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For several decades the unsolved etiogenetic and therapeutic
problems of multiple sclerosis have offered the strongest challenge
to research in neu- rology. The hope of decisive theoretical and
practical progress increased when an experimental model presenting
far-reaching conformity of structural and pathogenetic features was
developed, namely chronic re- lapsing experimental allergic
encephalomyelitis (CREAE). During the past years, Dr. Lassmann has
contributed substantially to the adaptation of this model with the
aim of comprehensive evaluation, thoroughly fol- lowing up his own
ideas in numerous studies of individual aspects. The new
possibility of continuous and detailed investigation of the
clinical, morphological and immunological characteristics of
temporal phase sequence of autoimmune demyelination has led to many
new findings, corrections offormer hypotheses, and, from correlated
studies of human multiple sclerosis, a series of important data
concerning, for example, early manifestations of demyelination, the
range of so-called acute mul- tiple sclerosis and the incidence of
remyelination. Moreover, Dr. Lass- mann has analysed several
special problems which became definable in the course of his own
studies or in collaboration with other groups, in- cluding the
initial distribution of demyelinated foci, the cerebrospinal fluid
phenomena and immunological findings in the nervous tissue. The
results of these separate studies also led to a deeper
understanding of demyelinating processes. This monograph integrates
these studies and summarizes their re- sults.
The present report, compares two murine models of virus induced
chronic relapsing demyelination. MHV-induced demyelination in the
BALB/c mouse results from the direct virus mediated cytolysis of
oligodendrocytes. Extensive remyelination by oligodendrocytes is
noted. Recurrent demyel- ination occurs in small areas. Infectious
virus persists and 34 Fig. 2: Demyelination in SJL/J mice infected
with TMEV. A) Multifocal areas of perivascular demyelination in the
spinal cord (110 days post infection). Para- phenylene diamine
stain. X 250. B) Perivascular inflammatory infiltration within the
white matter of the spinal cord (22 days post infec- tion).
Paraphenylene diamine stain. X600. C) Localization of TMEV
associated antigen in the cytoplasm of oligodendrocytes (45 days
post infec- tion). Vibratome section stained with the
peroxidase-anti peroxidase technique. X 400. D) Immunoperoxidase
staining of viral antigen within inner and outer loops of an
oligodendrocyte (45 days post infectin) X 60,000. E) Longitudinal
section showing viral antigen within Schmidt-Lanterman incisures
(80 days post infection). X 49,000. viral antigens are localized
within oligodendrocytes and their processes. TMEV-induced
demyelination in SJL/J mice is asso- ciated with perivascular
inflammatory infilrates and is dimin- ished by immunosuppressive
measures. Remyelination by oligo- dendrocytes is delayed and
incomplete. Chronic demyelination is widespread and associated with
perivascular inflammatory infiltrates. The virus persists and viral
antigen is local- ized within oligodendrocytes.
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