Volume 16, Number 15,
Issue of August 1, 1996
pp. 4588-4595
Copyright ©1996 Society for Neuroscience
Major Histocompatibility Class II Molecules in the CNS: Increased
Microglial Expression at the Onset of Narcolepsy in a Canine
Model
Received March 11, 1996; revised April 29, 1996; accepted May 10, 1996.
Mehdi Tafti1,
Seiji Nishino1,
Michael S. Aldrich2,
Wennie Liao1,
William C. Dement1, and
Emmanuel Mignot1
1 Sleep Disorders Center, Department of Psychiatry,
Stanford University, Palo Alto, California 94304, and
2 Department of Neurology, University of Michigan, Ann
Arbor, Michigan 48109
Human narcolepsy is a neurological disorder known to be closely
associated with HLA-DR2 and DQB1*0602. Because most autoimmune diseases
are HLA-associated, a similar mechanism has been proposed for
narcolepsy. However, neither systemic nor CNS evidence of an autoimmune
abnormality has ever been reported. In this study, major
histocompatibility (MHC) class I and class II expression was studied in
the CNS of human and canine narcoleptics using immunohistochemistry and
Northern analysis. Results indicate that canine narcolepsy is
associated with a significant increase of MHC class II expression by
the microglia. Moreover, the highest values were found between 3 and 8 months of age, strikingly concomitant to the development of narcolepsy
in the canine model. In humans, class II expression was not found
significantly different between control and narcoleptic subjects. This
result could be explained by the old age of the subjects (69.86 ± 5.31 and 68.36 ± 4.74 years in narcoleptics and controls, respectively),
because class II expression is significantly correlated with age in
both humans and dogs. For the first time, this study demonstrated that
the expression of MHC class II molecules in the CNS is age-dependent
and that a consistent increase of their expression by the microglia
might be critically involved in the development of narcolepsy.
Key words:
narcolepsy;
MHC class II;
microglia;
development;
gene
expression;
immunohistochemistry;
Northern analysis