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Published on: October 25, 2018
The expression of BAFF-binding receptors is not altered in multiple sclerosis or myasthenia gravis
M Thangarajh1, L Kisiswa, R Pirskanen
1Division of Neurology, Department of Clinical Neuroscience, Karolinska Institutet, Karolinska University Hospital at Huddinge, Stockholm, Sweden. mathula.thangarajh@ki.se
Abstract:
Multiple sclerosis (MS) is a chronic, progressive disease of the central nervous system (CNS) characterized by consistent myelin injury. Antibody-mediated death of oligodendrocytes is a pathological feature in a subset of MS patients and may be of relevance to disease pathogenesis. In myasthenia gravis (MG), acetylcholine receptors (AChR) situated at the neuromuscular endplate are destroyed by autoreactive antibodies. B-cell activating factor of the tumour necrosis factor (TNF) superfamily (BAFF) is essential for B-cell survival. Using flow cytometry, we evaluated the expression of three BAFF-binding receptors, namely, BAFF-receptor (BAFF-R), B-cell maturation antigen (BCMA), and transmembrane activator and calcium modulating and cyclophilin ligand interactor (TACI) in peripheral-blood lymphocytes. Nearly all CD19(+) B cells and CD19(+)CD27(+) memory B cells expressed BAFF-R. The intensity of BAFF-R expression was not statistically different in MS or MG compared with healthy controls. Very few T cells expressed BAFF-R. BCMA expression was strictly limited to B cells. Although both B and T cells expressed TACI, levels were much higher on B cells compared with levels on T cells. The percentages of B and T cells expressing BCMA and TACI did not differ significantly in MS or MG versus controls. We conclude that the expression of BAFF-binding receptors is not appreciably altered in MS or MG.
Insights
B-cell activating factor (BAFF) receptors are not altered in multiple sclerosis (MS) or myasthenia gravis (MG). This study found no significant differences in BAFF-binding receptor expression on lymphocytes in patients with MS or MG compared to healthy individuals.
Area of Science:
- Immunology
- Neuroimmunology
- Cell Biology
Background:
- Multiple sclerosis (MS) involves central nervous system myelin injury, with antibody-mediated oligodendrocyte death in some cases.
- Myasthenia gravis (MG) is characterized by autoantibodies destroying acetylcholine receptors at the neuromuscular junction.
- B-cell activating factor (BAFF) is crucial for B-cell survival and implicated in autoimmune diseases.
Purpose of the Study:
- To investigate the expression of BAFF-binding receptors (BAFF-R, BCMA, TACI) on peripheral blood lymphocytes in MS and MG patients.
- To compare receptor expression levels between patients with MS or MG and healthy controls.
Main Methods:
- Flow cytometry was used to analyze the expression of BAFF-R, BCMA, and TACI on B cells and T cells.
- Peripheral blood lymphocytes from MS patients, MG patients, and healthy controls were analyzed.
Main Results:
- BAFF-receptor (BAFF-R) was highly expressed on B cells (CD19+) and memory B cells (CD19+CD27+), with no significant difference in intensity between MS, MG, and controls.
- BCMA was exclusively expressed on B cells, and TACI was expressed on both B and T cells, with higher levels on B cells.
- The percentages of B and T cells expressing BCMA and TACI showed no significant differences between MS/MG patients and controls.
Conclusions:
- The expression of BAFF-binding receptors (BAFF-R, BCMA, TACI) on peripheral blood lymphocytes is not significantly altered in multiple sclerosis or myasthenia gravis.
- These findings suggest that alterations in BAFF-binding receptor expression are unlikely to be a primary driver in the pathogenesis of MS or MG.
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