An antibody to CD40 ligand prevents meningeal B cell aggregates and mitigates progressive disease in a spontaneous mouse model of chronic multiple sclerosis
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ABSTRACT: Compartmentalized inflammation within the CNS is considered to drive progressive immunopathology in multiple sclerosis (MS) independently of relapses. Meningeal tertiary lymphoid structures (TLS) represent an immune niche associated with histological signs of immunopathology, including demyelination in the adjacent CNS parenchyma. Here, we show that the opticospinal encephalomyelitis (OSE) mouse model, in which meningeal TLS develop spontaneously based on the interaction of myelin oligodendrocyte glycoprotein (MOG)-specific T cell receptor (TCR) transgenic T cells with MOG B cell receptor (BCR) transgenic B cells, recapitulates the dynamics and the histological features of meningeal TLS observed in human MS. Based on scRNAseq data sets of meningeal TLS from OSE mice, the CD40L-CD40 pathway is highly active in the T cell-B cell interaction in this niche. Accordingly, a monoclonal antibody to CD40L, applied systemically, abrogates the T-B interaction in the systemic compartment and even more so in the meningeal compartment. This leads to near-complete clearance of meningeal TLS, concomitant with clinical improvement of the progressive disease phase of OSE mice. In contrast, systemic B cell depletion with a monoclonal antibody to CD20 does not improve signs of progressive disease in the OSE model. Treatment with anti-CD40L is more effective in disrupting T-B interaction, the more the T-B interaction relies on the CD40L-CD40 pathway, and thus leads to a "semiselective" targeting of meningeal TLS. In addition, we observed a general remodeling of any antigen-presenting cells in the CNS that respond to CD40 engagement. Since these effects are sustained even after withdrawal of anti-CD40L treatment, no resumption of progression or rebound effects occur. In conclusion, anti-CD40L treatment may be an appropriate intervention to mitigate progressive immunopathology associated with meningeal TLS and the CD40-dependent antigen-presenting compartment in progressive MS.
ORGANISM(S): Mus musculus
PROVIDER: GSE338368 | GEO | 2026/09/16
REPOSITORIES: GEO
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