Comparison of OX40 expression in patients with multiple sclerosis and neuromyelitis optica as an approach to diagnosis

Abstract Background Previous studies have shown that CD134 (OX40) co-stimulation is involved in the pathogenesis of experimental autoimmune encephalomyelitis (EAE) models and the antigen is expressed within multiple sclerosis lesions in humans. OX40 (CD134) is thought to be a secondary co-stimulator...

Full description

Bibliographic Details
Main Authors: Mostafa Manian, Morteza Motallebnezhad, Reza Nedaeinia, Rasoul Salehi, Leila Khani, Gordon A. Ferns, Mir Hadi Jazayeri
Format: Article
Language:English
Published: BMC 2023-03-01
Series:Allergy, Asthma & Clinical Immunology
Subjects:
Online Access:https://doi.org/10.1186/s13223-023-00772-9
_version_ 1797864417565605888
author Mostafa Manian
Morteza Motallebnezhad
Reza Nedaeinia
Rasoul Salehi
Leila Khani
Gordon A. Ferns
Mir Hadi Jazayeri
author_facet Mostafa Manian
Morteza Motallebnezhad
Reza Nedaeinia
Rasoul Salehi
Leila Khani
Gordon A. Ferns
Mir Hadi Jazayeri
author_sort Mostafa Manian
collection DOAJ
description Abstract Background Previous studies have shown that CD134 (OX40) co-stimulation is involved in the pathogenesis of experimental autoimmune encephalomyelitis (EAE) models and the antigen is expressed within multiple sclerosis lesions in humans. OX40 (CD134) is thought to be a secondary co-stimulatory immune checkpoint molecule that is expressed by T cells. This study aimed to evaluate the mRNA expression of OX40 and its serum levels in the peripheral blood of patients with Multiple Sclerosis (MS) or Neuromyelitis Optica (NMO). Methods Patients with MS (n = 60), NMO (n = 20), and 20 healthy subjects were recruited from Sina Hospital, Tehran, Iran. The diagnoses were confirmed by a specialist in clinical neurology. Peripheral venous blood was obtained from all subjects, and mRNA quantification of OX40 was conducted using real-time PCR. Serum samples were also obtained and the concentration of OX40 was determined using an enzyme-linked immunosorbent assay (ELISA). Results There was a significant correlation between the mRNA expression and serum levels of OX40 and disability as assessed using the expanded disability status scale (EDSS) in the patients with MS, but not in the patients with NMO. Expression of OX40 mRNA was significantly higher in the peripheral blood of MS patients compared to healthy individuals and NMO patients (*P < 0.05). In addition, serum OX40 concentrations were also significantly higher in patients with MS patients compared with healthy subjects (9.08 ± 2.48 vs. 1.49 ± 0.54 ng/ml; P = 0.041). Conclusions It appears that an increased expression of OX40 may be associated with the hyperactivation of T cells in patients with MS, and this may play a role in the pathogenesis of the disease.
first_indexed 2024-04-09T22:51:25Z
format Article
id doaj.art-4730bbae08d3429f8ad86129dda613b2
institution Directory Open Access Journal
issn 1710-1492
language English
last_indexed 2024-04-09T22:51:25Z
publishDate 2023-03-01
publisher BMC
record_format Article
series Allergy, Asthma & Clinical Immunology
spelling doaj.art-4730bbae08d3429f8ad86129dda613b22023-03-22T11:36:08ZengBMCAllergy, Asthma & Clinical Immunology1710-14922023-03-011911810.1186/s13223-023-00772-9Comparison of OX40 expression in patients with multiple sclerosis and neuromyelitis optica as an approach to diagnosisMostafa Manian0Morteza Motallebnezhad1Reza Nedaeinia2Rasoul Salehi3Leila Khani4Gordon A. Ferns5Mir Hadi Jazayeri6Child Growth and Development Research Center, Research Institute for Primordial Prevention of Non-Communicable Disease, Isfahan University of Medical SciencesDepartment of Immunology, School of Medicine, Iran University of Medical SciencesPediatric Inherited Diseases Research Center, Research Institute for Primordial Prevention of Non-Communicable Disease, Isfahan University of Medical SciencesPediatric Inherited Diseases Research Center, Research Institute for Primordial Prevention of Non-Communicable Disease, Isfahan University of Medical SciencesLaboratory of Transcriptional Regulation, Institute of Medical Biology, Polish Academy of ScienceDivision of Medical Education, Brighton and Sussex Medical SchoolDepartment of Immunology, School of Medicine, Iran University of Medical SciencesAbstract Background Previous studies have shown that CD134 (OX40) co-stimulation is involved in the pathogenesis of experimental autoimmune encephalomyelitis (EAE) models and the antigen is expressed within multiple sclerosis lesions in humans. OX40 (CD134) is thought to be a secondary co-stimulatory immune checkpoint molecule that is expressed by T cells. This study aimed to evaluate the mRNA expression of OX40 and its serum levels in the peripheral blood of patients with Multiple Sclerosis (MS) or Neuromyelitis Optica (NMO). Methods Patients with MS (n = 60), NMO (n = 20), and 20 healthy subjects were recruited from Sina Hospital, Tehran, Iran. The diagnoses were confirmed by a specialist in clinical neurology. Peripheral venous blood was obtained from all subjects, and mRNA quantification of OX40 was conducted using real-time PCR. Serum samples were also obtained and the concentration of OX40 was determined using an enzyme-linked immunosorbent assay (ELISA). Results There was a significant correlation between the mRNA expression and serum levels of OX40 and disability as assessed using the expanded disability status scale (EDSS) in the patients with MS, but not in the patients with NMO. Expression of OX40 mRNA was significantly higher in the peripheral blood of MS patients compared to healthy individuals and NMO patients (*P < 0.05). In addition, serum OX40 concentrations were also significantly higher in patients with MS patients compared with healthy subjects (9.08 ± 2.48 vs. 1.49 ± 0.54 ng/ml; P = 0.041). Conclusions It appears that an increased expression of OX40 may be associated with the hyperactivation of T cells in patients with MS, and this may play a role in the pathogenesis of the disease.https://doi.org/10.1186/s13223-023-00772-9CD134Multiple sclerosisNeuromyelitis opticaOX40T cell
spellingShingle Mostafa Manian
Morteza Motallebnezhad
Reza Nedaeinia
Rasoul Salehi
Leila Khani
Gordon A. Ferns
Mir Hadi Jazayeri
Comparison of OX40 expression in patients with multiple sclerosis and neuromyelitis optica as an approach to diagnosis
Allergy, Asthma & Clinical Immunology
CD134
Multiple sclerosis
Neuromyelitis optica
OX40
T cell
title Comparison of OX40 expression in patients with multiple sclerosis and neuromyelitis optica as an approach to diagnosis
title_full Comparison of OX40 expression in patients with multiple sclerosis and neuromyelitis optica as an approach to diagnosis
title_fullStr Comparison of OX40 expression in patients with multiple sclerosis and neuromyelitis optica as an approach to diagnosis
title_full_unstemmed Comparison of OX40 expression in patients with multiple sclerosis and neuromyelitis optica as an approach to diagnosis
title_short Comparison of OX40 expression in patients with multiple sclerosis and neuromyelitis optica as an approach to diagnosis
title_sort comparison of ox40 expression in patients with multiple sclerosis and neuromyelitis optica as an approach to diagnosis
topic CD134
Multiple sclerosis
Neuromyelitis optica
OX40
T cell
url https://doi.org/10.1186/s13223-023-00772-9
work_keys_str_mv AT mostafamanian comparisonofox40expressioninpatientswithmultiplesclerosisandneuromyelitisopticaasanapproachtodiagnosis
AT mortezamotallebnezhad comparisonofox40expressioninpatientswithmultiplesclerosisandneuromyelitisopticaasanapproachtodiagnosis
AT rezanedaeinia comparisonofox40expressioninpatientswithmultiplesclerosisandneuromyelitisopticaasanapproachtodiagnosis
AT rasoulsalehi comparisonofox40expressioninpatientswithmultiplesclerosisandneuromyelitisopticaasanapproachtodiagnosis
AT leilakhani comparisonofox40expressioninpatientswithmultiplesclerosisandneuromyelitisopticaasanapproachtodiagnosis
AT gordonaferns comparisonofox40expressioninpatientswithmultiplesclerosisandneuromyelitisopticaasanapproachtodiagnosis
AT mirhadijazayeri comparisonofox40expressioninpatientswithmultiplesclerosisandneuromyelitisopticaasanapproachtodiagnosis