The analyses of both the Danish and the Swedish samples were perf

The analyses of both the Danish and the Swedish samples were performed by EuroDiagnostica AB, Sweden, using a direct ELISA as previously described [6]. In short, BPI purified from human granulocytes was coated onto microtitre plates at a concentration of 1 μg/ml in a bicarbonate buffer. Serum samples were diluted and incubated for 1 h.

Bound antibodies were detected using alkaline phosphatase–conjugated goat anti-human IgA and anti-human IgG (EuroDiagnostica, Malmö, Sweden). BPI-ANCA was quantified from a calibrator curve of serum that was serially diluted. The results were expressed as arbitrary units (U/l). One positive and one negative control were NVP-BEZ235 solubility dmso analysed in each ELISA. According to the manufacturer, BPI-ANCA IgA values below 53 units were regarded as negative and values above

67 units were regarded as positive; BPI-ANCA IgG values XL765 cell line below 38 units were regarded as negative and values above 50 units were regarded as positive. Exact values were used for the data analyses. To show comparability between results from 2002 to 2006 and 2010, 80 of the 199 blood samples from 2002 to 2006 – all those with high values and random patients with moderate and low values – were re-analysed. We found that the differences between the means of the paired IgA data (267 and 264 [U/l]) were nonsignificant, and that the differences were normally distributed. The Bland–Altman plot showed no single outlier and systemic errors were therefore not suspected, but the standard deviations were high (424 and 408). The corresponding differences for the paired IgG data (means 235 and 206 U/l)

were also nonsignificant, and the means and the plots did not indicate systemic errors. Based on this, we concluded that the methods were comparable. Re-analysed values were used when available. To assess whether a potential decrease in BPI-ANCA was part of a general decrease in the immune response after EIGSS, the level of precipitating antibodies against the Resminostat main Gram-negative bacteria (P. aeruginosa, A. xylosoxidans or B. cepacia complex) measured by crossed immunoelectrophoresisis [14] taken preoperatively closest to FESS was compared with the lowest value found 3–9 months postoperatively. Furthermore, the average level of total anti-Pseudomonas IgG values measured by ELISA 12 months preoperatively was compared with the average level 12 months postoperatively. The data were analysed using SAS 9.1.3. The BPI-ANCA data were continuous. As the distribution of data was positively skewed, log10 transformations were performed. Patients with a value of ‘0’ were given a value of 0.1 to allow the transformation. The transformed data had an approximately normal distribution justifying two-sample t-tests for the means. The data from the LTX patients and serum antibodies had an approximately normal distribution without transformation.

1; Nikon) The light source was a 488 nm solid-state laser (Sapph

1; Nikon). The light source was a 488 nm solid-state laser (Sapphire 488-30; Coherent, Dieburg, Germany). Between 2 × 105 and 5 × 105 CHO cells were seeded on glass cover slips 2–3 days before the experiments. check details Immediately before Ca2+ imaging, the cells were incubated with the particular concentration of fusion proteins in 50 μl culture medium and washed afterwards with culture medium with 10 mm HEPES added. Glass cover slips were mounted on the stage of an Olympus IX 70 microscope equipped with a 20 × (UApo/340, N.A. 0·75) objective in a self-made

recording chamber, which allowed a complete solution exchange < 1 second. In parallel, T cells were loaded at 22–23° for 30 min with 2 μm fura-2/acetoxymethyl ester (AM) (Invitrogen) in culture medium with 10 mm HEPES added, washed with fresh medium, and immediately used. T cells

were then added and cells were alternately illuminated at 340 and 380 nm with the Polychrome IV monochromator (TILL Photonics, Gräfelfing, Germany) and with an infrared light source using SP 410 as excitation filter and DCLP 410 as dichroic mirror. The fluorescence emissions at λ > 440 nm (LP 440) were captured with Akt inhibitor a CCD camera (TILL Imago), digitized, and analysed using TILL Vision software. Ratio images were recorded at intervals of 5 seconds. In some experiments thapsigargin (TG, 1 μm) was used to completely empty the stores. Excel, Igor Pro and TILL Vision were used for data analysis. An unpaired, two-sided Students t-test was used to test for significance. All fusion proteins were generated as single chain molecules to prevent any false pairing or degradation (Fig. S1). The extracellular domains of CD80 and CD86 were cloned at the N-terminal end of the scFv anti-CD33 to ensure correct binding to their respective receptors.52

Soluble proteins were produced in HEK-293 cells by transient gene expression with a yield of 0·5–2 mg total protein/l of cell culture supernatant, purified by IMAC and checked by Coomassie and Western blot analysis for purity and integrity. Proper binding for all fusion proteins was tested by enzyme-linked immunosorbent assay on recombinant CD33 antigen (data not shown) and flow cytometry Ribose-5-phosphate isomerase (Fig. S2) on either CD33-transfected CHO or Jurkat T cells. Binding of the scFv anti-CD33 was not altered in any of the fusion proteins when compared with the parental scFv anti-CD33. The scFv anti-CD3 and the extracellular domains of CD80 and CD86 showed a moderate to weak binding affinity to their respective receptors. The dscFv anti-CD3/anti-CD19 were used as control. The dscFv anti-CD33/anti-CD3 construct induced proliferation of naïve T cells in the presence of the CD33 antigen in a dose-dependent manner (Fig. 1).

Primary Ab binding was revealed using horseradish peroxidase-conj

Primary Ab binding was revealed using horseradish peroxidase-conjugated goat anti-rabbit Ab (Jackson Immunoresearch, West Grove, PA, USA) and the ECL chemiluminescence detection system (Pierce, Rockford, IL, USA). Quantification analyses were performed by LAS3000 Image System (Fuji, Milano, Italy) and ImageQuant software (GE Healthcare, Milano, Italy). Transverse and longitudinal muscle cryostat sections (6 µm) were thaw-mounted on

to glass slides pretreated with 3% EDTA to prevent contracture artefacts, and processed for indirect IF as previously described.[36]. In brief, after fixation in acetone for 10 min at 4°C, sections were incubated for 60 min with the K20 Ab (1:40/1:100), rinsed in phosphate buffered saline (PBS) and incubated for 30 min with a FITC-conjugated goat anti-rabbit (Sigma, XL765 in vitro Milano, Italy, 1:50) Ab. Negative control sections were

incubated with non-immune serum instead of primary Ab. In order to evaluate a possible co-localization of ZNF9 with cellular organelles or cytoskeletal components, double-labelling experiments were conducted using specific markers for the sarcoplasmic reticulum, mitochondria, ribosomes, intermediate filaments and sarcomeric structures. To this purpose, www.selleckchem.com/products/gdc-0068.html an anti-sarcoplasmic reticulum calcium ATPase (SERCA1) monoclonal Ab (mAb) (Biomol, Hamburg, Germany, 1:200), an anti-S6 ribosomal protein mAb (Cell Signaling, Danvers, MA, USA, 1:100), L-NAME HCl an anti-desmin mAb (Sigma, Milano, Italy, 1:100) and two mAbs recognizing the T11 and T12 epitopes of titin (Sigma, Milano, Italy, 1:20) were used. Mitochondria were labelled with 100 nM Mitotracker Green FM (Molecular Probes, Milano, Italy) for 45 min. To analyse ZNF9 distribution among different myofibre types, transverse sections double-labelled for ZNF9 and SERCA1 (specific for fast myofibres) were observed. In addition, serial sections labelled for ZNF9 or routinely stained with the histoenzymatic reaction for myofibrillar ATPase (pH 4.3) were compared. For myelin counterstaining of

intramuscular nerve twigs, the lipophilic carbocyanine DiOC6(3) dye (Molecular Probes, Milano, Italy) was used at a concentration of 1 µg/ml for 5 s (R. Massa, pers. obs.). Brains were sectioned frozen on a sliding microtome at 40-µm thickness and incubated overnight with K20 Ab (1:100), rinsed in PBS and then incubated for 90 min with a FITC-conjugated goat anti-rabbit (1:50) Ab. Negative control sections were incubated with non-immune serum instead of primary Ab. All sections were mounted with anti-fading medium and routinely examined and photographed with an Olympus BX51 microscope (Olympus, Milano, Italy) by epifluorescent excitation. Confocal analysis was carried out with a Zeiss LSM 510 system (Zeiss, Milano, Italy), equipped with 40 × 1.00–0.5 and 100 × 1.3–0.6 oil immersion lenses. Serial optical sections, 0.

Anaesthesia was performed as described previously [26] RNA extra

Anaesthesia was performed as described previously [26]. RNA extraction and real-time polymerase chain reaction (PCR) for α-ENaC, γ-ENaC and α1-Na+/K+-ATPase.  Eight hours after the onset of injury rats were euthanized and lungs were explanted, shock-frozen in liquid nitrogen

and stored at −80°C for isolation of mRNA. Total RNA Regorafenib cost was isolated form lung tissue using the RNeasy® Mini Kit (Qiagen, Basel, Switzerland), according to the manufacture’s protocol. RNA amounts were determined by absorbance at 260 nm. Reverse transcription and real-time quantitative TaqMan™ PCR were performed as described previously [26]. Specific primers (Microsynth, Balgach, Switzerland) and labelled TaqMan probes (Roche Applied Science, Basel, Switzerland) were designed for α- and buy Vorinostat γ-subunits of ENaC, for α1-subunit of Na+/K+-ATPase and 18S as housekeeping gene. All primers and probes used in the experiments are presented in Table 1. Each experimental PCR run was performed in duplicate with simultaneous negative controls without template. For quantitation of gene expression the comparative Ct method was used as described by Livak et al. [40]. The Ct values of samples (propofol/LPS and sevoflurane/LPS) and control (propofol/PBS)

were normalized to the housekeeping gene (18S) and calculated as follows: 2–δδCt, where δδCt = δCt,samples – δCt, controls. Lung wet/dry ratio.  Sevoflurane/LPS animals were given 150 µg LPS in 300 µl PBS with or without 100 µM amiloride to block sodium resorption via ENaC [41] (Sigma-Aldrich). After 8 h animals were sacrificed, lungs were explanted and wet weight was measured. Thereafter, lungs were air-dried for 72 h at 65°C and lung dry weight was quantified. Wet/dry ratio (w/d) was calculated as follows [42]: w/d = weightwet/weightdry Statistics.  Values are expressed as mean ± s.d., n = 6 per group. Optical analysis of box-plots suggested normal distribution of data. Confirmation was performed with a Shapiro–Wilk test. Vital parameters were tested by analyses of variance for repeated

measurements (one-way anova) with a Tukey–Kramer multiple post-hoc test. Real-time PCR and wet/dry ratio data were tested using Student’s Etoposide in vitro t-test. Graphpad Prism4® and Graphpad Instat3® (GraphPad Software) were used for statistical analyses. P-values less or equal to 0·05 were considered statistically significant. As described in previous experiments [25,34], cell survival was not influenced upon sevoflurane and LPS exposure. This was confirmed with a cytotoxic assay [determination of lactate dehydrogenase (LDH); Promega, Madison, WI, USA, data not shown]. As seen in Fig. 1, primary culture of mAEC represented both types I and II AEC, detected by real-time PCR (Table 1). ENaC activity was assessed in an AECII monolayer measuring 22sodium (22Na) influx. As displayed in Fig. 2a, stimulation with LPS impaired 22Na-influx by 17·4% ± 13·3% s.d. (P < 0·05) compared to the control group.

IgG4-related disease

(IgG4-RD) is a multi-organ disorder

IgG4-related disease

(IgG4-RD) is a multi-organ disorder characterized by infiltration of IgG4-positive plasma cells in the involved organ associated with a high level of serum IgG4. The disorder was first reported in 2001 in patients with autoimmune pancreatitis[1] and subsequently confirmed in other organs such as the salivary glands, hepatobiliary tract, lymph nodes, lungs, retroperitoneum and the kidneys.[2] IgG4-related kidney disease (IgG4-RKD) was first reported in 2004 as a tubulointerstitial nephritis associated with autoimmune pancreatitis.[3, 4] Although IgG4-RKD is now a well-established disease and some diagnostic selleck chemicals criteria for the condition have been proposed,[5, 6] in some cases a definitive diagnosis is difficult. On the other hand, a case of IgG4-RKD after kidney transplantation

has never been reported. Here, we describe a case of suspected IgG4-RKD of the graft after living donor renal transplantation which was difficult to differentiate from a lymphoproliferative disorder. The transplant recipient developed acute glomerulonephritis after a streptococcal infection at 12 years of age, followed by a gradual deterioration in kidney function. She also had a history of bronchial asthma. In December 2009 at the age of 51 years she received a pre-emptive renal transplant from her 53-year-old husband. Because it was a blood type-incompatible transplant, she received rituximab, basiliximab, and three series of plasma exchange PtdIns(3,4)P2 as induction therapy, followed by administration of tacrolimus, mycophenolate Regorafenib concentration mofetil, and methylprednisolone as maintenance immunosupression therapy. Ten months after the transplant she developed atypical mycobacteriosis, and was administered clarithromycin, ethambutol and rifabutin. There were no abnormal findings on protocol renal biopsies carried out 6 months and 1 year after transplantation. However, a protocol renal biopsy carried out 2 years after transplantation in February 2012, revealed plasma cell infiltration in the renal interstitium. Light

microscopy showed that the mononuclear cell cluster contained >50% of normal plasma cells, with no findings suggestive of rejection or BK virus nephropathy. There was also no ‘storiform’ fibrosis surrounding the infiltrating cells (Fig. 1A,B). Immunohistochemical staining showed a large number of IgG4-positive plasma cells, but a very small number of IgG1, IgG2 or IgG3-positive cells amongst the infiltrating cells. The percentage of IgG4-positive cells relative to IgG-positive cells was 80% (Fig. 1C). The majority of the plasma cells expressed kappa-type light chains. There were no SV40 positive cells in the specimen. In situ hybridization for detection of Epstein-Barr virus was also negative. Two years after transplantation the patient had a stable serum creatinine level of 1.26 mg/dL. Urinalysis and urine protein excretion were both normal. The serum IgG1 (1100.

The hippocampus is particularly susceptible to perinatal HII (Nya

The hippocampus is particularly susceptible to perinatal HII (Nyakas, Buwalda, & Luiten, 1996). Many previous animal and human studies have demonstrated atrophy of the hippocampus and memory impairments following HII (Isaacs et al., 2003; Maneru et al., 2003; Mikati et al., 2005; Quamme, Yonelinas, Widaman, Kroll, & Sauve, 2004; Yonelinas et al., 2002). One particular study by Vargha-Khadem and colleagues reported decreased hippocampal volumes of 39–57% below normal on volumetric MRI analysis of adolescents who experienced HII either during infancy or early childhood. Furthermore, although these children

all had IQs within the normal range, they exhibited impairments in both their episodic memory and their delayed HSP inhibitor verbal and visual memory (Vargha-Khadem et al., 1997).

Adults who experienced HII very early in life showed impairment on the VPC task in comparison with controls (Munoz, Chadwick, Perez-Hernandez, Vargha-Khadem, & Mishkin, 2011). The memory impairments in persons who experienced HII early in life have previously not been noted to occur until school age, at the earliest. One explanation for this could be that the hippocampus does not reach maturity until 5–7 years of age, so it is not until this point that the memory impairments become evident (Bachevalier & Vargha-Khadem, 2005). Conversely, memory impairments in children who have experienced perinatal HII may be present from Cell Cycle inhibitor the

time of the injury, but may go unnoticed until they enter school because relatively few demands are placed on memory during infancy or early childhood. No prior studies have tested infants with a history of perinatal HII for memory impairments while they are mafosfamide still in infancy. This study examined visual behavioral and electrophysiological measures of memory independently as well as in relation to one another in both typically developing infants and a small group of infants with a history of perinatal HII at 12 months of age. Our aims were to both better elucidate the relationship between behavioral and electrophysiological measures of memory in typically developing 12-month-old infants as well as to explore any potential differences between typically developing infants and those with a history of HII. The final sample consisted of 34 12-month-old infants: 25 control infants (CON; mean age = 381 days, SD = 15 days; 14 female infants) and nine infants who experienced a hypoxic-ischemic injury in the perinatal period (HII; mean age = 383 days, SD = 15; three female infants). Inclusion criteria for all infants were birth at greater than or equal to 35-week gestational age and weight less than 10 pounds. HII infants were recruited from the neonatal neurology clinic at Boston Children’s Hospital.

IFN-γ has been shown to control C  abortus growth in ovine cells

IFN-γ has been shown to control C. abortus growth in ovine cells in a dose-dependent manner.26 The amount of IFN-γ that infected cells are exposed to is critical, because concentrations of around 50 U/mL or lower can induce persistent infection whereas concentrations of 200 U/mL or greater can eradicate the infection.26 Immune-mediated persistence of C. abortus has selleck chemical important implications for OEA pathogenesis and epidemiology, because persistence in

non-pregnant sheep permits pathogen survival within the host outwith periods of reproduction.18 The mechanism by which IFN-γ controls the growth of Chlamydia is not uniform across species, and furthermore there is evidence for evolution of host–pathogen interactions and evasion of the IFN-γ response by Chlamydiae

as is the case for Chlamydia muridarum in mice.27 In sheep, we know that IFN-γ-mediated control of C. abortus occurs through the activation of indoleamine 2,3-dioxygenase (IDO), an enzyme that degrades intracellular pools of tryptophan.28C. abortus lacks all of the five genes (trpA–trpE) that comprise a functional operon required for synthesis of tryptophan from chorismate and is therefore highly susceptible to IFN-γ-induced IDO expression.29 Hence, this fits the prediction of the paradigm that host control of C. abortus is mediated through an IFN-γ TH1-type response, although to reiterate the point aforementioned, it is not yet clear whether CD4+ve T cells are the principal producers of this cytokine in immune

sheep. Placental IDO expression was first conclusively demonstrated as MEK inhibitor a mechanism for tolerizing maternal T cells to the foetus in a series of experiments involving administration of an IDO inhibitor to mice carrying syngeneic or allogeneic concepti and adoptive transfer of allospecific CD8+ve T cells.30 In contrast Interleukin-3 receptor to the intracellular IDO host defence pathway described earlier, placental IDO expression was not induced by IFN-γ but instead was found to be constitutively expressed by foetal trophoblast cells. This is not unique to mice. Constitutive IDO expression has also been described in syncytiotrophoblast of human, rhesus monkey and marmoset placenta at term.31,32 However, to date, there are no definitive reports in the literature of placental IDO expression in sheep (or other ruminants). Therein is a key question: is foetal trophoblast IDO expression associated with placental structure, particularly to the degree of foetal trophoblast invasiveness into maternal uterine tissue? The evolutionary processes that have driven the different shapes and structure of mammalian placentas remain controversial, so the answer to the IDO question may help identify factors that have influenced mammalian placental development and immunological materno–foetal interactions.

Incident hypertension was defined as an absence of hypertension a

Incident hypertension was defined as an absence of hypertension at baseline but presence of hypertension at the follow-up visit. Results:  One hundred ninety-three subjects (34.3%) had developed hypertension at 5-year follow-up. After adjusting for age, gender, baseline blood pressure

and other risk factors, narrower retinal arterioles at baseline was significantly associated with an increased risk of incident hypertension (odds ratio per standard deviation decrease in arteriolar diameter: 1.53, 95% confidence interval: 1.08–2.18). Conclusions:  Our findings support the concept that arteriolar narrowing, evident in the retina, signals an increased risk of developing hypertension in Japanese persons. “
“This study examined the mechanisms by which H2S modulates coronary Small molecule library order microvascular resistance and myocardial perfusion at rest and in response to cardiac ischemia. Experiments were conducted in isolated coronary arteries and in open-chest anesthetized dogs. We found that the H2S substrate l-cysteine (1–10 mM) did not alter coronary tone of isolated arteries in vitro or coronary blood flow in vivo. In contrast, intracoronary (ic) H2S (0.1–3 mM) increased coronary Y-27632 solubility dmso flow from 0.49 ± 0.08 to 2.65 ± 0.13 mL/min/g (p < 0.001). This increase in flow was unaffected by inhibition of Kv channels with 4-aminopyridine

(p = 0.127) but was attenuated (0.23 ± 0.02–1.13 ± 0.13 mL/min/g) by the KATP channel antagonist glibenclamide (p < 0.001). Inhibition of NO synthesis (l-NAME) did not attenuate coronary

responses to H2S. Immunohistochemistry revealed expression of CSE, an endogenous H2S enzyme, in myocardium. Inhibition of CSE with β-cyano-l-alanine (10 μM) had no effect on baseline coronary flow or oxyclozanide responses to a 15-second coronary occlusion (p = 0.82). These findings demonstrate that exogenous H2S induces potent, endothelial-independent dilation of the coronary microcirculation predominantly through the activation of KATP channels, however, our data do not support a functional role for endogenous H2S in the regulation of coronary microvascular resistance. “
“Please cite this paper as: Jin X-L, Li X-H, Zhang L-M, Zhao J. The interaction of leukocytes and adhesion molecules in mesenteric microvessel endothelial cells after internal capsule hemorrhage. Microcirculation 19: 539–546, 2012. Objective:  To explore the correlation between hemorheological variations and the expression of cell adhesion molecules in mesenteric microvessel endothelial cells after internal capsule hemorrhage. Methods:  We established an internal capsule hemorrhage model. Then leukocyte–endothelium interaction was observed and hemorheological variations in mesenteric microvessels were evaluated in the following aspects: blood flow volume, diameter of microvessels, blood flow rate, and shear rate.

5a) Group 4 mice (Fli-1+/− Fli-1+/−) had the lowest renal scores

5a). Group 4 mice (Fli-1+/− Fli-1+/−) had the lowest renal scores of the four groups of mice with BM transplantation. Compared to group 3 (WT WT) mice, group 2 mice (WT Fli-1+/−) also had reduced renal pathological scores, although the difference is not statistically significant. To assess the impact of reduced expression of Fli-1 in haematopoietic versus non-haematopoietic cell lineages on survival in MRL/lpr mice, an additional four groups of mice were generated and followed without MI-503 concentration manipulation. As shown in Fig. 6, by 51 weeks after BM transplantation, 50·5% of group 1 (Fli-1+/−

WT) mice had survived compared to 24% of group 3 mice (WT WT, P = 0·0194). The survival of group 2 (WT Fli-1+/−) mice was also improved compared to group 3 mice, as 50% of group 3 mice died at the age of 24 weeks after BM transplantation, whereas 100% of group 2 mice survived, although the difference in overall survival was not statistically significant (P = 0·0596). As a control, 11 of 12 mice in group 4 (Fli-1+/− Fli-1+/−) mice survived to 51 weeks after BM transplantation. The Fli-1 transcription factor is implicated in lupus disease development in both animal models of lupus and lupus patients [6,7,13]. In this report, we performed BM transplantation to identify the role of haematopoietic versus

non-haematopoietic cell lineages with reduced Fli-1 expression in Staurosporine mouse autoimmune disease development. We hypothesized that Fli-1 expression in both cell lineages would have a significant impact on disease development, as Fli-1+/− MRL/lpr mice had lower autoantibody levels than WT MRL/lpr mice, but the protection against renal disease and death was much greater than the decrease in autoantibody levels. We found, however,

that WT MRL/lpr mice receiving BM from Fli-1+/− mice had significantly lower serum autoantibodies, lower proteinurea, reduced renal disease and longer survival rate compared to WT MRL/lpr mice receiving BM from WT MRL/lpr mice. Fli-1+/− MRL/lpr mice receiving BM from WT MRL/lpr mice also had reduced disease manifestations compared to WT MRL/lpr mice that received BM from WT MRL/lpr mice, Urocanase although disease in these mice was more severe than the WT MRL/lpr mice that received BM from Fli-1+/1 MRL/lpr mice. These data demonstrate that decreased expression of Fli-1 in BM-derived haematopoietic cells plays a significant role on disease development in MRL/lpr mice, while expression of Fli-1 in non-haematopoeitic cells is of less significance. Pathogenic autoantibodies play an important role in lupus disease development. Serum autoantibodies were significantly lower in WT MRL/lpr mice that received BM from Fli-1+/− MRL/lpr mice compared to WT MRL/lpr mice that received BM from WT MRL/lpr mice. The primary effect of reduced expression of Fli-1 on autoantibody production is probably through its role in B cell activation.

EAE is mediated by a heterogeneous population of T cells in myeli

EAE is mediated by a heterogeneous population of T cells in myelin-immunized mice. Hence, disease might develop in the absence of CXCR3 secondary to the compensatory action of encephalitogenic CCR6+ Th17 cells. However, selleck chemical in the current study, we show for the first time that blockade or genetic deficiency

of either CXCR3 or of its primary ligand has no impact on clinical EAE induced by the adoptive transfer of highly polarized Th1 effector cells. Our data illustrate the fact that, although highly targeted immunotherapies might have more favorable side effect profiles, they are also more likely to be rendered ineffective by inherent redundancies in chemokine and cytokine networks that arise at sites of neuroinflammation. Multiple sclerosis (MS), an inflammatory demyelinating disease of the central nervous system (CNS), is the most common cause of Selleck SCH772984 nontraumatic disability among young adults in the United States and Europe. The majority of patients with MS present with a relapsing remitting course, characterized by episodes of neurological disability separated by clinically quiescent periods. Disease exacerbations correlate with focal breakdown of the blood–brain barrier and infiltration of the CNS by circulating leukocytes, as reflected by the appearance of gadolinium-enhancing lesions on magnetic resonance imaging (MRI) scans of the brain

and spinal cord (SC) [1]. Drugs that block leukocyte trafficking have been shown to ameliorate MS in phase FER 3 clinical trials. Hence, gadolinium-enhancing lesions and clinical relapses are suppressed by the administration of a mAb specific for the adhesion molecule, α4 integrin, or by treatment with a sphingosine-1-phosphate receptor modulator that prevents the egress of lymphocytes from lymphoid tissues [2, 3]. Sphingosine-1-phosphate receptors and α4 integrin are widely expressed on lymphocytes. The introduction of reagents that antagonize those molecules represents a significant advance in MS therapeutics. However, there remains a need for novel drugs that modulate more restricted subsets

of T cells in order to maintain clinical efficacy while perturbing protective immunity to the minimum extent possible. In this context, chemokines and their receptors are attractive therapeutic targets for the management of autoimmune disease. It has long been recognized that the T cells that accumulate in MS lesions are enriched for expression of the chemokine receptor CXCR3 [4-6]. The ELR− CXC chemokines, CXCL9 and CXCL10, which are ligands of CXCR3, are expressed by astrocytes and microglia in spatial proximity to perivascular infiltrates [4, 7]. Similarly, CNS infiltrates of mice with experimental autoimmune encephalomyelitis (EAE, widely used as an animal model of MS) are characterized by a preponderance of CXCR3+ IFN-γ+ T cells and upregulation of CXCL10 in adjacent astrocytes [8-11].