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Abstract Details

Alpha-Tocopherol Ameliorates Experimental Autoimmune Neuritis
Autoimmune Neurology
P1 - Poster Session 1 (5:30 PM-6:30 PM)
15-089
Background and objectives: Guillain-Barré syndrome (GBS) is an autoimmune neuropathy mediated by insult of anti-ganglioside antibodies and subsequent complement activation. Oxidative toxicity resulting from insufficiently maintained cellular redox levels has also been suggested to contribute to the pathogenesis of GBS; however, antioxidant therapy for GBS patients has not yet been established. 
The purpose of this study was to evaluate the effectiveness of α-tocopherol (αT), a natural antioxidant, in experimental autoimmune neuritis (EAN), as an animal model of human GBS.
Lewis rats were immunized with 125 µg of synthetic peptide from bovine P2 protein, and motor impairment was assessed daily. The rats were treated with 100 mg/kg of αT intraperitoneally on only day 6 or on both day 6 and 13 post-immunization (p.i.). Lipid peroxidation products, histological alterations in the cauda equina, and cytokines expression in the popliteal lymph nodes and cauda equina were sequentially evaluated.

Flaccid paralysis developed from the tip of the tail at day 11–13 p.i. in both αT-treated and non-treated control rats. The latter gradually progressed to flaccid paraplegia, and then reached a peak of motor impairment on day 16 p.i. followed by spontaneous recovery. Double administration of αT significantly improved the clinical course, decreased the level of the lipid peroxidic marker N epsilon-(hexanoyl) lysine, and suppressed the mRNA expression of interferon-gamma and interleukin-10 in the popliteal lymph nodes and cauda equina. Histologically, αT treatment reduced demyelination in the cauda equinacompared to that of control rats. However, single administration of αT was not sufficient to produce these effects.

 

 

 

 

 

 

 

Alpha-T ameliorated the course of EAN through suppressing the production of pro-inflammatory cytokines along with prevention of oxidative damage, highlighting the potential of natural antioxidant treatment for GBS.
Authors/Disclosures

PRESENTER
No disclosure on file
Shingo Konno, MD Dr. Konno has nothing to disclose.
Toshiki Fujioka, MD Dr. Fujioka has nothing to disclose.