The effect of season on cytokine expression in multiple sclerosis and healthy subjects
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Updated: Jul 13, 2026

A Method of Trigonometric Modelling of Seasonal Variation Demonstrated with Multiple Sclerosis Relapse Data
Published on: December 9, 2015
Niall Stewart1, Bruce Taylor, Anne-Louise Ponsonby
1School of Medicine, University of Tasmania, Hobart, Tasmania, Australia. nstewart@utas.edu.au <nstewart@utas.edu.au>
Insights
Healthy individuals show seasonal cytokine variations, with excess Il-4, Il-10, and TNFalpha in summer and IFNgamma in winter. Multiple sclerosis patients on Interferon-beta treatment had reduced cytokine levels and no seasonal immune response.
Area of Science:
- Immunology
- Neuroimmunology
- Seasonal biology
Background:
- Cytokine profiles in healthy individuals and those with multiple sclerosis (MS) can vary.
- Seasonal influences on immune responses are increasingly recognized.
- Interferon-beta is a common treatment for relapsing-remitting MS.
Purpose of the Study:
- To investigate seasonal variations in cytokine production in healthy individuals.
- To compare cytokine profiles in untreated MS patients versus healthy controls.
- To assess the impact of Interferon-beta treatment on cytokine levels and seasonal effects in MS.
Main Methods:
- Peripheral blood mononuclear cells (PBMC) were isolated from healthy donors and MS patients.
- PBMC were stimulated with mitogens to induce cytokine production.
- Levels of Interferon-gamma (IFNgamma), Tumor Necrosis Factor-alpha (TNFalpha), Interleukin-4 (Il-4), and Interleukin-10 (Il-10) were measured.
- Blood samples were collected during summer and winter to assess seasonal differences.
Main Results:
- Healthy individuals exhibited a summer excess of Il-4, Il-10, and TNFalpha, and a winter excess of IFNgamma.
- Untreated MS patients showed a summer excess of Il-10.
- MS patients treated with Interferon-beta had significantly lower levels of all measured cytokines compared to untreated patients and healthy controls.
- Interferon-beta treated MS patients displayed no discernible seasonal variation in cytokine production.
Conclusions:
- Seasonal variations in immune cell cytokine production are evident in healthy individuals.
- Multiple sclerosis patients exhibit altered cytokine profiles, with some seasonal influence in untreated cases.
- Interferon-beta treatment in MS normalizes cytokine levels and abrogates seasonal immune fluctuations, suggesting a broad immunomodulatory effect.
Abstract:
We measured the levels of IFNgamma, TNFalpha, Il-4 and Il-10 produced by mitogen-stimulated peripheral blood mononuclear cells (PBMC) from healthy people, and those with the relapse/remitting form of multiple sclerosis. Blood was taken in summer and winter. Healthy people had a summer excess of Il-4, Il-10 and TNFalpha, and a winter excess of IFNgamma. Untreated MS cases had a summer excess of Il-10, whereas those treated with Interferon-beta had lower levels of all cytokines, and displayed no seasonal effect.
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