An approach to control relapse of inflammatory lesions after discontinuation of primary therapy.

Long-term treatment with the fungal metabolite drug FTY720 (Fingolimod) was shown to be highly effective in controlling viral immunopathological lesions. However, in this report we show that the anti-inflammatory effect of FTY720 in herpes simplex virus-1 (HSV-1) induced ocular inflammation is lost...

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Main Authors: Pradeep B J Reddy, Sharvan Sehrawat, Amol Suryawanshi, Naveen K Rajasagi, Madhu Khatri, Barry T Rouse
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2014-01-01
Series:PLoS ONE
Online Access:http://europepmc.org/articles/PMC4028216?pdf=render
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author Pradeep B J Reddy
Sharvan Sehrawat
Amol Suryawanshi
Naveen K Rajasagi
Madhu Khatri
Barry T Rouse
author_facet Pradeep B J Reddy
Sharvan Sehrawat
Amol Suryawanshi
Naveen K Rajasagi
Madhu Khatri
Barry T Rouse
author_sort Pradeep B J Reddy
collection DOAJ
description Long-term treatment with the fungal metabolite drug FTY720 (Fingolimod) was shown to be highly effective in controlling viral immunopathological lesions. However, in this report we show that the anti-inflammatory effect of FTY720 in herpes simplex virus-1 (HSV-1) induced ocular inflammation is lost upon the discontinuation of treatment and lesions rapidly recurred. The lesions that developed after FTY720 treatment withdrawal involved mainly Th17 cells rather than Th1 cells explained in part by differential expression of surface CD103, an integrin that permits migration of effector cells to inflammatory sites. The expression of IL-6, a proinflammatory cytokine involved in the generation of Th17 cells, was found to be increased in FTY treated mice as compared to controls and this effect could be abrogated upon administration of neutralizing antibody to IL-6. Furthermore, IL-17RKO mice failed to show the recurrence of stromal keratitis (SK) lesions upon FTY720 withdrawal. These results indicate that approaches such as neutralization of proinflammatory cytokines might be considered along with FTY720 treatment if interruption of drug therapy becomes necessary.
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spelling doaj.art-45374c5dcc024ed9ad157551a3ff5b1d2022-12-21T20:31:07ZengPublic Library of Science (PLoS)PLoS ONE1932-62032014-01-0195e9805110.1371/journal.pone.0098051An approach to control relapse of inflammatory lesions after discontinuation of primary therapy.Pradeep B J ReddySharvan SehrawatAmol SuryawanshiNaveen K RajasagiMadhu KhatriBarry T RouseLong-term treatment with the fungal metabolite drug FTY720 (Fingolimod) was shown to be highly effective in controlling viral immunopathological lesions. However, in this report we show that the anti-inflammatory effect of FTY720 in herpes simplex virus-1 (HSV-1) induced ocular inflammation is lost upon the discontinuation of treatment and lesions rapidly recurred. The lesions that developed after FTY720 treatment withdrawal involved mainly Th17 cells rather than Th1 cells explained in part by differential expression of surface CD103, an integrin that permits migration of effector cells to inflammatory sites. The expression of IL-6, a proinflammatory cytokine involved in the generation of Th17 cells, was found to be increased in FTY treated mice as compared to controls and this effect could be abrogated upon administration of neutralizing antibody to IL-6. Furthermore, IL-17RKO mice failed to show the recurrence of stromal keratitis (SK) lesions upon FTY720 withdrawal. These results indicate that approaches such as neutralization of proinflammatory cytokines might be considered along with FTY720 treatment if interruption of drug therapy becomes necessary.http://europepmc.org/articles/PMC4028216?pdf=render
spellingShingle Pradeep B J Reddy
Sharvan Sehrawat
Amol Suryawanshi
Naveen K Rajasagi
Madhu Khatri
Barry T Rouse
An approach to control relapse of inflammatory lesions after discontinuation of primary therapy.
PLoS ONE
title An approach to control relapse of inflammatory lesions after discontinuation of primary therapy.
title_full An approach to control relapse of inflammatory lesions after discontinuation of primary therapy.
title_fullStr An approach to control relapse of inflammatory lesions after discontinuation of primary therapy.
title_full_unstemmed An approach to control relapse of inflammatory lesions after discontinuation of primary therapy.
title_short An approach to control relapse of inflammatory lesions after discontinuation of primary therapy.
title_sort approach to control relapse of inflammatory lesions after discontinuation of primary therapy
url http://europepmc.org/articles/PMC4028216?pdf=render
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