Identification of TNFAIP3 as relapse biomarker and potential therapeutic target for MOG antibody associated diseases
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Updated: Dec 13, 2025

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Published on: September 12, 2019
Shrishti Saxena1, Hrishikesh Lokhande1, Grace Gombolay1,2,3
1Ann Romney Center for Neurologic Disease, Brigham and Women's Hospital, Harvard Medical School, 60 Fenwood Road, Office 9002K, Boston, MA, 02115-6128, USA.
Abstract:
MOG-antibody associated disease (MOG-AAD) is a recently recognized demyelinating disorder predominantly affecting children but also occurs in adults, with a relapsing course in approximately 50% of patients. We evaluated peripheral blood mononuclear cells from MOG-AAD patients by flow cytometry and found a strong antigen specific central memory cell (CMC) response with increased Th1 and Th17 cells at the time of a relapse. Transcriptomic analysis of CMCs by three independent sequencing platforms revealed TNFAIP3 as a relapse biomarker, whose expression was down regulated at a relapse compared to remission in MOG-AAD patients. Serum in an additional cohort of patients showed decreased TNFAIP3 levels at relapse compared to remission state in MOG-AAD patients. Our studies suggest that alterations in TNFAIP3 levels are associated with relapses in MOG-AAD patients, which may have clinical utility as a disease course biomarker and therapeutic target.
Insights
MOG-antibody associated disease (MOG-AAD) involves relapses. Researchers found TNFAIP3 levels decrease during MOG-AAD relapses, suggesting its potential as a biomarker.
Area of Science:
- Neuroimmunology
- Molecular Biology
Background:
- MOG-antibody associated disease (MOG-AAD) is a demyelinating disorder with relapsing courses.
- Understanding MOG-AAD relapse mechanisms is crucial for patient management.
Purpose of the Study:
- To investigate immune cell responses during MOG-AAD relapses.
- To identify biomarkers associated with MOG-AAD disease activity.
Main Methods:
- Flow cytometry analysis of peripheral blood mononuclear cells (PBMCs) from MOG-AAD patients.
- Transcriptomic analysis of central memory cells (CMCs) using three sequencing platforms.
- Quantification of TNFAIP3 levels in patient serum samples.
Main Results:
- Increased antigen-specific central memory cell (CMC) response, including Th1 and Th17 cells, observed during MOG-AAD relapses.
- Downregulation of TNFAIP3 expression in CMCs during relapse compared to remission.
- Decreased serum TNFAIP3 levels in MOG-AAD patients during relapse versus remission.
Conclusions:
- Alterations in TNFAIP3 levels are linked to MOG-AAD relapses.
- TNFAIP3 may serve as a valuable biomarker for monitoring MOG-AAD disease course.
- TNFAIP3 represents a potential therapeutic target for MOG-AAD.
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