RT Journal Article SR Electronic T1 Targeting MOG to skin macrophages prevents EAE in macaques through TGFβ-induced peripheral tolerance JF bioRxiv FD Cold Spring Harbor Laboratory SP 571828 DO 10.1101/571828 A1 Claire-Maëlle Fovet A1 Lev Stimmer A1 Vanessa Contreras A1 Philippe Horellou A1 Audrey Hubert A1 Nabila Sediki A1 Catherine Chapon A1 Sabine Tricot A1 Carole Leroy A1 Julien Flament A1 Julie Massonneau A1 Nicolas Tchitchek A1 Bert A. ’t Hart A1 Sandra Zurawski A1 Peter Klucar A1 Kumaran Deiva A1 Gerard Zurawski A1 SangKon Oh A1 Roger Le Grand A1 Ché Serguera YR 2019 UL http://biorxiv.org/content/early/2019/03/09/571828.abstract AB To study the effect of vaccination on tolerization to the myelin antigen MOG we used a macaque model of experimental autoimmune encephalitis (EAE) in which immunization with recombinant human myelin oligodendrocyte glycoprotein (rhMOG) elicits brain inflammation and demyelination mediated by MOG-specific autoreactive CD4+ T lymphocytes and anti-MOG IgG. For antigen targeting to tolerizing antigen presenting cells, we used a recombinant antibody directed to the Dendritic Cells (DC)-Asialoglycoprotein receptor (DC-ASGPR). The intradermal administration of an anti-DC-ASGPR-MOG fusion protein, but not a control anti-DC-ASGPR-PSA (prostate specific antigen) protein, protected monkeys committed to develop EAE. Although effective treatment did not modify anti-MOG IgG production, it prevented the CD4+ T lymphocyte activation and pro-inflammatory cytokine production. Moreover, animals treated with anti-DC-ASGPR-MOG experienced a rise of MOG-specific CD4+CD25+FOXP3+CD39+ regulatory T cells as well as a TGFβ1, TGFβ2 and IL-8 upsurge after rhMOG re-immunization. Our results indicate that the pathogenicity of autoantibodies directed to MOG is mitigated in the presence of MOG-specific regulatory lymphocytes. This vaccination scheme appears suitable to treat relapsing autoimmune diseases with identified autoantigens such as that harboring anti-MOG or anti-AQP4 autoantibodies.