Tacrolimus (FK506) causes disease aggravation in models for inherited peripheral myelinopathies

Mice hetero- or homozygously deficient for myelin protein zero (P0+/−, P0−/− mice) are models for distinct forms of inherited de- or dysmyelinating neuropathies, respectively. P0+/− mice show a demyelinating neuropathy with a pathogenetic implication of CD8+ T-lymphocytes and macrophages, while P0−/...

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Main Authors: Chi Wang Ip, Antje Kroner, Bianca Kohl, Carsten Wessig, Rudolf Martini
Format: Article
Language:English
Published: Elsevier 2009-02-01
Series:Neurobiology of Disease
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S0969996108002532
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author Chi Wang Ip
Antje Kroner
Bianca Kohl
Carsten Wessig
Rudolf Martini
author_facet Chi Wang Ip
Antje Kroner
Bianca Kohl
Carsten Wessig
Rudolf Martini
author_sort Chi Wang Ip
collection DOAJ
description Mice hetero- or homozygously deficient for myelin protein zero (P0+/−, P0−/− mice) are models for distinct forms of inherited de- or dysmyelinating neuropathies, respectively. P0+/− mice show a demyelinating neuropathy with a pathogenetic implication of CD8+ T-lymphocytes and macrophages, while P0−/− mice show dysmyelination with axonal loss. It was, therefore, of interest to treat both mutants with FK506 (Tacrolimus), an agent with immunosuppressive and neuroprotective properties. Treatment of P0+/− mice led to an aggravation of demyelination, without affecting nervous CD8+ T-lymphocytes, but reducing splenic CD4+ cells. Treatment of P0-/− mice resulted in a substantial increase of the dysmyelination-related axon loss. Treatment of wildtype mice did not cause pathological changes in peripheral nerves.Our study shows that FK506 may not be suitable for the treatment of the human nerve disorders. Furthermore, when used as an immunosuppressant, the drug may generate detrimental neurological side effects in patients with an additional hereditary neuropathy.
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spelling doaj.art-ec8f12ed0e8146b5b481efaaba7b9e4a2022-12-21T21:57:45ZengElsevierNeurobiology of Disease1095-953X2009-02-01332207212Tacrolimus (FK506) causes disease aggravation in models for inherited peripheral myelinopathiesChi Wang Ip0Antje Kroner1Bianca Kohl2Carsten Wessig3Rudolf Martini4Department of Neurology, Developmental Neurobiology, University of Wuerzburg, Josef-Schneider-Str. 11, D-97080 Wuerzburg, GermanyDepartment of Neurology, Developmental Neurobiology, University of Wuerzburg, Josef-Schneider-Str. 11, D-97080 Wuerzburg, GermanyDepartment of Neurology, Developmental Neurobiology, University of Wuerzburg, Josef-Schneider-Str. 11, D-97080 Wuerzburg, GermanyDepartment of Neurology, Developmental Neurobiology, University of Wuerzburg, Josef-Schneider-Str. 11, D-97080 Wuerzburg, GermanyCorresponding author. Fax: +49 931 20123645.; Department of Neurology, Developmental Neurobiology, University of Wuerzburg, Josef-Schneider-Str. 11, D-97080 Wuerzburg, GermanyMice hetero- or homozygously deficient for myelin protein zero (P0+/−, P0−/− mice) are models for distinct forms of inherited de- or dysmyelinating neuropathies, respectively. P0+/− mice show a demyelinating neuropathy with a pathogenetic implication of CD8+ T-lymphocytes and macrophages, while P0−/− mice show dysmyelination with axonal loss. It was, therefore, of interest to treat both mutants with FK506 (Tacrolimus), an agent with immunosuppressive and neuroprotective properties. Treatment of P0+/− mice led to an aggravation of demyelination, without affecting nervous CD8+ T-lymphocytes, but reducing splenic CD4+ cells. Treatment of P0-/− mice resulted in a substantial increase of the dysmyelination-related axon loss. Treatment of wildtype mice did not cause pathological changes in peripheral nerves.Our study shows that FK506 may not be suitable for the treatment of the human nerve disorders. Furthermore, when used as an immunosuppressant, the drug may generate detrimental neurological side effects in patients with an additional hereditary neuropathy.http://www.sciencedirect.com/science/article/pii/S0969996108002532Charcot–Marie–Tooth-diseaseSchwann cellMyelinTreatmentImmunosuppressionNeuroprotection
spellingShingle Chi Wang Ip
Antje Kroner
Bianca Kohl
Carsten Wessig
Rudolf Martini
Tacrolimus (FK506) causes disease aggravation in models for inherited peripheral myelinopathies
Neurobiology of Disease
Charcot–Marie–Tooth-disease
Schwann cell
Myelin
Treatment
Immunosuppression
Neuroprotection
title Tacrolimus (FK506) causes disease aggravation in models for inherited peripheral myelinopathies
title_full Tacrolimus (FK506) causes disease aggravation in models for inherited peripheral myelinopathies
title_fullStr Tacrolimus (FK506) causes disease aggravation in models for inherited peripheral myelinopathies
title_full_unstemmed Tacrolimus (FK506) causes disease aggravation in models for inherited peripheral myelinopathies
title_short Tacrolimus (FK506) causes disease aggravation in models for inherited peripheral myelinopathies
title_sort tacrolimus fk506 causes disease aggravation in models for inherited peripheral myelinopathies
topic Charcot–Marie–Tooth-disease
Schwann cell
Myelin
Treatment
Immunosuppression
Neuroprotection
url http://www.sciencedirect.com/science/article/pii/S0969996108002532
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