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Updated: May 9, 2026

Comprehensive Autopsy Program for Individuals with Multiple Sclerosis
Published on: July 19, 2019
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.
Abstract:
Evidence exists that apoptotic elimination of autoreactive T lymphocytes is defective in multiple sclerosis (MS). Here, we measured serum levels of soluble forms of Fas (sFas), Fas ligand (sFasL) and TNF-related apoptosis-inducing ligand (sTRAIL) in 38 healthy controls (HC) and 92 untreated MS patients with different clinical forms and activity phases of the disease by immunoassay. Serum levels of sFas, sFasL and sTRAIL did not differ between MS patients and HC. sTRAIL levels were significantly decreased in RRMS during relapses. These findings support a role of TRAIL in the pathogenesis of MS, especially during the acute phases of the disease.
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.
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