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Increased IL-10 mRNA and IL-23 mRNA expression in multiple sclerosis: interferon-beta treatment increases IL-10 mRNA

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Interferon-beta therapy for multiple sclerosis (MS) does not shift Th1/Th2 cytokines but increases regulatory IL-10 and decreases IL-23, potentially impacting the Th17 axis.

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Area of Science:

  • Immunology
  • Neuroimmunology
  • Molecular Biology

Background:

  • Multiple sclerosis (MS) treatment with Interferon-beta (IFN-beta) is controversial regarding its proposed shift from pathogenic Th1 to less detrimental Th2 cytokines.
  • Investigating in vivo cytokine and transcription factor mRNA expression in blood mononuclear cells (MNCs) and whole blood during IFN-beta therapy in MS patients is crucial.

Purpose of the Study:

  • To analyze the in vivo effects of IFN-beta therapy on cytokine and transcription factor mRNA expression in patients with multiple sclerosis.
  • To determine if IFN-beta therapy promotes a Th1 or Th2 cytokine profile shift in MS patients.

Main Methods:

  • Real-time reverse transcriptase polymerase chain reaction (PCR) was used to analyze mRNA expression.
  • Blood samples were collected from 20 relapsing-remitting MS patients before and after 3 months of IFN-beta treatment.
  • Findings were confirmed in an additional cohort of 39 MS patients and 50 healthy volunteers.

Main Results:

  • Untreated MS patients exhibited elevated levels of interleukin (IL)-23 and IL-10 mRNA.
  • IFN-beta therapy led to increased IL-10 and decreased IL-23 mRNA expression, independent of Th1 or Th2 cytokines.
  • The most significant changes in cytokine mRNA levels were observed early after IFN-beta injection (approximately 9-12 hours).

Conclusions:

  • IFN-beta therapy in MS does not appear to promote a Th1 or Th2 mRNA expression profile.
  • The therapeutic benefits of IFN-beta are likely mediated by the induction of the regulatory cytokine IL-10.
  • Decreased IL-23 mRNA levels following IFN-beta therapy suggest the Th17 axis, implicated in MS pathogenesis, may also be a therapeutic target.