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Published on: March 18, 2019
Interferon-beta modulates bone-associated cytokines and osteoclast precursor activity in multiple sclerosis patients
Bianca Weinstock-Guttman1, Jianming Hong, Roseane Santos
1Jacobs Neurological Institute, Buffalo General Hospital, Buffalo, NY 14203, USA.
Purpose:
Multiple sclerosis (MS) patients have a high risk of low bone density. The purpose of this study was to examine the molecular mechanisms potentially capable of modulating bone homeostasis in response to interferon-beta-1a (IFN-beta-1a) treatment and the focus was the bone-modulating system comprised of receptor activator of nuclear factor-kappaB (RANK), its ligand RANKL and its decoy receptor, osteoprotegerin (OPG).
Methods:
In this open-label pharmacodynamic study, peripheral blood was obtained from relapsing-remitting MS patients just prior to and at multiple time points after intramuscular injection of 30 microg IFN-beta-1a. Samples were analysed for RANKL, tumour necrosis factor related apoptosis-inducing ligand (TRAIL), OPG and macrophage inflammatory protein-1 alpha/beta expression. Osteoclast precursor differentiation from peripheral blood cells of MS patients in the presence of exogenously added IFN-beta-1a was also assessed. Additionally, the changes in plasma levels of osteocalcin and the C-telopeptides after 1 year of treatment were measured as surrogate markers of bone formation and degradation, respectively.
Results:
IFN-beta-1a treatment modulated RANKL and OPG in a selective, time-dependent manner. The levels of OPG protein decreased 25% at the 8-h time point, then increased 43% at the 24-h time point. The levels of free RANKL reached a maximum at the 8-h time point. Increases in the levels of macrophage inflammatory protein-1beta (MIP-1beta), a chemokine that increases osteolysis, were observed. The levels of the bone formation marker, osteocalcin, were lower in MS patients compared to controls and increased after one year of treatment. Ex vivo treatment of peripheral blood lymphocytes with IFN-beta resulted in a marked reduction of osteoclast-like cells in the presence of RANKL and macrophage colony stimulating factor.
Conclusions:
IFN-beta treatment induces complex, specific and time-dependent changes in multiple proteins and mRNAs related to bone homeostasis in MS patients.
Insights
Interferon-beta-1a (IFN-beta-1a) treatment impacts bone density in multiple sclerosis (MS) patients by altering key bone-modulating proteins like RANKL and OPG. This study reveals complex, time-dependent molecular changes influencing bone homeostasis during MS treatment.
Area of Science:
- Neuroimmunology
- Bone Biology
- Pharmacodynamics
Background:
- Multiple sclerosis (MS) patients exhibit an elevated risk of reduced bone density.
- Understanding the molecular mechanisms of bone homeostasis is crucial for managing MS complications.
Purpose of the Study:
- To investigate the molecular mechanisms influencing bone homeostasis in MS patients treated with interferon-beta-1a (IFN-beta-1a).
- To analyze the effects of IFN-beta-1a on the bone-modulating system involving receptor activator of nuclear factor-kappaB (RANK), RANK ligand (RANKL), and osteoprotegerin (OPG).
Main Methods:
- Open-label pharmacodynamic study involving peripheral blood sampling from MS patients before and after IFN-beta-1a injection.
- Analysis of RANKL, TRAIL, OPG, and MIP-1 alpha/beta expression.
- Assessment of osteoclast precursor differentiation and measurement of bone formation/degradation markers (osteocalcin, C-telopeptides).
Main Results:
- IFN-beta-1a modulated OPG and RANKL levels in a time-dependent manner, with initial decreases and subsequent increases in OPG, and peak RANKL at 8 hours.
- Increased levels of macrophage inflammatory protein-1beta (MIP-1beta), a factor promoting osteolysis, were observed.
- Osteocalcin levels, lower in MS patients, increased after one year of treatment, and ex vivo IFN-beta reduced osteoclast-like cell formation.
Conclusions:
- IFN-beta-1a treatment induces intricate, specific, and time-dependent alterations in proteins and mRNAs associated with bone homeostasis in MS patients.
- These findings highlight the complex interplay between MS treatment and bone metabolism.
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