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Long-term use of interferon-? in multiple sclerosis increases V?1-V?2-V?9- ?? T cells that are associated with a better outcome.


ABSTRACT:

Background

We previously reported that V?2+V?9+ ?? T cells were significantly decreased in multiple sclerosis (MS) patients without disease-modifying therapies (untreated MS) and were negatively correlated with Expanded Disability Status Scale (EDSS) scores, suggesting protective roles of V?2+V?9+ ?? T cells. Interferon-? (IFN-?) is one of the first-line disease-modifying drugs for MS. However, no previous studies have reported changes in ?? T cell subsets under IFN-? treatment. Therefore, we aimed to clarify the effects of the long-term usage of IFN-? on ?? T cell subsets in MS patients.

Methods

Comprehensive flow cytometric immunophenotyping was performed in 35 untreated MS and 21 MS patients on IFN-? for more than 2 years (IFN-?-treated MS) including eight super-responders fulfilling no evidence of disease activity criteria, and 44 healthy controls (HCs).

Results

The percentages of V?2+V?9+ cells in ?? T cells were significantly lower in untreated and IFN-?-treated MS patients than in HCs. By contrast, the percentages of V?1-V?2-V?9- cells in ?? T cells were markedly higher in IFN-?-treated MS patients than in HCs and untreated MS patients (both p < 0.001). A significant negative correlation between the percentages of V?2+V?9+ cells in ?? T cells and EDSS scores was confirmed in untreated MS but not evident in IFN-?-treated MS. Moreover, class-switched memory B cells were decreased in IFN-?-treated MS compared with HCs (p < 0.001) and untreated MS patients (p = 0.006). Interestingly, the percentages of V?1-V?2-V?9- cells in ?? T cells were negatively correlated with class-switched memory B cell percentages in all MS patients (r = -?0.369, p = 0.005), and the percentages of V?1-V?2-V?9- cells in V?1-V?2- ?? T cells were negatively correlated with EDSS scores only in IFN-? super-responders (r = -?0.976, p < 0.001).

Conclusions

The present study suggests that long-term usage of IFN-? increases V?1-V?2-V?9- ?? T cells, which are associated with a better outcome, especially in IFN-? super-responders. Thus, increased V?1-V?2-V?9- cells together with decreased class-switched memory B cells may contribute to the suppression of disease activity in MS patients under IFN-? treatment.

SUBMITTER: Maimaitijiang G 

PROVIDER: S-EPMC6743159 | biostudies-literature | 2019 Sep

REPOSITORIES: biostudies-literature

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Publications

Long-term use of interferon-β in multiple sclerosis increases Vδ1<sup>-</sup>Vδ2<sup>-</sup>Vγ9<sup>-</sup> γδ T cells that are associated with a better outcome.

Maimaitijiang Guzailiayi G   Watanabe Mitsuru M   Shinoda Koji K   Isobe Noriko N   Nakamura Yuri Y   Masaki Katsuhisa K   Matsushita Takuya T   Yoshikai Yasunobu Y   Kira Jun-Ichi JI  

Journal of neuroinflammation 20190913 1


<h4>Background</h4>We previously reported that Vδ2<sup>+</sup>Vγ9<sup>+</sup> γδ T cells were significantly decreased in multiple sclerosis (MS) patients without disease-modifying therapies (untreated MS) and were negatively correlated with Expanded Disability Status Scale (EDSS) scores, suggesting protective roles of Vδ2<sup>+</sup>Vγ9<sup>+</sup> γδ T cells. Interferon-β (IFN-β) is one of the first-line disease-modifying drugs for MS. However, no previous studies have reported changes in γδ T  ...[more]

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