Activation of the JAK-STAT Signaling Pathway after In Vitro Stimulation with IFNß in Multiple Sclerosis Patients According to the Therapeutic Response to IFNß

Interferon beta (IFNß) is a common treatment used for multiple sclerosis (MS) which acts through the activation of the JAK-STAT pathway. However, this therapy is not always effective and currently there are no reliable biomarkers to predict therapeutic response. We postulate that the heterogeneity i...

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Autores: Hurtado-Guerrero, Isaac; Pinto-Medel, María Jesús; Urbaneja, Patricia; Rodriguez-Bada, Jose Luis; León, Antonio; Guerrero, Miguel; Fernández, Óscar; Leyva, Laura; Oliver-Martos, Begoña
Tipo de documento: Artículo
Fecha de publicación:2017
País:España
Institución:Instituto de Salud Carlos III (ISCIII)
Repositorio:Repisalud
Lenguaje:Inglés
OAI Identifier:oai:repisalud.isciii.es:20.500.12105/17283
Acceso en línea:http://hdl.handle.net/20.500.12105/17283
Nivel de acceso:Acceso abierto
Palabra clave:Biomarcadores
Citometría de flujo
Humanos
Leucocitos mononucleares
Monocitos
Esclerosis múltiple
Fenotipo
Factor de Transcripción STAT1
Factor de Transcripción STAT2
Resultado del tratamiento
Biomarkers
Flow Cytometry
Humans
Interferon beta-1a
Interferon-beta
Leukocytes, Mononuclear
Monocytes
Multiple Sclerosis
Phenotype
STAT1 Transcription Factor
STAT2 Transcription Factor
Treatment Outcome
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author Hurtado-Guerrero, Isaac
author2 Pinto-Medel, María Jesús
Urbaneja, Patricia
Rodriguez-Bada, Jose Luis
León, Antonio
Guerrero, Miguel
Fernández, Óscar
Leyva, Laura
Oliver-Martos, Begoña
author2_role author
author
author
author
author
author
author
author
author_browse Fernández, Óscar
Guerrero, Miguel
Hurtado-Guerrero, Isaac
Leyva, Laura
León, Antonio
Oliver-Martos, Begoña
Pinto-Medel, María Jesús
Rodriguez-Bada, Jose Luis
Urbaneja, Patricia
author_facet Hurtado-Guerrero, Isaac
Pinto-Medel, María Jesús
Urbaneja, Patricia
Rodriguez-Bada, Jose Luis
León, Antonio
Guerrero, Miguel
Fernández, Óscar
Leyva, Laura
Oliver-Martos, Begoña
author_role author
collection Repisalud
description Interferon beta (IFNß) is a common treatment used for multiple sclerosis (MS) which acts through the activation of the JAK-STAT pathway. However, this therapy is not always effective and currently there are no reliable biomarkers to predict therapeutic response. We postulate that the heterogeneity in the response to IFNß therapy could be related to differential activation patterns of the JAK-STAT signaling pathway. Our aim was to evaluate the basal levels and the short term activation of this pathway after IFNß stimulation in untreated and IFNß treated patients, as well as according to therapeutic response. Therefore, cell surface levels of IFNAR subunits (IFNAR1 and IFNAR2) and the activated forms of STAT1 and STAT2 were assessed in peripheral blood mononuclear cells from MS patients by flow cytometry. Basal levels of each of the markers strongly correlated with the expression of the others in untreated patients, but many of these correlations lost significance in treated patients and after short term activation with IFNß. Patients who had undergone IFNß treatment showed higher basal levels of IFNAR1 and pSTAT1, but a reduced response to in vitro exposure to IFNß. Conversely, untreated patients, with lower basal levels, showed a greater ability of short term activation of this pathway. Monocytes from responder patients had lower IFNAR1 levels (p = 0.039) and higher IFNAR2 levels (p = 0.035) than non-responders just after IFNß stimulation. A cluster analysis showed that levels of IFNAR1, IFNAR2 and pSTAT1-2 in monocytes grouped 13 out of 19 responder patients with a similar expression pattern, showing an association of this pattern with the phenotype of good response to IFNß (p = 0.013). Our findings suggest that an activation pattern of the IFNß signaling pathway in monocytes could be associated with a clinical phenotype of good response to IFNß treatment and that a differential modulation of the IFNAR subunits in monocytes could be related with treatment effectiveness.
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network_name_str España
oai_identifier_str oai:repisalud.isciii.es:20.500.12105/17283
publishDate 2017
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publisherStr Public Library of Science (PLOS)
reponame_str Repisalud
spelling Activation of the JAK-STAT Signaling Pathway after In Vitro Stimulation with IFNß in Multiple Sclerosis Patients According to the Therapeutic Response to IFNß Hurtado-Guerrero, Isaac Pinto-Medel, María Jesús Urbaneja, Patricia Rodriguez-Bada, Jose Luis León, Antonio Guerrero, Miguel Fernández, Óscar Leyva, Laura Oliver-Martos, Begoña Biomarcadores Citometría de flujo Humanos Leucocitos mononucleares Monocitos Esclerosis múltiple Fenotipo Factor de Transcripción STAT1 Factor de Transcripción STAT2 Resultado del tratamiento Biomarkers Flow Cytometry Humans Interferon beta-1a Interferon-beta Leukocytes, Mononuclear Monocytes Multiple Sclerosis Phenotype STAT1 Transcription Factor STAT2 Transcription Factor Treatment Outcome Interferon beta (IFNß) is a common treatment used for multiple sclerosis (MS) which acts through the activation of the JAK-STAT pathway. However, this therapy is not always effective and currently there are no reliable biomarkers to predict therapeutic response. We postulate that the heterogeneity in the response to IFNß therapy could be related to differential activation patterns of the JAK-STAT signaling pathway. Our aim was to evaluate the basal levels and the short term activation of this pathway after IFNß stimulation in untreated and IFNß treated patients, as well as according to therapeutic response. Therefore, cell surface levels of IFNAR subunits (IFNAR1 and IFNAR2) and the activated forms of STAT1 and STAT2 were assessed in peripheral blood mononuclear cells from MS patients by flow cytometry. Basal levels of each of the markers strongly correlated with the expression of the others in untreated patients, but many of these correlations lost significance in treated patients and after short term activation with IFNß. Patients who had undergone IFNß treatment showed higher basal levels of IFNAR1 and pSTAT1, but a reduced response to in vitro exposure to IFNß. Conversely, untreated patients, with lower basal levels, showed a greater ability of short term activation of this pathway. Monocytes from responder patients had lower IFNAR1 levels (p = 0.039) and higher IFNAR2 levels (p = 0.035) than non-responders just after IFNß stimulation. A cluster analysis showed that levels of IFNAR1, IFNAR2 and pSTAT1-2 in monocytes grouped 13 out of 19 responder patients with a similar expression pattern, showing an association of this pattern with the phenotype of good response to IFNß (p = 0.013). Our findings suggest that an activation pattern of the IFNß signaling pathway in monocytes could be associated with a clinical phenotype of good response to IFNß treatment and that a differential modulation of the IFNAR subunits in monocytes could be related with treatment effectiveness. Public Library of Science (PLOS) http://hdl.handle.net/20.500.12105/17283
spellingShingle Activation of the JAK-STAT Signaling Pathway after In Vitro Stimulation with IFNß in Multiple Sclerosis Patients According to the Therapeutic Response to IFNß
Hurtado-Guerrero, Isaac
Biomarcadores
Citometría de flujo
Humanos
Leucocitos mononucleares
Monocitos
Esclerosis múltiple
Fenotipo
Factor de Transcripción STAT1
Factor de Transcripción STAT2
Resultado del tratamiento
Biomarkers
Flow Cytometry
Humans
Interferon beta-1a
Interferon-beta
Leukocytes, Mononuclear
Monocytes
Multiple Sclerosis
Phenotype
STAT1 Transcription Factor
STAT2 Transcription Factor
Treatment Outcome
title Activation of the JAK-STAT Signaling Pathway after In Vitro Stimulation with IFNß in Multiple Sclerosis Patients According to the Therapeutic Response to IFNß
title_full Activation of the JAK-STAT Signaling Pathway after In Vitro Stimulation with IFNß in Multiple Sclerosis Patients According to the Therapeutic Response to IFNß
title_fullStr Activation of the JAK-STAT Signaling Pathway after In Vitro Stimulation with IFNß in Multiple Sclerosis Patients According to the Therapeutic Response to IFNß
title_full_unstemmed Activation of the JAK-STAT Signaling Pathway after In Vitro Stimulation with IFNß in Multiple Sclerosis Patients According to the Therapeutic Response to IFNß
title_short Activation of the JAK-STAT Signaling Pathway after In Vitro Stimulation with IFNß in Multiple Sclerosis Patients According to the Therapeutic Response to IFNß
title_sort Activation of the JAK-STAT Signaling Pathway after In Vitro Stimulation with IFNß in Multiple Sclerosis Patients According to the Therapeutic Response to IFNß
topic Biomarcadores
Citometría de flujo
Humanos
Leucocitos mononucleares
Monocitos
Esclerosis múltiple
Fenotipo
Factor de Transcripción STAT1
Factor de Transcripción STAT2
Resultado del tratamiento
Biomarkers
Flow Cytometry
Humans
Interferon beta-1a
Interferon-beta
Leukocytes, Mononuclear
Monocytes
Multiple Sclerosis
Phenotype
STAT1 Transcription Factor
STAT2 Transcription Factor
Treatment Outcome
topic_facet Biomarcadores
Citometría de flujo
Humanos
Leucocitos mononucleares
Monocitos
Esclerosis múltiple
Fenotipo
Factor de Transcripción STAT1
Factor de Transcripción STAT2
Resultado del tratamiento
Biomarkers
Flow Cytometry
Humans
Interferon beta-1a
Interferon-beta
Leukocytes, Mononuclear
Monocytes
Multiple Sclerosis
Phenotype
STAT1 Transcription Factor
STAT2 Transcription Factor
Treatment Outcome
url http://hdl.handle.net/20.500.12105/17283