV model. A mouse IgG3 mAb R24, which recognizes ganglioside GD3 expressed on O-2A progenitor cells, and an irrelevant mouse IgMkappa mAb (XMMEN-OE5) without reactivity to oligodendrocytes also were tested to determine whether Ig isotype and specificity to a unique oligodendrocyte differentiation stage were critical for function. SJL/J mice treated with oligodendrocyte-reactive mAbs O1, O4, A2B5, and HNK-1 showed significantly enhanced CNS remyelination as compared with SJL/J mice treated with control IgMkappa or PBS (Table 2). Approximately 20-24% of the area of demyelination was remyelinated in mice treated with O1, O4, A2B5, and HNK-1. Remyelinated lesions in mice treated with O1, O4, A2B5, and HNK-1 were characterized by axons with thin myelin sheaths relative to axon diameter and a relative absence of inflammation (see Fig. 1). In contrast, mice treated with R24 did not show significantly enhanced remyelination (Table 2; Fig. 1). Of interest, these mAbs had no effect on the extent of demyelination and were not pathogenic (Table 2).

                              
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  		Table 2.   In vivo effects of oligodendrocyte-reactive mAbs and CH12 IgMkappa mAb

O1, O4, A2B5, HNK-1, and R24 did not react with any of the capsid proteins of TMEV, as confirmed by Western blotting (Fig. 4A). Immunocytochemical study showed that, although R24 reacted with the surface of O-2A progenitor cells, it did not stain intracellular structures of glial cells (see Fig. 2). By ELISA, R24 did not react with any of the protein antigens and chemical haptens that were examined (data not shown), indicating that R24 is not polyreactive in contrast to O1, O4, A2B5, and HNK-1 (Asakura et al., 1995).

Complementarity-determining region 3 of Ig is crucial for enhanced remyelination

Having established that a unique family of oligodendrocyte-reactive Abs, each with distinct surface antigen reactivities, would induce remyelination, it was critically important to determine whether the complementarity-determining regions (CDR), which form the Ab-binding site, are essential. Mouse B-cell lymphoma CH12 (CH12.Lx cell) secretes IgMkappa mAb under stimulation with lipopolysaccharide. This secreted IgMkappa mAb CH12 is encoded by exactly the same germline Ig genes as the genes of SCH94.03; the nucleotide and amino acid differences between SCH94.03 and CH12 exist only in the CDR3 of heavy and light chains (Miller and Rodriguez, 1995a). Despite this structural similarity, CH12 did not stain the surface of oligodendrocytes, did not stain intracellular structure of glial cells (data not shown), and was not polyreactive by ELISA (Miller and Rodriguez, 1995a). TMEV-infected SJL/J mice treated with CH12 IgMkappa mAb did not show significant CNS remyelination when compared with control groups (Table 2; Fig. 1).

    DISCUSSION
Top
Abstract
Introduction
Materials & Methods
Results
Discussion
References

In this study we demonstrated that a panel of oligodendrocyte-reactive IgMkappa mAbs promotes remyelination in a virus model of MS. An IgMkappa mAb SCH79.08, isolated from mice immunized with emulsions of homogenized normal mouse spinal cord, is polyreactive, binds to MBP, and enhances myelin repair. In addition, other well recognized oligodendrocyte-reactive IgMkappa mAbs (O1, O4, A2B5, and HNK-1) also promote CNS remyelination. The results support the hypothesis that the targeting of polyreactive Abs to oligodendrocytes has the potential to promote CNS remyelination.

Although cDNA sequence analysis revealed that variable regions of SCH79.08 are completely different from those of the prototypic remyelination-promoting mAb SCH94.03 in both heavy and light chains and that these mAbs were selected exclusively for their ability to promote remyelination and not on the basis of antigen specificity, this characterization showed that SCH79.08 has remarkable similarities with SCH94.03. Both mAbs (1) belong to the IgMkappa subclass (Miller et al., 1994); (2) are multi-organ reactive (Miller et al., 1996) and polyreactive toward multiple protein antigens and chemical haptens by ELISA (Miller and Rodriguez, 1995a); (3) strongly stain cytoplasmic structures of most cells by immunofluorescence in a similar staining pattern of cytoskeletal proteins (Asakura et al., 1996b); and (4) recognize oligodendrocyte-specific autoantigens: SCH79.08 reacting with MBP and SCH94.03 binding to an uncharacterized surface antigen on oligodendrocytes (Asakura et al., 1996b). These results indicate that SCH79.08 has the characteristic features of a natural autoantibody, which is produced by autoreactive B-cells and is known to exist in healthy humans and rodents (Avrameas and Ternynck, 1993). The fact that both SCH79.08 and SCH94.03 bind to oligodendrocytes, but react to different antigens on these cells, supports the indirect hypothesis of Ab-mediated CNS remyelination.

Besides SCH79.08 and SCH94.03, other oligodendrocyte-reactive IgMkappa mAbs O1, O4, A2B5, and HNK-1 also promote CNS remyelination in the TMEV model of MS. Despite the fact that all of the mAbs that promote CNS remyelination are IgMkappa , there is no obvious common pattern in germline Ig gene usage of these mAbs (Asakura et al., 1995). Although R24 binds to oligodendrocyte progenitors, it does not promote remyelination possibly because of its IgG isotype, lack of polyreactivity by immunocytochemistry and ELISA, or reactivity to oligodendrocytes of an earlier developmental stage. CH12, which has been classified as a natural autoantibody (Dighiero et al., 1987), was not widely polyreactive (Miller and Rodriguez, 1995a), did not bind to oligodendrocytes, and did not promote remyelination. Taken in concert, this indicates that only a unique population of polyreactive natural autoantibodies with oligodendrocyte reactivity, irrespective of antigen specificity, is effective for treatment. To this point only Igs of the µ-isotypes have induced remyelination, suggesting the possibility that effector functions preferentially mediated by the µ-heavy chain are central to this process. Additionally, the biological difference between SCH94.03 and CH12 establishes that the CDR3 of Ig is critical for the remyelination-promoting activity for this group of Abs and supports the hypothesis that the ability of these Abs to bind within the demyelinated lesions is important to the induction of remyelination.

The mAbs that promote remyelination recognize different differentiation stages of oligodendrocytes from progenitor to mature, suggesting that remyelination-promoting activity may be independent of the developmental stage. The direct binding to surviving oligodendrocytes in the lesion could promote their dedifferentiation. Alternatively, the Abs could block the differentiation of oligodendrocytes to sustain their reactivity with growth factors. There is support from in vitro studies for these possibilities. MAb O4 was reported to stimulate differentiation of oligodendrocytes (Bansal et al., 1988). Abs to galactocerebroside cause transmembrane signaling in oligodendrocytes (Dyer and Benjamins, 1990). A mAb (R-mAb) that recognizes galactocerebroside, sulfatide, and a developmentally regulated unidentified antigen on oligodendrocytes reversibly blocks oligodendrocyte progenitor cell differentiation at the late progenitor stage (Bansal and Pfeiffer, 1989). In the presence of R-mAb, mature oligodendrocytes expressing terminally differentiated markers showed a retraction of processes, the formation of swollen cells, and a reduction of the levels of terminally differentiated markers (Bansal and Pfeiffer, 1994). MAG, which is recognized by HNK-1, has been shown to be a major inhibitor of axonal regeneration in vitro (McKerracher et al., 1994; Mukhopadhyay et al., 1994), although its inhibitory activity of axonal regeneration in vivo remains inconclusive (Bartsch et al., 1995; Schäfer et al., 1996). Possibly, HNK-1 may promote CNS remyelination by interfering with MAG expression.

The observation that multiple oligodendrocyte-reactive Abs, each with distinct antigen specificities, promote remyelination is most consistent with the hypothesis that direct binding of the mAbs to injured oligodendrocytes in the lesion induces myelin repair via an immune effector mechanism initiated by the µ-heavy chain. Consistent with this hypothesis, we previously reported that affinity-purified polyclonal anti-MBP Abs promote CNS remyelination; therefore, reactivity to an intracellular marker of mature oligodendrocytes is also effective for myelin repair (Rodriguez et al., 1996). In further support of the hypothesis, all mAbs that promoted remyelination not only bound to oligodendrocytes but also reacted with intracellular antigens. One possibility is that IgM binding to damaged cells enhances their removal by scavenger macrophages and microglia so that healthy oligodendrocytes or O-2A progenitor cells can initiate their myelination program.

    FOOTNOTES

Received June 4, 1998; revised July 21, 1998; accepted July 21, 1998.

These studies were supported by National Institutes of Health Grant R01 NS24180. We appreciate the generous contributions of Mr. and Mrs. Eugene Applebaum to this project. We thank Dorian McGavern for a critical review of this manuscript and Kevin Pavelko and Laurie Zoecklein for technical assistance.

Correspondence should be addressed to Dr. Moses Rodriguez, Department of Immunology, Mayo Clinic, 200 First Street SW, Rochester, MN 55905.

Dr. Miller's present address: University of Wisconsin Hospitals and Clinics, Madison, WI 53792.

    REFERENCES
Top
Abstract
Introduction
Materials & Methods
Results
Discussion
References

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