无应答者在解读实验性自身免疫性脑脊髓炎动物行为中的重要性

Patricia Jm, I. Sz
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引用次数: 3

摘要

为了将新的药物和疗法推向临床,临床前研究的任务是确定疗效和可能的作用机制。为了获得最佳结果,需要密切模仿目标疾病的动物模型。在开始大规模的多中心临床试验之前,美国食品和药物管理局(Food and Drug Administration)经常规定,新药的有效性和安全性需要在两种动物模型上进行验证,而不仅仅是在两种不同的小鼠身上进行验证。在检测自身免疫性疾病的药物时,并不总是遵循这一套规则。考虑到许多这些疾病,包括纤维肌痛、多发性硬化症、关节炎,甚至自闭症都属于疾病谱系,确定一个合适的动物模型是很复杂的。对于多发性硬化症,主要的动物模型是实验性自身免疫性脑脊髓炎(EAE)[1,2]。在小鼠或大鼠EAE模型中,有几种诱导疾病的方法,包括病毒感染,活化T细胞的遗传或过继转移,或产生化学/抗体的全身注射[1-5]。这些模型已经被许多研究者描述过,每个研究者都指出了它们的优缺点[2,6,7]。然而,很少有人关注MS的主要形式,即复发缓解型,并且很少有EAE的动物模型提供该疾病的可靠和一致的特征。病毒感染和过继性转移导致EAE的进行性形式-很可能模仿慢性进行性MS。然而,慢性进行性MS仅影响15%的人群,使得大多数发病时复发缓解型MS的患者没有合理的动物模型。
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Importance of the Non-responder in Deciphering Animal Behavior of Experimental Autoimmune Encephalomyelitis
To bring new drugs and therapies to the clinic, preclinical studies are mandated to establish the efficacy and possible mechanism of action. For the best results, animal models that closely mimic the target disease are required. Prior to initiating large-scale multi-centered clinical trials, the Food and Drug Administration in the United States often dictates that the efficacy and safety of new drugs need to be demonstrated in two animal models, and not just two different strains of mice. This set of rules has not always been followed when testing drugs for autoimmune diseases. Given that many of these diseases, including fibromyalgia, multiple sclerosis, arthritis, and even autism fall into spectrums of disorders, determining an appropriate animal model is complicated. With regard to multiple sclerosis, the primary animal model is experimental autoimmune encephalomyelitis (EAE) [1,2]. In mouse or rat models of EAE, there are several ways to induce the disorder including viral infection, genetic or adoptive transfer of activated T cells, or chemical/antibody producing systemic injections [1-5]. These models have been described by numerous investigators with each pointing out the strengths and weaknesses [2,6,7]. However, less attention is paid to the major form of MS which is a relapsingremitting form, and few animal models of EAE provide a reliable and consistent profile of this disease. Viral infection and adoptive transfer result in a progressive form of EAE – most likely mimicking chronic progressive MS. However, chronic progressive MS only affects 15% of the population, leaving a majority of the people with relapsingremitting MS at onset without a reasonable animal model.
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