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  3. Nogo-A antibody delivery through the olfactory mucosa mitigates experimental autoimmune encephalomyelitis in the mouse CNS.

Nogo-A antibody delivery through the olfactory mucosa mitigates experimental autoimmune encephalomyelitis in the mouse CNS.

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DOI
10.48350/185354
Publisher DOI
10.1038/s41420-023-01588-7
PubMed ID
37558696
Abstract
Systemic administration of Nogo-A-neutralizing antibody ameliorates experimental autoimmune encephalomyelitis (EAE), an animal model of multiple sclerosis. However, the blood-brain barrier (BBB) is a major obstacle limiting the passage of systemically applied antibody to the CNS. To bypass the BBB, in the present study we tested the intranasal route of administration by targeting the olfactory mucosa with the Nogo-A-blocking antibody 11C7 mAb in myelin oligodendrocyte glycoprotein-induced EAE. Antibodies were specifically administered onto the olfactory mucosa using a microcatheter. Antibody distribution was examined in the CNS by ELISA and light-sheet microscopy. The effects of 11C7 mAb on Nogo-A signaling were assessed by Western blotting. EAE-induced deficits were monitored daily. Demyelination was observed on spinal cord histological sections. Gene expression changes were followed by trancriptomic analyses. A sensitive capture ELISA revealed a rapid and widespread distribution of 11C7 mAb in the CNS, including the olfactory bulb, the cerebellum and the lumbar spinal cord, but not in the CSF. Light-sheet microscopy allowed to observe antibody accumulation in the parenchyma, thus demonstrating nose-to-brain transfer of IgG. At the functional level, the widespread penetration of 11C7 mAb in the CNS, including the thoracolumbar spinal cord, resulted in the improvement of motor symptoms and in the preservation of myelin in the spinal cord of EAE mice. This was accompanied by Nogo-A signaling downregulation, as reflected by the decreased level of phosphorylated cofilin observed by Western blotting in the cerebellum. In the brain of EAE score-matched animals, 11C7 modified the expression of genes that can influence neurotransmission and cognitive functions, independently of the demyelination phenotype in the spinal cord. In conclusion, our data show the feasibility of olfactory mucosa-directed administration for the delivery of therapeutic antibodies targeting CNS antigens in EAE mice.
Date Issued
2023-08-09
Publication Type
Article
Subject(s)
600 Technology > 610 Medicine & health
Language(s)
en
Author(s)
Pernet, Vincent  
Universitätsklinik für Neurologie  
Joly, Sandrine Marina Aline  
Universitätsklinik für Neurologie  
Spiegel, Sebastian Peter  
Universitätsklinik für Neurologie  
Meli, Ivo Maurice  
Universitätsklinik für Neurologie  
Idriss, Sherif Mahmoud Galal  
Universitätsklinik für Neurologie  
Maigler, Frank
Mdzomba, Julius Baya  
Universitätsklinik für Neurologie  
Roenneke, Anna K
Franceschini, Alessandra
Silvestri, Ludovico
Pavone, Francesco S
Calamai, Martino
Schindowski, Katharina
Chan, Andrew Hao-Kuang  
Universitätsklinik für Neurologie - Neuroimmunologie  
Universitätsklinik für Neurologie  
Additional Credits
Universitätsklinik für Neurologie - Neuroimmunologie  
Universitätsklinik für Neurologie  
Journal
Cell death discovery
Publisher
Nature
ISSN
2058-7716
Access(Rights)
open.access
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