Monocytes P2X7 purinergic receptor is modulated by glatiramer acetate in multiple sclerosis
Mariantonietta Caragnano1, Paola Tortorella, Alessandra Bergami
1Department of Medical and Occupational Sci., University of Foggia, Italy.
Abstract:
The aim of this study is to investigate the expression of P2X7R, IL-1beta and the ATP activity modulating ecto-apyrase CD39 on peripheral blood monocytes of MS patients and to observe the possible effects of Glatiramer Acetate (GA) on such expression. Twelve RR treatment-free MS patients were selected and peripheral blood monocytes were obtained. The expression of P2X7R, IL-1beta and CD39 on monocytes was investigated by qrt-PCR. The in vitro effects of GA on the expression of monocytes stimulated with BzATP (a potent P2X7R agonist)-were evaluated. Ten healthy donors (HDs) were similarly studied. Finally, 5 MS patients were given GA therapy and the monocytes obtained before treatment, after 3 and 12 months of GA treatment were similarly investigated. No differences were found in P2X7R, IL-1beta and CD39 expression between patients and controls. In MS Bz-ATP stimulated monocytes, GA pre-conditioning clearly downregulated P2X7R (p=0.003) but IL-1beta expression also showed a decreasing trend (p=0.07). Conversely, CD39 showed an increasing trend (p=0.07). Similar evidence was found in HDs. GA in vivo treatment induced a reduction in the expression that was clear for P2X7R and CD39 (p<0.05) but only not significant for IL-1beta after 12 months of treatment. Monocytes from both MS and control subjects express P2X7R, IL-1beta and CD39, and GA seems to interfere with such expression.
Insights
Glatiramer Acetate (GA) treatment appears to modulate P2X7 receptor and CD39 expression on monocytes in multiple sclerosis (MS) patients. GA downregulated P2X7 receptor expression in vitro and in vivo, with trends toward altered IL-1beta and CD39 levels.
Area of Science:
- Immunology
- Neuroscience
- Pharmacology
Background:
- Multiple Sclerosis (MS) is a chronic inflammatory disease of the central nervous system.
- Monocytes play a role in MS pathogenesis.
- P2X7 receptor (P2X7R), IL-1beta, and CD39 are involved in immune responses.
Purpose of the Study:
- To investigate the expression of P2X7R, IL-1beta, and CD39 on monocytes from MS patients.
- To evaluate the in vitro and in vivo effects of Glatiramer Acetate (GA) on these markers.
Main Methods:
- Quantitative real-time PCR (qrt-PCR) was used to measure gene expression.
- Monocytes were isolated from treatment-naïve MS patients and healthy donors (HDs).
- In vitro GA treatment of stimulated monocytes and in vivo GA treatment of MS patients were assessed.
Main Results:
- No significant differences in P2X7R, IL-1beta, or CD39 expression were found between MS patients and HDs at baseline.
- In vitro GA pre-conditioning downregulated P2X7R expression in BzATP-stimulated MS monocytes and HD monocytes.
- In vivo GA treatment reduced P2X7R and CD39 expression in MS patients after 12 months.
Conclusions:
- Monocytes from MS patients and healthy individuals express P2X7R, IL-1beta, and CD39.
- Glatiramer Acetate demonstrates potential to modulate P2X7R, IL-1beta, and CD39 expression on monocytes.
- These findings suggest a mechanism by which GA may exert its therapeutic effects in MS.
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