Myasthenia gravis (MG) and its animal model experimental autoimmune MG (EAMG), are T-cell dependent, antibody-mediated autoimmune disorders. A
dual altered peptide ligand (APL) composed of the tandemly arranged two single
amino acids analogs of two myasthenogenic
peptides, p195-212 and p259-271, was demonstrated to downregulate, in vitro and in vivo, MG-associated autoimmune responses. Upregulation of regulatory CD4(+)CD25(+) cells plays a key role in the mechanism of action of the
dual APL. The objectives of the present study were to address the involvement of extracellular-regulated
kinase (ERK)1,2 in the mechanisms by which the
dual APL-induced CD4(+)CD25(+) cells suppress MG-associated autoimmune responses. We demonstrate here that administration of the
dual APL increased activated ERK1,2 in the CD4(+)CD25(+)-enriched population. Further, inhibition of ERK1,2 by its inhibitor,
U0126, in
dual APL-induced CD4(+)CD25(+) cells, abrogated their ability to suppress
interferon (IFN)-gamma secretion by lymph node (LN) cells of mice that were immunized with the myasthenogenic
peptide. Moreover, inhibition of ERK1,2 in the
dual APL-induced regulatory CD4(+)CD25(+) cells, resulted in downregulation of the forkhead box p3 (Foxp3) gene and
protein expression levels, as well as in the downregulation of CD4(+)CD25(+) development, suggesting that the active suppression exerted by the
dual APL via CD4(+)CD25(+) cells depends on ERK1,2 activity.