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Updated: Jul 4, 2026

Characterization of Multi-subunit Protein Complexes of Human MxA Using Non-denaturing Polyacrylamide Gel-electrophoresis
Published on: October 28, 2016
MxA protein--an interferon beta biomarker in primary progressive multiple sclerosis patients
A Millonig1, A Dressel, D Bahner
1Department of Neurology, Innsbruck Medical University, Innsbruck, Austria.
Background And Purpose:
Interferon beta (IFNbeta) preparations have some effect on the progressive phase of multiple sclerosis (MS). This limited effect might be partially because of a certain number of IFNbeta non-responders. Myxovirus resistance protein A (MxA)--a marker of IFNbeta bioactivity--was correlated with the clinical response during an uncontrolled trial, investigating the safety of IFNbeta-1b in primary progressive (PPMS) patients.
Methods:
Twenty PPMS were treated with IFNbeta-1b (s.c.) for 1 year. Blood samples were taken before and 1, 2, 3, 6, 9, 12, and 15 months after treatment initiation and MxA protein levels were measured. Patients were clinically evaluated by EDSS and the more sensitive Incapacity Status Scale (ISS) and stratified in a stable and a progressing group.
Results:
Using ISS criteria, 11 patients remained stable and nine patients progressed during treatment. The mean area under the curve of log MxA levels during treatment were significantly higher in stable than in progressing patients (10.87 vs. 5.99; P = 0.002).
Conclusion:
A good biological response to IFNbeta might be associated with a better clinical effect of this drug and could be helpful in future clinical studies for early identification of treatment responders.
Insights
Myxovirus resistance protein A (MxA) levels indicate biological response to interferon beta (IFNbeta) in primary progressive multiple sclerosis (PPMS). Higher MxA levels correlated with stable disease, suggesting MxA as a predictor of IFNbeta treatment effectiveness.
Area of Science:
- Neuroimmunology
- Biomarker Discovery
- Multiple Sclerosis Therapeutics
Background:
- Interferon beta (IFNbeta) shows limited efficacy in progressive multiple sclerosis (MS).
- Non-response to IFNbeta may stem from individual biological variability.
- Myxovirus resistance protein A (MxA) is a biomarker for IFNbeta bioactivity.
Purpose of the Study:
- To investigate the correlation between MxA protein levels and clinical response to IFNbeta-1b in primary progressive MS (PPMS) patients.
- To assess MxA as a potential indicator of treatment efficacy in PPMS.
Main Methods:
- Twenty PPMS patients received subcutaneous IFNbeta-1b for one year.
- MxA protein levels were measured in blood samples taken at multiple time points during treatment.
- Clinical status was assessed using the Expanded Disability Status Scale (EDSS) and the Incapacity Status Scale (ISS).
Main Results:
- Patients were stratified into stable (n=11) and progressing (n=9) groups based on ISS.
- Mean area under the curve of log MxA levels was significantly higher in stable patients compared to progressing patients (10.87 vs. 5.99; P = 0.002).
Conclusions:
- A robust biological response, indicated by higher MxA levels, may be associated with better clinical outcomes in PPMS patients treated with IFNbeta.
- MxA levels could aid in the early identification of potential responders to IFNbeta therapy in future clinical studies.
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Multiple Sclerosis l: Introduction
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