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Effect of Disease Stage on Clinical Outcome After Syngeneic Bone
Marrow Transplantation for Relapsing Experimental Autoimmune
Encephalomyelitis
Richard K. Burt,
Josette Padilla,
Wendy Smith Begolka,
Mauro C. Dal Canto, and
Stephen D. Miller
From the Department of Medicine, Department of
Microbiology-Immunology, Interdepartmental Immunobiology Center, and
Department of Pathology, Northwestern University Medical
School, Chicago, IL.
Relapsing experimental autoimmune encephalomyelitis (R-EAE) is an
immune-mediated demyelinating central nervous system (CNS) disease.
Myeloablation and syngeneic bone marrow transplantation (SBMT), when
performed at the peak of acute disease (day 14), prevented glial
scarring and ameliorated the disease severity. In contrast, when
syngeneic BMT was performed late in chronic phase (day 78), significant
glial scarring remained and the clinical severity did not differ
significantly from that of the controls. After SBMT in either the acute
or chronic phase of disease, the posttransplant immune system remained
responsive to myelin epitopes as determined by in vitro proliferation
and interferon- (IFN- ) production. However, in mice undergoing
SBMT, in vivo delayed-type hypersensitivity (DTH) responses were
significantly decreased while IFN- RNA levels and inflammatory
infiltrates within the CNS were slightly improved. We conclude that
failure of SBMT to improve the clinical disease when performed in
chronic phase may be due to preexisting glial scarring. We also
conclude that in the absence of glial scarring and irreversible
neuronal injury, in vivo DTH responses and histology are better
predictors of clinical improvement than in vitro proliferation or
IFN- cytokine production.
Blood, Vol. 91 No. 7 (April 1), 1998:
pp. 2609-2616
© 1998 by The American Society of Hematology.

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