PMID- 35693002 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20220716 IS - 1664-2295 (Print) IS - 1664-2295 (Electronic) IS - 1664-2295 (Linking) VI - 13 DP - 2022 TI - Investigating Serum sHLA-G Cooperation With MRI Activity and Disease-Modifying Treatment Outcome in Relapsing-Remitting Multiple Sclerosis. PG - 872396 LID - 10.3389/fneur.2022.872396 [doi] LID - 872396 AB - Relapsing-remitting multiple sclerosis (RRMS) is a demyelinating disease in which pathogenesis T cells have a major role. Despite the unknown etiology, several risk factors have been described, including a strong association with human leukocyte antigen (HLA) genes. Recent findings showed that HLA class I-G (HLA-G) may be tolerogenic in MS, but further insights are required. To deepen the HLA-G role in MS inflammation, we measured soluble HLA-G (sHLA-G) and cytokines serum level in 27 patients with RRMS at baseline and after 12 and 24 months of natalizumab (NTZ) treatment. Patients were divided into high (sHLA-G>20 ng/ml), medium (sHLA-G between 10 and 20 ng/ml), and low (sHLA-G <10 ng/ml) producers. Results showed a heterogeneous distribution of genotypes among producers, with no significant differences between groups. A significant decrease of sHLA-G was found after 24 months of NTZ in low producers carrying the +3142 C/G genotype. Finally, 83.3% of high and 100% of medium producers were MRI-activity free after 24 months of treatment, compared to 63.5% of low producers. Of note, we did not find any correlation of sHLA-G with peripheral cell counts or cytokines level. These findings suggest that serum sHLA-G level may partly depend on genotype rather than peripheral inflammation, and that may have impacted on MRI activity of patients over treatment. CI - Copyright (c) 2022 Amoriello, Rizzo, Mariottini, Bortolotti, Gentili, Bonechi, Aldinucci, Carnasciali, Peruzzi, Repice, Massacesi, Fainardi and Ballerini. FAU - Amoriello, Roberta AU - Amoriello R AD - Department of Clinical and Experimental Medicine (DMSC), University of Florence, Florence, Italy. FAU - Rizzo, Roberta AU - Rizzo R AD - Department of Chemical, Pharmaceutical and Agricultural Sciences, University of Ferrara, Ferrara, Italy. FAU - Mariottini, Alice AU - Mariottini A AD - Department of Neurosciences, Drugs and Child Health (NEUROFARBA), University of Florence, Florence, Italy. FAU - Bortolotti, Daria AU - Bortolotti D AD - Department of Chemical, Pharmaceutical and Agricultural Sciences, University of Ferrara, Ferrara, Italy. FAU - Gentili, Valentina AU - Gentili V AD - Department of Chemical, Pharmaceutical and Agricultural Sciences, University of Ferrara, Ferrara, Italy. FAU - Bonechi, Elena AU - Bonechi E AD - Department of Clinical and Experimental Medicine (DMSC), University of Florence, Florence, Italy. FAU - Aldinucci, Alessandra AU - Aldinucci A AD - Department of Neurosciences, Drugs and Child Health (NEUROFARBA), University of Florence, Florence, Italy. FAU - Carnasciali, Alberto AU - Carnasciali A AD - Department of Clinical and Experimental Medicine (DMSC), University of Florence, Florence, Italy. FAU - Peruzzi, Benedetta AU - Peruzzi B AD - Flow Cytometry Diagnostic Center and Immunotherapy (CDCI), Careggi University Hospital, Florence, Italy. FAU - Repice, Anna Maria AU - Repice AM AD - Department of Neurosciences, Drugs and Child Health (NEUROFARBA), University of Florence, Florence, Italy. FAU - Massacesi, Luca AU - Massacesi L AD - Department of Neurosciences, Drugs and Child Health (NEUROFARBA), University of Florence, Florence, Italy. AD - Department Neurology II, Careggi University Hospital, Florence, Italy. FAU - Fainardi, Enrico AU - Fainardi E AD - Department of Biomedical, Experimental and Clinical Sciences, University of Florence, Florence, Italy. FAU - Ballerini, Clara AU - Ballerini C AD - Department of Clinical and Experimental Medicine (DMSC), University of Florence, Florence, Italy. LA - eng PT - Journal Article DEP - 20220525 PL - Switzerland TA - Front Neurol JT - Frontiers in neurology JID - 101546899 PMC - PMC9174986 OTO - NOTNLM OT - cytokines OT - disease activity OT - multiple sclerosis OT - natalizumab OT - serum sHLA-G COIS- The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest. EDAT- 2022/06/14 06:00 MHDA- 2022/06/14 06:01 PMCR- 2022/05/25 CRDT- 2022/06/13 03:08 PHST- 2022/02/09 00:00 [received] PHST- 2022/04/25 00:00 [accepted] PHST- 2022/06/13 03:08 [entrez] PHST- 2022/06/14 06:00 [pubmed] PHST- 2022/06/14 06:01 [medline] PHST- 2022/05/25 00:00 [pmc-release] AID - 10.3389/fneur.2022.872396 [doi] PST - epublish SO - Front Neurol. 2022 May 25;13:872396. doi: 10.3389/fneur.2022.872396. eCollection 2022.