Apigenin, a natural flavonoid, attenuates EAE severity through modulation of dendritic and other immune cell functions Rashida Emily 1* McTish , 2 Singh , Narendra Chander Pooja Jain1#, and Zafar K. Khan1# 3 Raman , Mitzi 2 Nagarkatti , of Microbiology and Immunology, and the Institute for Molecular Medicine and Infectious Disease, Drexel University College of Medicine, Philadelphia, 2900 W Queen Lane, PA, USA 2Department of Pathology, Microbiology and Immunology, University of South Carolina, Columbia, SC, USA 3Division of Clinical Immunology and Rheumatology, University of Alabama School of Medicine, 1825 University Boulevard, Birmingham, AB, USA *Equal Contributions #Corresponding Authors ABSTRACT Apigenin, a natural flavonoid, found in parsley, chamomile and other plants, fruits, vegetables, herbs, and spices is known to have anti-oxidant and anti-inflammatory properties. The use of Apigenin containing plants for centuries as medicinal approaches to treat asthma, intransigent insomnia, Parkinson's disease, neuralgia, and shingles have been indicative of its role in the regulation of inflammation. However, there is a considerable dearth of information regarding its effect on immune cells, especially dendritic cells (DC) that maintain the critical balance between an immunogenic and tolerogenic immune response, in an immunospecialized location like the central nervous system (CNS). Thus we looked at the anti-inflammatory properties of Apigenin in restoration of immune function and the resultant decrease in neuroinflammation. In vitro, Apigenin inhibited IL-6 and TNF-α secretion in mouse monocyte-derived MDDCs and splenic DCs stimulated with LPS and the cell surface expression of α4 integrin (adhesion), CD86 (costimulation), CLEC12A (antigen uptake) and MHC II (antigen presentation) molecules on DCs. To test if Apigenin treatment ameliorates disease after onset of experimental autoimmune encephalomyelitis (EAE) and its relapse, C57BL/6 and SJL mouse models of multiple sclerosis were immunized with MOG35-55 and PLP139-151 respectively, followed by treatment with Apigenin. A significant reduction in severity of EAE progression and relapse was observed in the treated mice. Apigenin treated EAE mice show decreased expression of α4 integrin and CLEC12A on splenic DCs and an increased retention of DCs and macrophages in the periphery compared to untreated EAE mice. This correlated with immunohistochemistry findings of decreased immune cell infiltration and reduced demyelination in the CNS. These results indicate a protective role of Apigenin against the neurodegenerative effects resulting from the entry of DC stimulated pathogenic T cells into the CNS. Apigenin can thus serve as a potential therapy for neuroinflammatory disease through its regulation of immunogenic T cell response. Apigenin delays the course and attenuates EAE disease severity Restoration of immune cell function with Apigenin treatment Integrins and lectins on DCs are down-modulated in both C57BL/6 and SJL mice with Apigenin treatment Apigenin reduces immune cell infiltration into the CNS Apigenin sequesters immune cells in the spleen of both C57BL/6 and SJL mice 4x Cervical Lumbar EAE + Vehicle 1Department 1* Ginwala , INTRODUCTION EAE + Apigenin DCs and other immune cells in neuroinflammation and the restoration of their function by Apigenin HYPOTHESIS EAE + Apigenin EAE + Vehicle 4x Accumulation of immune cells in the periphery of SJL mice upon Apigenin treatment Apigenin may target the pro-inflammatory functions of DCs and their migration into the CNS, preventing generation and activation of myelin-specific T cells thereby reducing the marked neuroinflammation and its associated clinical pathologies. CONCLUSIONS AND FUTURE DIRECTIONS Decreased TH17 response upon restimulation with MOG and PLP peptides in Apigenin treated mice Experimental autoimmune encephalomyelitis (EAE), a well-established mouse model for neuroinflammation representing multiple sclerosis (MS) in human Apigenin restores immune cell function in treated EAE mice Activation and co-stimulatory markers on DCs are down-modulated in both C57BL/6 and SJL mice with Apigenin treatment