Effect of Cladribine on Neuronal Apoptosis: New Insight of In Vitro Study in Multiple Sclerosis Therapy

克拉屈滨对神经元凋亡的影响:多发性硬化症治疗体外研究的新见解

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作者:Maddalena Ruggieri, Concetta Domenica Gargano, Anna Ferretta, Alessia Manni, Antonio Capacchione, Antonio Frigeri, Pietro Iaffaldano, Maria Trojano, Damiano Paolicelli

Aim

To study "in vitro" 2-CdA apoptotic effects on neurons in healthy donor and multiple sclerosis patient lymphocytes.

Background

Cladribine (2-CdA) can cross the blood-brain barrier, resulting in inhibition of DNA synthesis and repair and disruption of cellular proliferation in actively dividing lymphocytes. No data on effect on neurons are available.

Conclusions

2-CdA causes peripheral and central lymphocyte death preserving neurons, with a reasonable impact on inflammation and neuroprotection.

Methods

Neuroblastoma cells were co-cultured with lymphocytes, with and without 2-CdA.

Results

Apoptosis increased in lymphocytes with 2-CdA; increase was also observed when lymphocytes were cultured with neuronal cells. However, neurons were not affected by 2-CdA for apoptosis. Conclusions: 2-CdA causes peripheral and central lymphocyte death preserving neurons, with a reasonable impact on inflammation and neuroprotection.

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