2-Methoxyestradiol inhibits experimental autoimmune encephalomyelitis through suppression of immune cell activation

Proc Natl Acad Sci U S A. 2012 Dec 18;109(51):21034-9. doi: 10.1073/pnas.1215558110. Epub 2012 Dec 3.

Abstract

The endogenous metabolite of estradiol, 2-Methoxyestradiol (2ME2), is an antimitotic and antiangiogenic cancer drug candidate that also exhibits disease-modifying activity in animal models of rheumatoid arthritis (RA). We found that 2ME2 dramatically suppresses development of mouse experimental autoimmune encephalomyelitis (EAE), a rodent model of multiple sclerosis (MS). 2ME2 inhibits in vitro lymphocyte activation, cytokine production, and proliferation in a dose-dependent fashion. 2ME2 treatment of lymphocytes specifically reduced the nuclear translocation and transcriptional activity of nuclear factor of activated T-cells (NFAT) c1, whereas NF-κB and activator protein 1 (AP-1) activation were not adversely affected. We therefore propose that 2ME2 attenuates EAE through disruption of the NFAT pathway and subsequent lymphocyte activation. By extension, our findings provide a molecular rationale for the use of 2ME2 as a tolerable oral immunomodulatory agent for the treatment of autoimmune disorders such as MS in humans.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • 2-Methoxyestradiol
  • Animals
  • Autoimmunity
  • CD4-Positive T-Lymphocytes / cytology
  • Cytokines / biosynthesis
  • Encephalomyelitis, Autoimmune, Experimental / drug therapy*
  • Estradiol / analogs & derivatives*
  • Estradiol / pharmacology
  • Humans
  • Lymphocyte Activation
  • Lymphocytes / cytology
  • Mice
  • Mice, Inbred C57BL
  • Multiple Sclerosis / immunology
  • NF-kappa B / metabolism
  • NFATC Transcription Factors / metabolism
  • Signal Transduction
  • Transcription Factor AP-1 / metabolism
  • Tubulin Modulators / pharmacology

Substances

  • Cytokines
  • NF-kappa B
  • NFATC Transcription Factors
  • NFATC1 protein, human
  • Transcription Factor AP-1
  • Tubulin Modulators
  • Estradiol
  • 2-Methoxyestradiol