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J Pers Med. 2021 Jul 27;11(8). doi: 10.3390/jpm11080721.

Regulation of CTLA-4 and PD-L1 Expression in Relapsing-Remitting Multiple Sclerosis Patients after Treatment with Fingolimod, IFNβ-1α, Glatiramer Acetate, and Dimethyl Fumarate Drugs.

Journal of personalized medicine

Afshin Derakhshani, Zahra Asadzadeh, Hossein Safarpour, Patrizia Leone, Mahdi Abdoli Shadbad, Ali Heydari, Behzad Baradaran, Vito Racanelli

Affiliations

  1. Immunology Research Center, Tabriz University of Medical Sciences, Tabriz 516615731, Iran.
  2. IRCCS Istituto Tumori "Giovanni Paolo II" of Bari, 70124 Bari, Italy.
  3. Cellular and Molecular Research Center, Birjand University of Medical Sciences, Birjand 9717853577, Iran.
  4. Department of Biomedical Sciences and Human Oncology, University of Bari "Aldo Moro", 70124 Bari, Italy.
  5. Student Research Committee, Tabriz University of Medical Sciences, Tabriz 516615731, Iran.
  6. Department of Applied Mathematics, University of California, Merced, CA 95343, USA.
  7. Health Sciences Research Institute, University of California, Merced, CA 95343, USA.
  8. Department of Immunology, Faculty of Medicine, Tabriz University of Medical Sciences, Tabriz 516615731, Iran.

PMID: 34442365 PMCID: PMC8400811 DOI: 10.3390/jpm11080721

Abstract

Multiple sclerosis (MS) is a chronic demyelinating disease of the central nervous system (CNS) that is characterized by inflammation which typically results in significant impairment in most patients. Immune checkpoints act as co-stimulatory and co-inhibitory molecules and play a fundamental role in keeping the equilibrium of the immune system. Cytotoxic T-lymphocyte antigen-4 (CTLA-4) and Programmed death-ligand 1 (PD-L1), as inhibitory immune checkpoints, participate in terminating the development of numerous autoimmune diseases, including MS. We assessed the CTLA-4 and PD-L1 gene expression in the different cell types of peripheral blood mononuclear cells of MS patients using single-cell RNA-seq data. Additionally, this study outlines how CTLA-4 and PD-L1 expression was altered in the PBMC samples of relapsing-remitting multiple sclerosis (RRMS) patients compared to the healthy group. Finally, it investigates the impact of various MS-related treatments in the CTLA-4 and PD-L1 expression to restrain autoreactive T cells and stop the development of MS autoimmunity.

Keywords: CTLA-4; MS; PBMC; PD-L1; single-cell RNA-seq

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