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Kavaka, Vladyslav ORCID logoORCID: https://orcid.org/0009-0004-5837-3384; Mutschler, Luisa; Rosa del Val, Clara de la ORCID logoORCID: https://orcid.org/0000-0002-1344-0844; Eglseer, Klara; Gómez Martínez, Ana M.; Flierl-Hecht, Andrea ORCID logoORCID: https://orcid.org/0000-0002-2359-1128; Ertl-Wagner, Birgit B ORCID logoORCID: https://orcid.org/0000-0002-7896-7049; Keeser, Daniel ORCID logoORCID: https://orcid.org/0000-0002-0244-1024; Mortazavi, Martin ORCID logoORCID: https://orcid.org/0000-0002-0826-7661; Seelos, Klaus ORCID logoORCID: https://orcid.org/0009-0009-0350-1293; Zimmermann, Hanna ORCID logoORCID: https://orcid.org/0000-0002-1476-3477; Haas, Jürgen ORCID logoORCID: https://orcid.org/0000-0002-2314-7465; Wildemann, Brigitte ORCID logoORCID: https://orcid.org/0000-0002-5389-3338; Kümpfel, Tania ORCID logoORCID: https://orcid.org/0000-0001-7509-5268; Dornmair, Klaus ORCID logoORCID: https://orcid.org/0000-0003-0342-5373; Korn, Thomas ORCID logoORCID: https://orcid.org/0000-0002-3633-0955; Hohlfeld, Reinhard ORCID logoORCID: https://orcid.org/0000-0002-6302-1488; Kerschensteiner, Martin ORCID logoORCID: https://orcid.org/0000-0003-4898-9383; Gerdes, Lisa Ann ORCID logoORCID: https://orcid.org/0000-0002-7053-3924 und Beltrán, Eduardo ORCID logoORCID: https://orcid.org/0000-0002-7266-4098 (2024): Twin study identifies early immunological and metabolic dysregulation of CD8 + T cells in multiple sclerosis. In: Science Immunology, Bd. 9, Nr. 99, eadj8094

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Abstract

Multiple sclerosis (MS) is an inflammatory neurological disease of the central nervous system with a subclinical phase preceding frank neuroinflammation. CD8+ T cells are abundant within MS lesions, but their potential role in disease pathology remains unclear. Using high-throughput single-cell RNA sequencing and single-cell T cell receptor analysis, we compared CD8+ T cell clones from the blood and cerebrospinal fluid (CSF) of monozygotic twin pairs in which the cotwin had either no or subclinical neuroinflammation (SCNI). We identified peripheral MS-associated immunological and metabolic alterations indicative of an enhanced migratory, proinflammatory, and activated CD8+ T cell phenotype, which was also evident in cotwins with SCNI and in an independent validation cohort of people with MS. Together, our in-depth single-cell analysis indicates a disease-driving proinflammatory role of infiltrating CD8+ T cells and identifies potential immunological and metabolic therapeutic targets in both prodromal and definitive stages of the disease.

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