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Increased levels of APRIL (a proliferation-inducing ligand) mRNA in multiple sclerosis
Mathula Thangarajh1, Thomas Masterman, Uros Rot
1Division of Neurology, Department of Clinical Neuroscience, Karolinska Institutet, Karolinska University Hospital, SE-141 86 Stockholm, Sweden. Mathula.Thangarajh@neurotec.ki.se
Abstract:
B cells play an indispensable, yet indeterminate, role in the pathogenesis of multiple sclerosis (MS). We measured mRNA of APRIL-a promotor of B-cell survival-in peripheral blood and quantified protein levels in plasma and cerebrospinal fluid in MS patients and controls. APRIL mRNA levels in monocytes and T cells were significantly higher in MS patients than in controls. Levels of soluble APRIL in plasma were higher in patients with chronic progressive MS than in patients with relapsing-remitting MS, albeit not significantly. MS may thus be associated with increased transcription in peripheral blood of factors promoting B-cell survival, including APRIL.
Insights
Multiple sclerosis (MS) involves B cells, with elevated APRIL mRNA in immune cells of patients. This suggests increased APRIL, a B-cell survival promoter, may contribute to MS pathogenesis.
Area of Science:
- Neuroimmunology
- Immunology
- Cell Biology
Background:
- B cells are crucial in multiple sclerosis (MS) pathogenesis, but their exact role remains unclear.
- APRIL (a proliferation-inducing ligand) is a key factor promoting B-cell survival.
Purpose of the Study:
- To investigate the role of APRIL in multiple sclerosis (MS).
- To measure APRIL mRNA and protein levels in MS patients and healthy controls.
Main Methods:
- Quantified APRIL mRNA levels in peripheral blood monocytes and T cells.
- Measured soluble APRIL protein levels in plasma and cerebrospinal fluid (CSF).
- Compared levels between MS patients (relapsing-remitting and chronic progressive) and controls.
Main Results:
- APRIL mRNA levels were significantly higher in monocytes and T cells of MS patients compared to controls.
- Soluble APRIL protein levels in plasma were elevated in chronic progressive MS patients versus relapsing-remitting MS patients, though not significantly.
Conclusions:
- Increased APRIL transcription in peripheral blood may contribute to B-cell survival in MS.
- APRIL is a potential factor implicated in the pathogenesis of multiple sclerosis.
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