Pro-Inflammatory c-Met+ CD4 T Cells in Multiple Sclerosis
Gautier Breville1,2,3,4, Mahdia Benkhoucha2,3, Ayman Rezk4
1Department of Clinical Neurosciences, Division of Neurology, University Hospital of Geneva, Geneva, Switzerland.
Annals of Neurology
|September 26, 2025
Summary
Hepatocyte growth factor (HGF) receptor c-Met is elevated on CD4 T cells in multiple sclerosis (MS) patients. These c-Met positive cells show increased pro-inflammatory markers and migration, suggesting c-Met as a key immune marker in MS.
Area of Science:
- Immunology
- Neuroscience
- Cell Biology
Background:
- The HGF/c-Met axis plays a role in T cell function and autoimmune diseases.
- Understanding CD4 T cell involvement in multiple sclerosis (MS) is crucial.
Purpose of the Study:
- To analyze c-Met expression on CD4 T cells in the blood and cerebrospinal fluid (CSF) of MS patients compared to non-inflammatory neurological disease (NIND) patients.
- To characterize the function and inflammatory potential of c-Met positive CD4 T cells in MS.
Main Methods:
- Recruited 34 untreated MS patients and 13 NIND patients for paired blood and CSF sampling.
- Utilized flow cytometry and bulk RNA sequencing for CD4 T cell characterization.
- Assessed adhesion and transmigration capacities of c-Met positive CD4 T cells.
Main Results:
- c-Met positive memory CD4 T cells were significantly higher in both blood and CSF of MS patients compared to NIND patients.
- Ex vivo c-Met positive CD4 T cells showed increased expression of pro-inflammatory cytokines (GM-CSF, IL-17, IFN-γ) and integrins (VLA-4, LFA-1).
- Inhibition of integrins α4 and αLβ2 reduced CD4 T cell transmigration, particularly for c-Met positive cells.
Conclusions:
- c-Met serves as an immune marker for highly pro-inflammatory and migratory CD4 T lymphocytes.
- These findings highlight the role of c-Met positive CD4 T cells in both the periphery and central nervous system in MS pathogenesis.
- c-Met expression on CD4 T cells offers a potential therapeutic target in multiple sclerosis.
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