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Combination of Imipramine, a sphingomyelinase inhibitor, and β-caryophyllene improve their therapeutic effects on experimental autoimmune encephalomyelitis (EAE).

Abstract
Multiple Sclerosis (MS) is one of the most common inflammatory diseases with the essential role of immune system in the demyelination, damage and inflammation of the central nervous system neurons (CNS). β-Caryophyllene (BCP), a natural and selective CB2 agonist, possesses several protective effects. In the present study, we evaluated the protective effects of low dose of BCP (5 mg/kg), sphingomyelinase (SMase) inhibitor imipramine (IMP, 10 mg/kg), and the combination of BCP (2.5 and 5 mg/kg) with IMP in the treatment of experimental autoimmune encephalomyelitis (EAE) mice as a known model of chronic MS. These effects were assessed on the levels of pro- or anti-inflammatory cytokines as well as the polarization of spleen lymphocytes and microglia, in EAE mice. Our results indicated that low dose of BCP, IMP and BCP combined with a SMase inhibitor IMP exert protective effects in treatment of EAE mice. We also found that they reduced the clinical and pathological defects in EAE mice through modulation of both local (microglia) and systemic (lymphocytes and blood) immunity from inflammatory (Th1/Th17/M1) towards anti-inflammatory (Th2/Treg/M2) phenotypes. Therefore, it can be suggested that a low dose of BCP alone or combined with IMP as a known SMase inhibitor deserve a therapeutic position for treatment of MS.
AuthorsVahid Reza Askari, Vafa Baradaran Rahimi, Seyed Abbas Tabatabaee, Reza Shafiee-Nick
JournalInternational immunopharmacology (Int Immunopharmacol) Vol. 77 Pg. 105923 (Dec 2019) ISSN: 1878-1705 [Electronic] Netherlands
PMID31711937 (Publication Type: Journal Article)
CopyrightCopyright © 2019 Elsevier B.V. All rights reserved.
Chemical References
  • Cytokines
  • Polycyclic Sesquiterpenes
  • Receptor, Cannabinoid, CB2
  • caryophyllene
  • Sphingomyelin Phosphodiesterase
  • Imipramine
Topics
  • Animals
  • Cytokines (blood)
  • Drug Therapy, Combination
  • Encephalomyelitis, Autoimmune, Experimental (drug therapy, immunology, pathology)
  • Female
  • Imipramine (therapeutic use)
  • Lymphocytes (drug effects, immunology)
  • Mice, Inbred C57BL
  • Microglia (drug effects)
  • Polycyclic Sesquiterpenes (therapeutic use)
  • Receptor, Cannabinoid, CB2 (agonists)
  • Sphingomyelin Phosphodiesterase (antagonists & inhibitors)
  • Spinal Cord (drug effects, immunology, pathology)

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