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Type I interferon limits central nervous system autoimmunity by modulating the microRNA-21-FOXO1 axis in pathogenic T
Johnna Francis Varghese1, Mai Fujiwara1, Amrendra K Ajay2
1Ann Romney Center for Neurologic Diseases, Brigham and Women's Hospital and Harvard Medical School, Boston, MA 02115, USA.
Science Translational Medicine
|September 10, 2025
Summary
Interferon-beta (IFN-β) treats multiple sclerosis by reducing microRNA-21 (miR-21) and pathogenic TH17 cells. Inhibiting miR-21 may benefit non-responders to IFN-β therapy.
Area of Science:
- Immunology
- Neuroscience
- Molecular Biology
Background:
- Interferon-beta (IFN-β) is a first-line therapy for multiple sclerosis (MS).
- The precise cellular and molecular mechanisms underlying IFN-β's therapeutic effects in MS remain incompletely understood.
- Understanding these mechanisms is crucial for optimizing treatment strategies and identifying non-responders.
Purpose of the Study:
- To elucidate the molecular mechanisms by which IFN-β exerts its therapeutic effects in experimental autoimmune encephalomyelitis (EAE), a mouse model of MS.
- To investigate the role of microRNA-21 (miR-21) and pathogenic TH17 (pTH17) cells in IFN-β's efficacy.
- To explore the potential of targeting miR-21 as a therapeutic strategy, particularly for IFN-β non-responders.
Main Methods:
- Utilized the EAE mouse model to study MS pathogenesis and IFN-β treatment effects.
- Performed in vitro experiments, including genetic knockout of miR-21, to assess its impact on pTH17 cell differentiation.
- Analyzed cytokine profiles and cell populations in both mouse models and human patient samples (responders vs. non-responders to IFN-β).
Main Results:
- IFN-β treatment in EAE models was associated with decreased miR-21 and pTH17 cells.
- Genetic deletion of miR-21 inhibited pTH17 differentiation by upregulating the transcription factor Foxo1.
- IFN-β indirectly reduced miR-21 induction in T cells by modulating cytokine secretion from myeloid cells.
- Non-responders to IFN-β exhibited higher levels of miR-21-inducing cytokines and miR-21/pTH17 cytokines compared to responders.
- Direct inhibition of miR-21 effectively reduced pTH17 differentiation in non-responder T cells.
Conclusions:
- Type I interferon signaling, including IFN-β, limits central nervous system autoimmunity by suppressing miR-21-dependent pTH17 cell development.
- miR-21 plays a critical role in promoting pTH17 differentiation and driving autoimmunity.
- Targeting miR-21 presents a potential therapeutic avenue specifically for patients with MS who do not respond to IFN-β therapy.
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