PMID- 19651179 OWN - NLM STAT- MEDLINE DCOM- 20100129 LR - 20171116 IS - 1879-1166 (Electronic) IS - 0198-8859 (Linking) VI - 70 IP - 12 DP - 2009 Dec TI - Potential role of soluble human leukocyte antigen-G molecules in multiple sclerosis. PG - 981-7 LID - 10.1016/j.humimm.2009.07.014 [doi] AB - Nonclassical human leukocyte antigen (HLA)-G antigens in soluble form (sHLA-G) have recently been suggested to have a potential role as immunomodulatory factors in multiple sclerosis (MS), a chronic inflammatory demyelinating and neurodegenerative disease of the central nervous system of unknown etiology and supposed autoimmune origin. In MS patients, sHLA-G levels were elevated in cerebrospinal fluid (CSF), intrathecally synthesized, predominantly represented by the HLA-G5 isoform and even more elevated in cases of inactive disease, as determined by magnetic resonance imaging. In MS, CSF sHLA-G concentrations were also related to the formation of an intrathecal anti-inflammatory microenvironment based on a positive correlation to CSF interleukin-10 titers and an inverse association to the levels of antiapoptotic sFas molecules in the CSF. Expression of HLA-G antigens was detected in microglia, macrophages, and endothelial cells within and around MS lesions and was enhanced in microglial cells by T-helper-1 proinflammatory cytokines. A novel subpopulation of naturally occurring CD4(+) and CD8(+) regulatory T cells expressing HLA-G1 and secreting HLA-G5 was identified in the CSF of MS patients. Taken together, these findings seem to indicate that sHLA-G antigens may be implicated in the termination of MS autoimmunity and associated with remission of the disease through their function as anti-inflammatory molecules. However, the mechanisms operating in the immunomodulatory circuit mediated by sHLA-G proteins remain to be clarified. FAU - Fainardi, Enrico AU - Fainardi E AD - Department of Neurosciences and Rehabilitation, Azienda Ospedaliera-Universitaria, Arcispedale S Anna, Ferrara, Italy. henryfai@tin.it FAU - Rizzo, Roberta AU - Rizzo R FAU - Castellazzi, Massimiliano AU - Castellazzi M FAU - Stignani, Marina AU - Stignani M FAU - Granieri, Enrico AU - Granieri E FAU - Baricordi, Olavio Roberto AU - Baricordi OR LA - eng PT - Journal Article DEP - 20090806 PL - United States TA - Hum Immunol JT - Human immunology JID - 8010936 RN - 0 (HLA Antigens) RN - 0 (HLA-G Antigens) RN - 0 (Histocompatibility Antigens Class I) RN - 0 (fas Receptor) RN - 130068-27-8 (Interleukin-10) SB - IM MH - Autoimmunity/immunology MH - HLA Antigens/cerebrospinal fluid/*immunology MH - HLA-G Antigens MH - Histocompatibility Antigens Class I/cerebrospinal fluid/*immunology MH - Humans MH - Interleukin-10/cerebrospinal fluid MH - Multiple Sclerosis/*immunology/physiopathology MH - T-Lymphocyte Subsets/*immunology MH - fas Receptor/cerebrospinal fluid EDAT- 2009/08/05 09:00 MHDA- 2010/01/30 06:00 CRDT- 2009/08/05 09:00 PHST- 2009/05/29 00:00 [received] PHST- 2009/07/24 00:00 [revised] PHST- 2009/07/28 00:00 [accepted] PHST- 2009/08/05 09:00 [entrez] PHST- 2009/08/05 09:00 [pubmed] PHST- 2010/01/30 06:00 [medline] AID - S0198-8859(09)00189-X [pii] AID - 10.1016/j.humimm.2009.07.014 [doi] PST - ppublish SO - Hum Immunol. 2009 Dec;70(12):981-7. doi: 10.1016/j.humimm.2009.07.014. Epub 2009 Aug 6.