Platelet Inhibition by Low-Dose Acetylsalicylic Acid Reduces Neuroinflammation in an Animal Model of Multiple Sclerosis

Aside from the established immune-mediated etiology of multiple sclerosis (MS), compelling evidence implicates platelets as important players in disease pathogenesis. Specifically, numerous studies have highlighted that activated platelets promote the central nervous system (CNS)-directed adaptive i...

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Main Authors: Anna Vogelsang, Susann Eichler, Niklas Huntemann, Lars Masanneck, Hannes Böhnlein, Lisa Schüngel, Alice Willison, Karin Loser, Bernhard Nieswandt, Beate E. Kehrel, Alexander Zarbock, Kerstin Göbel, Sven G. Meuth
Format: Article
Language:English
Published: MDPI AG 2021-09-01
Series:International Journal of Molecular Sciences
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Online Access:https://www.mdpi.com/1422-0067/22/18/9915
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author Anna Vogelsang
Susann Eichler
Niklas Huntemann
Lars Masanneck
Hannes Böhnlein
Lisa Schüngel
Alice Willison
Karin Loser
Bernhard Nieswandt
Beate E. Kehrel
Alexander Zarbock
Kerstin Göbel
Sven G. Meuth
author_facet Anna Vogelsang
Susann Eichler
Niklas Huntemann
Lars Masanneck
Hannes Böhnlein
Lisa Schüngel
Alice Willison
Karin Loser
Bernhard Nieswandt
Beate E. Kehrel
Alexander Zarbock
Kerstin Göbel
Sven G. Meuth
author_sort Anna Vogelsang
collection DOAJ
description Aside from the established immune-mediated etiology of multiple sclerosis (MS), compelling evidence implicates platelets as important players in disease pathogenesis. Specifically, numerous studies have highlighted that activated platelets promote the central nervous system (CNS)-directed adaptive immune response early in the disease course. Platelets, therefore, present a novel opportunity for modulating the neuroinflammatory process that characterizes MS. We hypothesized that the well-known antiplatelet agent acetylsalicylic acid (ASA) could inhibit neuroinflammation by affecting platelets if applied at low-dose and investigated its effect during experimental autoimmune encephalomyelitis (EAE) as a model to study MS. We found that oral administration of low-dose ASA alleviates symptoms of EAE accompanied by reduced inflammatory infiltrates and less extensive demyelination. Remarkably, the percentage of CNS-infiltrated CD4<sup>+</sup> T cells, the major drivers of neuroinflammation, was decreased to 40.98 ± 3.28% in ASA-treated mice compared to 56.11 ± 1.46% in control animals at the disease maximum as revealed by flow cytometry. More interestingly, plasma levels of thromboxane A<sub>2</sub> were decreased, while concentrations of platelet factor 4 and glycoprotein VI were not affected by low-dose ASA treatment. Overall, we demonstrate that low-dose ASA could ameliorate the platelet-dependent neuroinflammatory response in vivo, thus indicating a potential treatment approach for MS.
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spelling doaj.art-33c080d5cc2040faa09ef97234ba9ac62023-11-22T13:29:35ZengMDPI AGInternational Journal of Molecular Sciences1661-65961422-00672021-09-012218991510.3390/ijms22189915Platelet Inhibition by Low-Dose Acetylsalicylic Acid Reduces Neuroinflammation in an Animal Model of Multiple SclerosisAnna Vogelsang0Susann Eichler1Niklas Huntemann2Lars Masanneck3Hannes Böhnlein4Lisa Schüngel5Alice Willison6Karin Loser7Bernhard Nieswandt8Beate E. Kehrel9Alexander Zarbock10Kerstin Göbel11Sven G. Meuth12Department of Neurology with Institute of Translational Neurology, University Hospital Münster, 48149 Münster, GermanyDepartment of Neurology with Institute of Translational Neurology, University Hospital Münster, 48149 Münster, GermanyDepartment of Neurology with Institute of Translational Neurology, University Hospital Münster, 48149 Münster, GermanyDepartment of Neurology with Institute of Translational Neurology, University Hospital Münster, 48149 Münster, GermanyDepartment of Neurology with Institute of Translational Neurology, University Hospital Münster, 48149 Münster, GermanyDepartment of Anesthesiology, Intensive Care and Pain Medicine, University Hospital Münster, 48149 Münster, GermanyThe Northern Foundation School, Newcastle-upon-Tyne University Hospitals, Newcastle-upon-Tyne NE15 8NY, UKDepartment of Human Medicine, Institute of Immunology, Carl von Ossietzky University Oldenburg, 26129 Oldenburg, GermanyRudolf Virchow Center, Research Center for Experimental Biomedicine, University of Würzburg, 97080 Würzburg, GermanyDepartment of Anesthesiology, Intensive Care and Pain Medicine, University Hospital Münster, 48149 Münster, GermanyDepartment of Anesthesiology, Intensive Care and Pain Medicine, University Hospital Münster, 48149 Münster, GermanyDepartment of Neurology with Institute of Translational Neurology, University Hospital Münster, 48149 Münster, GermanyDepartment of Neurology, University Hospital Düsseldorf, 40225 Düsseldorf, GermanyAside from the established immune-mediated etiology of multiple sclerosis (MS), compelling evidence implicates platelets as important players in disease pathogenesis. Specifically, numerous studies have highlighted that activated platelets promote the central nervous system (CNS)-directed adaptive immune response early in the disease course. Platelets, therefore, present a novel opportunity for modulating the neuroinflammatory process that characterizes MS. We hypothesized that the well-known antiplatelet agent acetylsalicylic acid (ASA) could inhibit neuroinflammation by affecting platelets if applied at low-dose and investigated its effect during experimental autoimmune encephalomyelitis (EAE) as a model to study MS. We found that oral administration of low-dose ASA alleviates symptoms of EAE accompanied by reduced inflammatory infiltrates and less extensive demyelination. Remarkably, the percentage of CNS-infiltrated CD4<sup>+</sup> T cells, the major drivers of neuroinflammation, was decreased to 40.98 ± 3.28% in ASA-treated mice compared to 56.11 ± 1.46% in control animals at the disease maximum as revealed by flow cytometry. More interestingly, plasma levels of thromboxane A<sub>2</sub> were decreased, while concentrations of platelet factor 4 and glycoprotein VI were not affected by low-dose ASA treatment. Overall, we demonstrate that low-dose ASA could ameliorate the platelet-dependent neuroinflammatory response in vivo, thus indicating a potential treatment approach for MS.https://www.mdpi.com/1422-0067/22/18/9915acetylsalicylic acidexperimental autoimmune encephalomyelitisplateletsmultiple sclerosisthromboxaneglycoprotein VI
spellingShingle Anna Vogelsang
Susann Eichler
Niklas Huntemann
Lars Masanneck
Hannes Böhnlein
Lisa Schüngel
Alice Willison
Karin Loser
Bernhard Nieswandt
Beate E. Kehrel
Alexander Zarbock
Kerstin Göbel
Sven G. Meuth
Platelet Inhibition by Low-Dose Acetylsalicylic Acid Reduces Neuroinflammation in an Animal Model of Multiple Sclerosis
International Journal of Molecular Sciences
acetylsalicylic acid
experimental autoimmune encephalomyelitis
platelets
multiple sclerosis
thromboxane
glycoprotein VI
title Platelet Inhibition by Low-Dose Acetylsalicylic Acid Reduces Neuroinflammation in an Animal Model of Multiple Sclerosis
title_full Platelet Inhibition by Low-Dose Acetylsalicylic Acid Reduces Neuroinflammation in an Animal Model of Multiple Sclerosis
title_fullStr Platelet Inhibition by Low-Dose Acetylsalicylic Acid Reduces Neuroinflammation in an Animal Model of Multiple Sclerosis
title_full_unstemmed Platelet Inhibition by Low-Dose Acetylsalicylic Acid Reduces Neuroinflammation in an Animal Model of Multiple Sclerosis
title_short Platelet Inhibition by Low-Dose Acetylsalicylic Acid Reduces Neuroinflammation in an Animal Model of Multiple Sclerosis
title_sort platelet inhibition by low dose acetylsalicylic acid reduces neuroinflammation in an animal model of multiple sclerosis
topic acetylsalicylic acid
experimental autoimmune encephalomyelitis
platelets
multiple sclerosis
thromboxane
glycoprotein VI
url https://www.mdpi.com/1422-0067/22/18/9915
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