Circulating levels of soluble apoptosis-related molecules in patients with multiple sclerosis

Montserrat Moreno1, Matías Sáenz-Cuesta, Joaquín Castilló

  • 1Department of Neurology-Neuroimmunology, Centre d'Esclerosi Múltiple de Catalunya, Cemcat, Institut de Recerca Vall d'Hebron, Hospital Universitari Vall d´Hebron (HUVH), Barcelona, Spain.

Insights

Defective apoptosis in multiple sclerosis (MS) may involve TNF-related apoptosis-inducing ligand (TRAIL). Researchers found lower TRAIL levels in relapsing-remitting MS patients during relapses, suggesting TRAIL

Area of Science:

  • Immunology
  • Neuroimmunology
  • Cellular Biology

Background:

  • Defective apoptotic elimination of autoreactive T lymphocytes is implicated in multiple sclerosis (MS) pathogenesis.
  • Soluble apoptosis-related molecules may serve as biomarkers for MS activity.

Purpose of the Study:

  • To investigate serum levels of soluble Fas (sFas), Fas ligand (sFasL), and TNF-related apoptosis-inducing ligand (sTRAIL) in patients with multiple sclerosis.
  • To determine if these soluble factors correlate with disease activity or clinical form in MS.

Main Methods:

  • Immunoassay was used to quantify serum levels of sFas, sFasL, and sTRAIL.
  • Levels were compared between 92 untreated MS patients (various clinical forms and activity phases) and 38 healthy controls (HC).

Main Results:

  • No significant differences in serum sFas, sFasL, or sTRAIL levels were observed between MS patients and HC overall.
  • However, sTRAIL levels were significantly decreased in patients with relapsing-remitting MS (RRMS) during active relapse phases.

Conclusions:

  • The findings suggest a potential role for TRAIL dysregulation in the pathogenesis of MS, particularly during acute relapses.
  • Reduced TRAIL levels during relapses may indicate impaired apoptotic mechanisms contributing to disease activity in MS.