The effect of season on cytokine expression in multiple sclerosis and healthy subjects

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.