Abstract
A failure of autoreactive T cells to undergo apoptosis may contribute to the pathogenesis of multiple sclerosis (MS). The role of the inhibitor of apoptosis (IAP) family of anti-apoptotic proteins such as X-linked IAP (XIAP), human inhibitor of apoptosis-1 (HIAP-1), human inhibitor of apoptosis-2 (HIAP-2), neuronal apoptosis inhibitory protein (NAIP) and Survivin in relapsing-remitting, secondary-progressive, primary-progressive or benign forms of MS is unclear. We report here that expression of the IAP family of genes in peripheral blood samples and brain tissues from MS cases support a role for differential regulation of these potent anti-apoptotic proteins in the pathology of MS. XIAP mRNA and protein levels were elevated in peripheral blood mononuclear cells from patients with active disease relative to normal subjects. In patients with active MS, HIAP-1 and HIAP-2 mRNA levels were elevated in resting T cells while NAIP mRNA was increased in whole blood. In post-mortem MS brain tissue, XIAP and HIAP-1 in myelin lesions were co-localized with microglia and T cells, respectively. Only in primary-progressive patients was Survivin expression elevated suggestive of a distinct pathological basis for this subtype of MS. Taken together, these results suggest that patterns of inhibitor of apoptosis expression in immune cells may have value in distinguishing between MS subtypes and offer insight into the mechanisms responsible for their distinct clinical courses.
Publication types
-
Research Support, N.I.H., Extramural
-
Research Support, Non-U.S. Gov't
-
Research Support, U.S. Gov't, Non-P.H.S.
MeSH terms
-
Adult
-
Aged
-
Autoimmunity / genetics
-
Autoimmunity / immunology
-
Baculoviral IAP Repeat-Containing 3 Protein
-
Blotting, Western
-
Brain / pathology
-
Brain / physiology
-
Demyelinating Diseases / genetics
-
Demyelinating Diseases / immunology
-
Demyelinating Diseases / pathology
-
Female
-
Gene Expression / immunology
-
Gene Expression Profiling
-
Humans
-
Immunologic Factors / genetics
-
Immunologic Factors / immunology
-
Inhibitor of Apoptosis Proteins / genetics*
-
Inhibitor of Apoptosis Proteins / immunology*
-
Inhibitor of Apoptosis Proteins / metabolism
-
Male
-
Microglia / immunology
-
Microtubule-Associated Proteins / genetics
-
Microtubule-Associated Proteins / immunology
-
Microtubule-Associated Proteins / metabolism
-
Middle Aged
-
Multiple Sclerosis / genetics*
-
Multiple Sclerosis / immunology*
-
Multiple Sclerosis / pathology
-
Neoplasm Proteins / genetics
-
Neoplasm Proteins / immunology
-
Neoplasm Proteins / metabolism
-
Neuronal Apoptosis-Inhibitory Protein / genetics
-
Neuronal Apoptosis-Inhibitory Protein / immunology
-
Neuronal Apoptosis-Inhibitory Protein / metabolism
-
Survivin
-
T-Lymphocytes / immunology
-
T-Lymphocytes / metabolism
-
Ubiquitin-Protein Ligases
-
X-Linked Inhibitor of Apoptosis Protein / genetics
-
X-Linked Inhibitor of Apoptosis Protein / immunology
-
X-Linked Inhibitor of Apoptosis Protein / metabolism
Substances
-
BIRC5 protein, human
-
Immunologic Factors
-
Inhibitor of Apoptosis Proteins
-
Microtubule-Associated Proteins
-
NAIP protein, human
-
Neoplasm Proteins
-
Neuronal Apoptosis-Inhibitory Protein
-
Survivin
-
X-Linked Inhibitor of Apoptosis Protein
-
XIAP protein, human
-
BIRC2 protein, human
-
BIRC3 protein, human
-
Baculoviral IAP Repeat-Containing 3 Protein
-
Ubiquitin-Protein Ligases