2018
DOI: 10.1016/j.jneuroim.2018.05.013
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Decitabine induces regulatory T cells, inhibits the production of IFN-gamma and IL-17 and exerts preventive and therapeutic efficacy in rodent experimental autoimmune neuritis

Abstract: Guillain-Barré syndrome (GBS) is an immune-mediated acute disorder of the peripheral nervous system. Despite treatment, there is an associated mortality and severe disability in 9 to 17% of the cases. Decitabine (DAC) is a hypomethylating drug used in myelodisplastic syndrome, that has been shown to exert immunomodulatory effects. We have evaluated the effects of DAC in two rodent models of GBS, the Experimental Allergic Neuritis (EAN). Both prophylactic and therapeutic treatment with DAC ameliorated the clini… Show more

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Cited by 18 publications
(11 citation statements)
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“…It should however be noticed that, regardless of the specific anti-arthritogenic pathways affected by DAC, the efficacy has been short lasting, as treatment interruption was associated with recurrence and/or exacerbation of type II CIA. This is consistent with our previous observation in EAE [26] and EAN [27], and indicates that prolonged treatment with DAC may be needed if these findings will be translated into the clinical setting.…”
Section: Discussionsupporting
confidence: 92%
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“…It should however be noticed that, regardless of the specific anti-arthritogenic pathways affected by DAC, the efficacy has been short lasting, as treatment interruption was associated with recurrence and/or exacerbation of type II CIA. This is consistent with our previous observation in EAE [26] and EAN [27], and indicates that prolonged treatment with DAC may be needed if these findings will be translated into the clinical setting.…”
Section: Discussionsupporting
confidence: 92%
“…We have not presently investigated whether, as in type 1 diabetes in Non-obese diabetic (NOD) mice [23] and rodent EAE [24][25][26] and experimental autoimmune neuritis (EAN) [27], DAC also increased the frequency and/or the function of regulatory T cells. This is likely to have occurred, as it is a known demonstrated immunopharmacological mode of action of DAC and, if so, this may have further contributed to the beneficial effects of DAC.…”
Section: Discussionmentioning
confidence: 99%
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“…HDAC inhibitors have been shown to inhibit inflammatory mediator production (including cytokines, chemokines and nitric oxide) and lead to M2 polarization of macrophages (52). Moreover, experiments conducted in murine models suggest that DNMT inhibitors could be deployed in the treatment of autoimmune diseases (53,54).…”
Section: Discussionmentioning
confidence: 99%
“…In addition of being implicated in the pathogenesis of autoimmune diseases [7], such as Multiple Sclerosis [10,11,12], Guillain Barrè Syndrome [13] and Type 1 Diabetes [14], MIF has been shown to promote tumorigenesis [15] and it has been described to be overexpressed by various tumors, including mammary [16], colorectal and prostate cancer [17], melanoma [18] and glioblastoma [19,20]. Indeed, MIF may induce angiogenesis by up-regulating the secretion of vascular endothelial growth factor (VEGF) [18], may promote proliferation, by binding and deactivating JAB1, a negative regulator of p27KIP1, that in turn controls cell cycle progression at the G1 phase [21]; and may inhibit natural killer cells-mediated cytotoxicity [22].…”
Section: Introductionmentioning
confidence: 99%