In multiple sclerosis (MS) the structural damage to axons determines the persistent clinical deficit patients acquire during the course of the disease. It is therefore important to test therapeutic strategies that can prevent or reverse this structural damage. The conventional animal model of MS, experimental autoimmune encephalomyelitis (EAE), typically shows disseminated inflammation in the central nervous system, which leads to a clinical deficit that cannot be directly attributed to a defined tract system. For this reason we have developed a localized EAE model, in which large inflammatory lesions are targeted to the dorsal columns of the spinal cord, an area including the corticospinal tract. These lesions show the pathological hallmarks of MS plaques and lead to reproducible and pronounced deficits in hindlimb locomotion. Because of the anatomical specificity of this technique we can now use highly sensitive behavioral tests that assess the functional integrity of specific axonal tracts. We show that these tests are predictive of the site and extent of a given lesion and are more sensitive for assessing the clinical course than the scales commonly used for disseminated EAE models. We believe that this targeted EAE model will become a
Multiple sclerosis (MS) is the most common inflammatory demyelinating disease of the central nervous system (CNS).1 Our understanding of the mechanisms that underlie MS has progressed significantly throughout the last years, yet our means for therapeutic intervention are still very limited. It is believed that in MS an autoimmune dysregulation leads to an inflammatory attack on the resident cells of the CNS.1 Recent studies have emphasized that the target of this inflammatory attack is not the myelin sheath alone but rather the entire myelin-axonal unit.2,3 Neuropathological studies have provided evidence that acute structural damage to axons is a prominent feature of MS lesions starting from the very early stages of the disease. 4 -6 The clinical importance of the structural axon damage is further underlined by the close correlation between neuroradiological markers of axon damage and the persistent neurological deficit in a given MS patient. 7,8 It is thus of central importance to develop therapeutic strategies that can prevent or repair axonal damage in MS. The basis for the development and evaluation of such strategies is the availability of suitable animal models, which should both reflect the pathological hallmarks of MS and allow for the quantification of therapeutic effects on axonal damage and repair.