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The association between blood MxA mRNA and long-term disease activity in early multiple sclerosis

Coerver, Eline ME; Strijbis, Eva MM; Petzold, Laura F; Van Kempen, Zoe LE; Jasperse, Bas; Barkhof, Frederik; Oudejans, Cees BM; ... Killestein, Joep; + view all (2022) The association between blood MxA mRNA and long-term disease activity in early multiple sclerosis. Frontiers in Neurology , 13 , Article 907245. 10.3389/fneur.2022.907245. Green open access

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Abstract

Background: Myxovirus resistance protein A (MxA) is a protein that is upregulated by interferon-beta. Homeostatic MxA mRNA levels are potentially correlated with inflammatory disease activity in multiple sclerosis (MS) and could have an important role in MS pathology. Aim: To investigate the association between myxovirus resistance protein A (MxA) mRNA levels in blood and disease activity and progression in MS over a long-term follow-up period. Methods: Baseline blood MxA mRNA levels were determined in a prospective cohort of 116 untreated patients with a clinically isolated syndrome (CIS) or early relapsing remitting MS (RRMS), and related to long-term relapses, radiological disease activity, clinical scores [Expanded Disability Status Scale (EDSS), timed-25-foot walk (T25FW), 9-hole-peg test (9HPT)], MS type, and disease modifying therapy (DMT) use. Results: Low MxA mRNA levels were associated with the occurrence of ≥9 T2-lesions on MRI imaging and the occurrence of relapses during long-term follow-up (median 11 years, IQR 5.91-13.69 years). MxA mRNA levels were not associated with EDSS, T25FW, 9HPT, and MS subtype. Conclusion: Baseline MxA mRNA levels are associated with long-term development of T2-lesions on MRI-scans in our cohort. This confirms the relevance of the endogenous interferon-beta system in the occurrence of MS disease activity.

Type: Article
Title: The association between blood MxA mRNA and long-term disease activity in early multiple sclerosis
Location: Switzerland
Open access status: An open access version is available from UCL Discovery
DOI: 10.3389/fneur.2022.907245
Publisher version: https://doi.org/10.3389/fneur.2022.907245
Language: English
Additional information: © 2022 Coerver, Strijbis, Petzold, Van Kempen, Jasperse, Barkhof, Oudejans, Uitdehaag, Teunissen and Killestein. This is an open-access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/).
Keywords: demyelinating disease, multiple sclerosis, MRI, myxovirus resistance protein A (MxA), mRNA
UCL classification: UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences > UCL Queen Square Institute of Neurology > Brain Repair and Rehabilitation
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences
UCL
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences > UCL Queen Square Institute of Neurology
URI: https://discovery.ucl.ac.uk/id/eprint/10155888
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