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Impaired apoptotic deletion of myelin basic protein-reactive T cells in patients with multiple sclerosis

Y C Zang1, M M Kozovska, J Hong

  • 1Department of Neurology, Baylor College of Medicine, and Baylor-Methodist Multiple Sclerosis Center, Houston 77030, USA. jzang@bcm.tmc.edu

Insights

Multiple sclerosis (MS) patients show increased myelin basic protein (MBP)-reactive T cells when apoptosis is blocked. This suggests a defect in the natural removal of these disease-associated T cells in MS.

Area of Science:

  • Immunology
  • Neuroscience
  • Cell Biology

Background:

  • T cell responses to myelin basic protein (MBP) are implicated in multiple sclerosis (MS) pathogenesis.
  • Regulatory mechanisms, such as apoptotic deletion, influence the frequency of MBP-reactive T cells.

Purpose of the Study:

  • To investigate the frequency of MBP-reactive T cells in MS patients.
  • To examine the role of apoptotic deletion in regulating MBP-reactive T cells in MS.

Main Methods:

  • Utilized a cell culture-based assay to assess MBP-reactive T cell frequency.
  • Employed Fas-ligand antibody to block apoptosis during T cell analysis.

Main Results:

  • A significantly increased frequency of MBP-reactive T cells was observed in MS patients compared to healthy individuals when apoptosis was inhibited.
  • These findings indicate that a substantial population of MBP-reactive T cells are sensitive to apoptosis but are not effectively deleted in vivo in MS patients.
  • The surviving T cell lines recognized a specific region (111-139) of MBP and displayed a Th2 cytokine profile.

Conclusions:

  • Suggests a functional deficit in the apoptotic deletional mechanism for MBP-reactive T cells in multiple sclerosis.
  • Highlights the importance of apoptosis in regulating potentially pathogenic T cell responses in MS.
  • Identified distinct subpopulations of Fas-sensitive MBP-reactive T cells involved in MS pathogenesis.

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