Selective GABAB receptor antagonist, CGP-55845, promotes remyelination and oligodendrocyte differentiation in rats with experimental autoimmune encephalomyelitis (EAE)

Nurul Ashykin Zamri, Nazlahshaniza Shafin, Rahimah Zakaria, Nurhafizah Ghani, Kaisan Mahadi

Article ID: 3807
Vol 40, Issue 1, 2026
DOI: https://doi.org/10.54517/jbrha3807

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Abstract

Background: Multiple sclerosis (MS) is an immune-mediated inflammatory disease of the central nervous system characterized by demyelination and axonal damage. This chronic neurological disorder affects millions worldwide and poses a significant economic and social burden. Current therapeutic strategies for MS primarily focus on mitigating neuroinflammation but do not effectively reverse demyelination. The GABAB receptor is expressed in oligodendrocytes and immune cells. GABAB receptors appear to play a role in modulating immune cells and promoting remyelination of damaged neurons. However, the effects of GABAB-receptor modulation in animal models of MS remain largely unexplored. Therefore, this study evaluates the therapeutic role of GABAB receptor activity in rats with experimental autoimmune encephalomyelitis (EAE) to mimic MS in humans. Methods: EAE was induced in rats by immunization with 200 μg myelin oligodendrocyte glycoprotein (35-55) peptide in complete Freund’s adjuvant containing killed Mycobacterium tuberculosis. Additionally, rats received injections of 200 ng pertussis toxin on the day of immunization and 48 h later. The EAE rats were treated with normal saline, CGP-55845, baclofen, or CGP-55845 + baclofen, i.p. Myelination in the lumbar spinal cord was assessed in control rats at 18- and 35-day postinduction. Results: CGP treatment significantly enhanced remyelination in EAE rats. This was evidenced by significant improvements in body weight and EAE clinical scores, as well as favorable histological changes. The observed increase in myelin expression in CGP-treated animals suggests that CGP-55845 promotes both remyelination and oligodendrocyte differentiation. Conclusions: Our results suggested that the selective GABAB receptor antagonist CGP-55845 plays a significant role in promoting neural stem cell proliferation, particularly oligodendrocyte cells and remyelination in the EAE model of MS


Keywords

GABA-B receptor antagonists; encephalomyelitis; autoimmune; experimental; receptors; GABA-B; multiple sclerosis; remyelination


References

  1. Kuhlmann T, Antel J. Multiple sclerosis: 2023 update. Free Neuropathology. 2023; 4: 3. doi: 10.17879/freeneuropathology-2023-4675

  2. Walton C, King R, Rechtman L, et al. Rising prevalence of multiple sclerosis worldwide: insights from the Atlas of MS, third edition. Multiple Sclerosis Journal. 2020; 26(14): 1816–1821. doi: 10.1177/1352458520970841

  3. Safiri S, Ghaffari Jolfayi A, Mousavi SE, et al. Global burden of multiple sclerosis and its attributable risk factors, 1990–2019. Frontiers in Neurology. 2024; 15: 1448377. doi: 10.3389/fneur.2024.1448377

  4. Makhani N, Morrow SA, Fisk J, et al. MS incidence and prevalence in Africa, Asia, Australia and New Zealand:
    A systematic review. Multiple Sclerosis and Related Disorders. 2014; 3(1): 48–60. doi: 10.1016/j.msard.
    2013.06.015

  5. Howard J, Trevick S, Younger DS. Epidemiology of multiple sclerosis. Neurologic Clinics. 2016; 34(4): 919–939. doi: 10.1016/j.ncl.2016.06.016

  6. Lucchinetti CF, Popescu BFG, Bunyan RF, et al. Inflammatory cortical demyelination in early multiple sclerosis. New England Journal of Medicine. 2011; 365(23): 2188–2197. doi: 10.1056/NEJMoa1100648

  7. Melamed E, Palmer JL, Fonken C. Advantages and limitations of experimental autoimmune encephalomyelitis in breaking down the role of the gut microbiome in multiple sclerosis. Frontiers in Molecular Neuroscience. 2022; 15: 1019877. doi: 10.3389/fnmol.2022.1019877

  8. Nishihara H, Soldati S, Mossu A, et al. Human CD4+ T cell subsets differ in their abilities to cross endothelial and epithelial brain barriers in vitro. Fluids and Barriers of the CNS. 2020; 17(1): 3. doi: 10.1186/s12987-019-0165-2

  9. Frischer JM, Bramow S, Dal-Bianco A, et al. The relation between inflammation and neurodegeneration in multiple sclerosis brains. Brain. 2009; 132(5): 1175. doi: 10.1093/brain/awp070

  10. Haines JD, Inglese M, Casaccia P. Axonal damage in multiple sclerosis. Mount Sinai Journal of Medicine. 2011; 78(2): 231–243. doi: 10.1002/msj.20246

  11. Hauser SL, Cree BAC. Treatment of multiple sclerosis: A review. American Journal of Medicine. 2020; 133(12): 1380–1390.e2. doi: 10.1016/j.amjmed.2020.05.049

  12. Andersen SL. Neuroinflammation, early-life adversity, and brain development. Harvard Review of Psychiatry. 2022; 30(1): 24–39. doi: 10.1097/HRP.0000000000000325

  13. Wang L, Bruce G, Spary E, et al. GABAB mediated regulation of sympathetic preganglionic neurons: Pre- and postsynaptic sites of action. Frontiers in Neurology. 2010; 1(1): 142. doi: 10.3389/fneur.2010.00142

  14. Jurčić N, Er-Raoui G, Airault C, et al. GABAB receptors modulate Ca2+ but not G protein‐gated inwardly rectifying K+ channels in cerebrospinal‐fluid contacting neurones of mouse brainstem. Journal of Physiology. 2019; 597(2): 631. doi: 10.1113/JP277172

  15. Barnabé-Heider F, Göritz C, Sabelström H, et al. Origin of new glial cells in intact and injured adult spinal cord. Cell Stem Cell. 2010; 7(4): 470–482. doi: 10.1016/j.stem.2010.07.014

  16. Serrano-Regal MP, Bayón-Cordero L, Chara Ventura JC, et al. GABAB receptor agonist baclofen promotes central nervous system remyelination. Glia. 2022; 70(12): 2426–2440. doi: 10.1002/glia.24262

  17. Corns LF, Deuchars J, Deuchars SA. GABAergic responses of mammalian ependymal cells in the central canal neurogenic niche of the postnatal spinal cord. Neuroscience Letters. 2013; 553: 57. doi: 10.1016/j.neulet.2013.07.007

  18. de Souza Oliveira VH, Amorim MA, de Oliveira JRJM, et al. Anti-proliferative and anti-inflammatory effects of the application of baclofen cream, a GABAB receptor agonist, on skin inflammation in mice. European Journal of Pharmacology. 2023; 955: 175910. doi: 10.1016/j.ejphar.2023.175910

  19. Giachino C, Barz M, Tchorz JS, et al. GABA suppresses neurogenesis in the adult hippocampus through GABAB receptors. Development. 2014; 141(1): 83–90. doi: 10.1242/dev.102608

  20. Gutierrez-Castañeda NE, Martínez-Rojas VA, Ochoa-De la Paz LD, et al. The bidirectional role of GABAA and GABAB receptors during the differentiation process of neural precursor cells of the subventricular zone. PLoS One. 2024; 19(6): e0305853. doi: 10.1371/journal.pone.0305853

  21. Longoria V, Parcel H, Toma B, et al. Neurological benefits, clinical challenges, and neuropathologic promise of medical marijuana: A systematic review of cannabinoid effects in multiple sclerosis and experimental models of demyelination. Biomedicines. 2022; 10(3): 539. doi: 10.3390/biomedicines10030539

  22. Serrano-Regal MP, Luengas-Escuza I, Bayón-Cordero L, et al. Oligodendrocyte differentiation and myelination is
    potentiated via GABAB receptor activation. Neuroscience. 2020; 439: 163–180. doi: 10.1016/j.neuroscience.
    2019.07.014

  23. Gobbo D, Rieder P, Fang L-P, et al. Genetic downregulation of GABAB receptors from oligodendrocyte precursor cells protects against demyelination in the mouse spinal cord. Cells. 2024; 13(23): 2014. doi: 10.3390/cells13232014

  24. Noh ASM, Chuan TD, Khir NAM, et al. Effects of different doses of complete Freund’s adjuvant on nociceptive behaviour and inflammatory parameters in polyarthritic rat model mimicking rheumatoid arthritis. PLoS One. 2021; 16(12): e0260423. doi: 10.1371/journal.pone.0260423

  25. Lacroix S, Hamilton LK, Vaugeois A, et al. Central canal ependymal cells proliferate extensively in response to
    traumatic spinal cord injury but not demyelinating lesions. PLoS One. 2014; 9(1): e85916. doi: 10.1371/journal.
    pone.0085916

  26. Nazari M, Komaki A, Karamian R, et al. The interactive role of CB1 and GABAB receptors in hippocampal synaptic plasticity in rats. Brain Research Bulletin. 2016; 120: 123–130. doi: 10.1016/j.brainresbull.2015.11.013

  27. Stromnes IM, Goverman JM. Active induction of experimental allergic encephalomyelitis. Nature Protocols 2006;1(4):1810–1819. doi: 10.1038/nprot.2006.285

  28. Flomerfelt FA, Gress RE. Analysis of cell proliferation and homeostasis using EdU labeling. Methods in Molecular Biology. 2016; 1323: 211. doi: 10.1007/978-1-4939-2809-5_18

  29. Huitema MJD, Strijbis EMM, Luchicchi A, et al. Myelin quantification in white matter pathology of progressive multiple sclerosis post-mortem brain samples: A new approach for quantifying remyelination. International Journal of Molecular Sciences. 2021; 22(23): 12634. doi: 10.3390/ijms222312634

  30. Negri S, Scolari F, Vismara M, et al. GABAA and GABAB receptors mediate GABA-induced intracellular Ca2+ signals in human brain microvascular endothelial cells. Cells. 2022; 11(23): 3860. doi: 10.3390/cells11233860

  31. Bai X, Kirchhoff F, Scheller A. Oligodendroglial GABAergic signaling: More than inhibition! Neuroscience Bulletin. 2021; 37(7): 1039–1050. doi: 10.1007/s12264-021-00693-w

  32. Dupree JL, Feinstein DL. Influence of diet on axonal damage in the EAE mouse model of multiple sclerosis. Journal of Neuroimmunology. 2018; 322: 9–14. doi: 10.1016/j.jneuroim.2018.05.010

  33. Rivers TM, Schwentke FF. Encephalomyelitis accompanied by myelin destruction experimentally produced in monkeys. Journal of Experimental Medicine. 1935; 61(5): 689–702. doi: 10.1084/jem.61.5.689

  34. Rivers TM, Sprunt DH, Berry GP. Observations on attempts to produce acute disseminated encephalomyelitis in monkeys. Journal of Experimental Medicine. 1933; 58(1): 39–52. doi: 10.1084/jem.58.1.39

  35. Zeine R, Cammer W, Barbarese E, et al. Structural dynamics of oligodendrocyte lysis by perforin in culture: Relevance to multiple sclerosis. Journal of Neuroscience Research. 2001: 64(4): 380–391. doi: 10.1002/jnr.1089.

  36. Zeine R, Pon R, Ladiwala U, et al. Mechanism of gamma-delta T cell-induced human oligodendrocyte cytotoxicity: Relevance to multiple sclerosis. Journal of Neuroimmunology. 1998: 87(1–2): 49–61. doi: 10.1016/s0165-5728(98)00047-2

  37. Contarini G, Giusti P, Skaper SD. Active induction of experimental autoimmune encephalomyelitis in C57BL/6 mice. Methods in Molecular Biology. 2018; 1727: 353–360. doi: 10.1007/978-1-4939-7571-6_26

  38. Cossu D, Tomizawa Y, Momotani E, et al. Adjuvant activity of mycobacterium paratuberculosis in enhancing the immunogenicity of autoantigens during experimental autoimmune encephalomyelitis. Journal of Visualized Experiments. 2023; 2023(195). doi: 10.3791/65422

  39. Giralt M, Molinero A, Hidalgo J. Active induction of experimental autoimmune encephalomyelitis (EAE) with
    MOG35-55 in the mouse. Methods in Molecular Biology. 2018; 1791: 227–232. doi: 10.1007/978-1-4939-
    7862-5_17

  40. Laaker C, Hsu M, Fabry Z, et al. Experimental autoimmune encephalomyelitis in the mouse. Current Protocols. 2021; 1(12): e300. doi: 10.1002/cpz1.300

  41. Davanzo GG, Castro G, Monteiro L de B, et al. Obesity increases blood-brain barrier permeability and aggravates the mouse model of multiple sclerosis. Multiple Sclerosis and Related Disorders. 2023; 72: 104605. doi: 10.1016/j.msard.2023.104605

  42. Carvalho-Galvão A, Guimarães DD, De Brito Alves JL, et al. Central inhibition of tumor necrosis factor alpha reduces hypertension by attenuating oxidative stress in the rostral ventrolateral medulla in renovascular hypertensive rats. Frontiers in Physiology. 2019; 10(APR): 491. doi: 10.3389/fphys.2019.00491

  43. Akassoglou K, Bauer J, Kassiotis G, et al. Oligodendrocyte apoptosis and primary demyelination induced by local TNF/p55TNF receptor signaling in the central nervous system of transgenic mice: Models for multiple sclerosis with primary oligodendrogliopathy. American Journal of Pathology. 1998; 153(3): 801. doi: 10.1016/S0002-9440(10)65622-2

  44. Bizzozzero-Hiriart M, Di Giorgio NP, Libertun C, et al. GABAergic input through GABAB receptors is necessary during a perinatal window to shape gene expression of factors critical to reproduction such as Kiss1. American Journal of Physiology: Endocrinology and Metabolism. 2020; 318(6): E901–E919. doi: 10.1152/ajpendo.00547.2019

  45. Zorzella-Pezavento SFG, Chiuso-Minicucci F, França TGD, et al. Persistent inflammation in the CNS during chronic EAE despite local absence of IL-17 production. Mediators of Inflammation. 2013; 2013: 519627. doi: 10.1155/2013/519627

  46. Luyt K, Slade TP, Dorward JJ, et al. Developing oligodendrocytes express functional GABAB receptors that stimulate cell proliferation and migration. Journal of Neurochemistry. 2007; 100(3): 822–840. doi: 10.1111/j.1471-4159.2006.04255.x

  47. Rossi S, Studer V, Motta C, et al. Inflammation inhibits GABA transmission in multiple sclerosis. Multiple Sclerosis. 2012; 18(11): 1633–1635. doi: 10.1177/1352458512440207

  48. Moszczynski AJ, Volkening K, Strong MJ. Neurofilament Immunohistochemistry followed by luxol fast blue, for staining axons and myelin in the same paraffin section of spinal cord. Applied Immunohistochemistry & Molecular Morphology. 2020; 28(7): 562–565. doi: 10.1097/PAI.0000000000000814

  49. Wang Y, Sadike D, Huang B, et al. Regulatory T cells alleviate myelin loss and cognitive dysfunction by regulating neuroinflammation and microglial pyroptosis via TLR4/MyD88/NF-κB pathway in LPC-induced demyelination. Journal of Neuroinflammation. 2023; 20(1): 41. doi: 10.1186/s12974-023-02721-0.

  50. Brown C, McKee C, Halassy S, et al. Neural stem cells derived from primitive mesenchymal stem cells reversed disease symptoms and promoted neurogenesis in an experimental autoimmune encephalomyelitis mouse model of multiple sclerosis. Stem Cell Research & Therapy. 2021; 12(1): 499. doi: 10.1186/s13287-021-02563-8

  51. Villoslada P, Steinman L. New targets and therapeutics for neuroprotection, remyelination and repair in multiple sclerosis. Expert Opinion on Investigational Drugs. 2020; 29(5): 443–459. doi: 10.1080/13543784.2020.1757647

  52. Kirchhoff F. GABAergic signaling to NG2 glia in de- and re-myelination. IBRO Reports. 2019; 6: S33–S34.

  53. De Angelis F, Bernardo A, Magnaghi V, et al. Muscarinic receptor subtypes as potential targets to modulate oligodendrocyte progenitor survival, proliferation, and differentiation. Developmental Neurobiology. 2012; 72(5): 713–728. doi: 10.1002/dneu.20976

  54. Musella A, Fresegna D, Rizzo FR, et al. A novel crosstalk within the endocannabinoid system controls GABA transmission in the striatum. Scientific Reports. 2017; 7(1): 7363. doi: 10.1038/s41598-017-07519-8

  55. Gaesser JM, Fyffe-Maricich SL. Intracellular signaling pathway regulation of myelination and remyelination in the CNS. Experimental Neurology. 2016; 283(Pt B): 501–511. doi: 10.1016/j.expneurol.2016.03.008

  56. Ye P, Li L, Richards RG, DiAugustine RP, et al. Myelination is altered in insulin-like growth factor-I null mutant mice. Journal of Neuroscience. 2002; 22(14): 6041–6051. doi: 10.1523/JNEUROSCI.22-14-06041.2002

  57. Athapaththu AMGK, Molagoda IMN, Jayasooriya RGPT, et al. Gamma-aminobutyric acid (GABA) promotes growth in zebrafish larvae by inducing IGF-1 expression via GABAA and GABAB receptors. International Journal of Molecular Sciences. 2021; 22: 11254. doi: 10.3390/ijms222011254

  58. Porcher C, Medina I, Gaiarsa JL. Mechanism of BDNF modulation in GABAergic synaptic transmission in healthy and disease brains. Frontiers in Cellular Neuroscience. 2018; 12: 396762. doi: 10.3389/fncel.2018.00273

  59. Xiao J. Thirty years of BDNF study in central myelination: From biology to therapy. Journal of Neurochemistry. 2023; 167(3): 321–336. doi: 10.1111/jnc.15968

  60. Uzair M, Qaiser H, Arshad M, et al. Neurobiology of cannabinoids and medical cannabis in therapeutic intervention for multiple sclerosis: Understanding the molecular mechanisms of action. In: Medical Cannabis and the Effects of Cannabinoids on Fighting Cancer, Multiple Sclerosis, Epilepsy, Parkinson’s, and Other Neurodegenerative Diseases. IGI Global. 2023; pp. 187–216.

  61. Oz M, Yang KHS, Mahgoub MO. Effects of cannabinoids on ligand-gated ion channels. Frontiers in Physiology. 2022; 13: 1041833. doi: 10.3389/fphys.2022.1041833

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