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Updated: May 9, 2026

Comprehensive Autopsy Program for Individuals with Multiple Sclerosis
Published on: July 19, 2019
A further TWEAK to multiple sclerosis pathophysiology
Arash Nazeri1, Pouria Heydarpour, Shokufeh Sadaghiani
1Interdisciplinary Neuroscience Research Program, Tehran University of Medical Sciences, Tehran, Iran.
Abstract:
Tumor necrosis factor (TNF)-like weak inducer of apoptosis (TWEAK) is a member of the TNF super family that controls many cellular activities including proliferation, migration, differentiation, apoptosis, and inflammation by binding to fibroblast growth factor-inducible 14 (Fn14), a highly inducible cell surface receptor. Recent studies have indicated that TWEAK-Fn14 axis signaling may contribute to chronic autoimmune diseases. TWEAK expression via microglia in cortical lesions, presence of TWEAK(+) macrophages in inflamed leptomeninges, and absence of TWEAK/Fn14 expression in healthy brain implicates importance of this pathway in pathogenesis of multiple sclerosis lesions. TWEAK-Fn14 axis blockade has also shown promise in various multiple sclerosis animal models. Stimulation of the TWEAK/Fn14 pathway can result in activation of both canonical and noncanonical NF-κB signaling and could also stimulate mitogen-activated protein kinase (MAPK) signaling pathways. Here, we have reviewed evidence of the possible role of TWEAK-Fn14 axis in pathophysiology of multiple sclerosis and experimental autoimmune encephalomyelitis (EAE) via neuroinflammation, tissue remodeling, blood-brain barrier (BBB) disruption, neurodegeneration, and astrogliosis.
Insights
The TWEAK-Fn14 pathway is implicated in multiple sclerosis (MS) pathogenesis. Blocking this axis shows promise in MS models by modulating neuroinflammation and neurodegeneration.
Area of Science:
- Immunology
- Neuroscience
- Cell Biology
Background:
- Tumor necrosis factor (TNF)-like weak inducer of apoptosis (TWEAK) is a TNF superfamily member regulating cellular functions.
- TWEAK binds fibroblast growth factor-inducible 14 (Fn14), a receptor involved in cellular responses.
- The TWEAK-Fn14 axis is increasingly recognized for its role in chronic autoimmune diseases.
Purpose of the Study:
- To review the evidence for the TWEAK-Fn14 axis in multiple sclerosis (MS) pathophysiology.
- To explore the role of this pathway in neuroinflammation, tissue remodeling, blood-brain barrier disruption, neurodegeneration, and astrogliosis.
- To highlight the therapeutic potential of TWEAK-Fn14 axis blockade in MS models.
Main Methods:
- Review of existing literature on TWEAK-Fn14 signaling in MS and experimental autoimmune encephalomyelitis (EAE).
- Analysis of TWEAK and Fn14 expression in healthy and diseased brain tissue.
- Examination of signaling pathways activated by TWEAK-Fn14, including NF-κB and MAPK.
Main Results:
- TWEAK is expressed in microglia and macrophages within MS lesions, while absent in healthy brains.
- TWEAK-Fn14 axis activation influences neuroinflammation, blood-brain barrier integrity, and neurodegeneration in MS.
- Blockade of the TWEAK-Fn14 axis demonstrates therapeutic potential in EAE models.
Conclusions:
- The TWEAK-Fn14 axis plays a significant role in the pathophysiology of multiple sclerosis.
- Targeting the TWEAK-Fn14 pathway represents a promising therapeutic strategy for MS.
- Further research into TWEAK-Fn14 signaling is crucial for understanding and treating MS.
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