nfkb activation promotes immune activation in htlv-i-associated myelopathy / tropical spastic...

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MEETING ABSTRACT Open Access NFkB activation promotes immune activation in HTLV-I-associated myelopathy / tropical spastic paraparesis Matthew McCormick 1 , Unsong Oh 1 , Dibyadeep Datta 1 , Richard Turner 1 , Kathryn Bobb 2 , Dileep Monie 2 , Drago R Sliskovic 3 , Jie Zhang 2 , Jeffrey Meshulam 2 , Steven Jacobson 1* From 15th International Conference on Human Retroviruses: HTLV and Related Viruses Leuven and Gembloux, Belgium. 5-8 June 2011 Evidence suggests that HTLV-I-induced immune activa- tion plays a key role in the pathogenesis of HAM/TSP. The HTLV-I-encoded transactivating protein Tax is known to activate nuclear factor kappa B (NFkB), a key host signaling pathway regulating immune response, but the contribution of the NFkB pathway to the immune activation associated with HAM/TSP has yet to be fully defined. We examined NFkB activation in peripheral- blood mononuclear cells (PBMC) from subjects with HAM/TSP, and tested the effect of NFkB inhibition on key ex vivo correlates of immune activation in HAM/ TSP. We examined the role of NFkB activation during immune activation associated with HAM/TSP by using small molecule NFkB inhibitors, including a newly developed selective inhibitor of NFkB, PBS-1086. NFkB activation was assessed in peripheral-blood mononuclear cells (PBMC) from subjects with HAM/ TSP and in healthy donors (HD). Nuclear translocation of the NFkB RelA was significantly higher in PBMC from subjects with HAM/TSP compared to HD (p=0.032) following short-term (20 h) culture, indicating increased activation of the NFkB pathway in HAM/TSP. Treatment with the small molecule inhibitor PBS-1086 reduced NFkB activation (p<0.01). PBS-1086 reduced expression of CD25 and CD69 in HAM/TSP PBMC as well as phosphorylation of STAT5 in a dose-dependent manner (p<0.01 for all). PBS-1086 also inhibited sponta- neous lymphoproliferation of HAM/TSP PBMC in a dose-dependent manner (p=0.0286). PBS-1086 treatment resulted in a mean proviral load reduction of 20% com- pared to untreated PBMC in a 72 h culture These results indicate that NFkB activation plays a cri- tical upstream role in the immune activation associated with HAM/TSP, and identify the NFkB pathway as a potential therapeutic target for immune modulation in HAM/TSP. Author details 1 Neuroimmunology Branch, National Institute of Neurological Diseases and Stroke, National Institutes of Health, Bethesda, MD, USA. 2 Profectus Biosciences, Inc., Baltimore, MD, USA. 3 IDSC, Chelsea, MI, 48118, USA. Published: 6 June 2011 doi:10.1186/1742-4690-8-S1-A117 Cite this article as: McCormick et al.: NFkB activation promotes immune activation in HTLV-I-associated myelopathy / tropical spastic paraparesis. Retrovirology 2011 8(Suppl 1):A117. Submit your next manuscript to BioMed Central and take full advantage of: Convenient online submission Thorough peer review No space constraints or color figure charges Immediate publication on acceptance Inclusion in PubMed, CAS, Scopus and Google Scholar Research which is freely available for redistribution Submit your manuscript at www.biomedcentral.com/submit * Correspondence: [email protected] 1 Neuroimmunology Branch, National Institute of Neurological Diseases and Stroke, National Institutes of Health, Bethesda, MD, USA Full list of author information is available at the end of the article McCormick et al. Retrovirology 2011, 8(Suppl 1):A117 http://www.retrovirology.com/content/8/S1/A117 © 2011 McCormick et al; licensee BioMed Central Ltd. This is an open access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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MEETING ABSTRACT Open Access

NFkB activation promotes immune activation inHTLV-I-associated myelopathy / tropical spasticparaparesisMatthew McCormick1, Unsong Oh1, Dibyadeep Datta1, Richard Turner1, Kathryn Bobb2, Dileep Monie2,Drago R Sliskovic3, Jie Zhang2, Jeffrey Meshulam2, Steven Jacobson1*

From 15th International Conference on Human Retroviruses: HTLV and Related VirusesLeuven and Gembloux, Belgium. 5-8 June 2011

Evidence suggests that HTLV-I-induced immune activa-tion plays a key role in the pathogenesis of HAM/TSP.The HTLV-I-encoded transactivating protein Tax isknown to activate nuclear factor kappa B (NFkB), a keyhost signaling pathway regulating immune response, butthe contribution of the NFkB pathway to the immuneactivation associated with HAM/TSP has yet to be fullydefined. We examined NFkB activation in peripheral-blood mononuclear cells (PBMC) from subjects withHAM/TSP, and tested the effect of NFkB inhibition onkey ex vivo correlates of immune activation in HAM/TSP.We examined the role of NFkB activation during

immune activation associated with HAM/TSP by usingsmall molecule NFkB inhibitors, including a newlydeveloped selective inhibitor of NFkB, PBS-1086.NFkB activation was assessed in peripheral-blood

mononuclear cells (PBMC) from subjects with HAM/TSP and in healthy donors (HD). Nuclear translocationof the NFkB RelA was significantly higher in PBMCfrom subjects with HAM/TSP compared to HD(p=0.032) following short-term (20 h) culture, indicatingincreased activation of the NFkB pathway in HAM/TSP.Treatment with the small molecule inhibitor PBS-1086reduced NFkB activation (p<0.01). PBS-1086 reducedexpression of CD25 and CD69 in HAM/TSP PBMC aswell as phosphorylation of STAT5 in a dose-dependentmanner (p<0.01 for all). PBS-1086 also inhibited sponta-neous lymphoproliferation of HAM/TSP PBMC in adose-dependent manner (p=0.0286). PBS-1086 treatment

resulted in a mean proviral load reduction of 20% com-pared to untreated PBMC in a 72 h cultureThese results indicate that NFkB activation plays a cri-

tical upstream role in the immune activation associatedwith HAM/TSP, and identify the NFkB pathway as apotential therapeutic target for immune modulation inHAM/TSP.

Author details1Neuroimmunology Branch, National Institute of Neurological Diseases andStroke, National Institutes of Health, Bethesda, MD, USA. 2ProfectusBiosciences, Inc., Baltimore, MD, USA. 3IDSC, Chelsea, MI, 48118, USA.

Published: 6 June 2011

doi:10.1186/1742-4690-8-S1-A117Cite this article as: McCormick et al.: NFkB activation promotes immuneactivation in HTLV-I-associated myelopathy / tropical spasticparaparesis. Retrovirology 2011 8(Suppl 1):A117.

Submit your next manuscript to BioMed Centraland take full advantage of:

• Convenient online submission

• Thorough peer review

• No space constraints or color figure charges

• Immediate publication on acceptance

• Inclusion in PubMed, CAS, Scopus and Google Scholar

• Research which is freely available for redistribution

Submit your manuscript at www.biomedcentral.com/submit

* Correspondence: [email protected] Branch, National Institute of Neurological Diseases andStroke, National Institutes of Health, Bethesda, MD, USAFull list of author information is available at the end of the article

McCormick et al. Retrovirology 2011, 8(Suppl 1):A117http://www.retrovirology.com/content/8/S1/A117

© 2011 McCormick et al; licensee BioMed Central Ltd. This is an open access article distributed under the terms of the CreativeCommons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, andreproduction in any medium, provided the original work is properly cited.