多発性硬化症:免疫系における早期警告(Multiple Sclerosis: Early Warnings in the Immune System)

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20024-09-29 ミュンヘン大学(LMU)

LMUの研究によると、特定の免疫細胞であるCD8陽性T細胞が、多発性硬化症(MS)の初期段階で重要な役割を果たしていることが示されました。遺伝的に同一の双子の研究では、MS患者と無症状の高リスク者の双方で、CD8 T細胞が炎症を促進し、中枢神経系への移行能力が増加していることが確認されました。この発見は、MSの早期診断や進行を遅らせる治療法の開発につながる可能性があります。

<関連情報>

多発性硬化症におけるCD8+T細胞の早期免疫代謝異常を双生児研究で同定 Twin study identifies early immunological and metabolic dysregulation of CD8+ T cells in multiple sclerosis

Vladyslav Kavaka, Luisa Mutschler, Clara de la Rosa del Val, Klara Eglseer, […], and Eduardo Beltrán
Science Immunology  Published:27 Sep 2024
DOI:https://doi.org/10.1126/sciimmunol.adj8094

多発性硬化症:免疫系における早期警告(Multiple Sclerosis: Early Warnings in the Immune System)

Editor’s summary

Multiple sclerosis (MS) is an inflammatory disease of the nervous system in which CD8 T cells are present in MS lesions, but their role in disease progression remains unclear. Kavaka et al. analyzed CD8 T cells from the blood and cerebrospinal fluid of monozygotic twins, where one twin had MS and the other showed no signs or subclinical signs of neuroinflammation (SCNI). CD8 T cells from individuals with MS and cotwins with SCNI exhibited proinflammatory immunological and metabolic features consistent with enhanced activation and migration. These findings were validated in a separate cohort of individuals with MS, providing insights into the role of CD8 T cells in MS progression. —Christiana Fogg

Abstract

Multiple sclerosis (MS) is an inflammatory neurological disease of the central nervous system with a subclinical phase preceding frank neuroinflammation. CD8+ T cells are abundant within MS lesions, but their potential role in disease pathology remains unclear. Using high-throughput single-cell RNA sequencing and single-cell T cell receptor analysis, we compared CD8+ T cell clones from the blood and cerebrospinal fluid (CSF) of monozygotic twin pairs in which the cotwin had either no or subclinical neuroinflammation (SCNI). We identified peripheral MS-associated immunological and metabolic alterations indicative of an enhanced migratory, proinflammatory, and activated CD8+ T cell phenotype, which was also evident in cotwins with SCNI and in an independent validation cohort of people with MS. Together, our in-depth single-cell analysis indicates a disease-driving proinflammatory role of infiltrating CD8+ T cells and identifies potential immunological and metabolic therapeutic targets in both prodromal and definitive stages of the disease.

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