Abstract
Background: Multiple sclerosis (MS) is an inflammatory autoimmune disease in which the myelin sheaths of nerve cells in the brain and spinal cord are damaged. This damage can disrupt the abilities of parts of the nervous system that are responsible for communication and cause many physical signs and symptoms. Granulocyte colony-stimulating factor (G-CSF) is a major extracellular regulator of hematopoiesis and the innate immune system. Macrophage colony-stimulating factor (M-CSF) is a glycoprotein that is effective in hematopoiesis and stimulates the production of numerous cytokines. It also plays a key role in stimulating the clearance of myelin by the brain’s innate immune cells, which is a prerequisite for proper remyelination and myelin repair. The aim of the study was to investigate the effect of overlapping and non-overlapping cytokines in MS.
Methods: Overall, 20 MS patients referred to the MS clinic of Imam Reza hospital with mild, moderate, and severe stages were selected for investigation. The blood samples were taken from the patients, and magnetic-activated cell-sorting monocyte cells were separated from peripheral blood mononuclear cells (PBMCs). The purity of the monocyte cells was determined using flow cytometry and the CD14 antibody. The monocyte cells were then cultured and stimulated with tumor necrosis factor (TNF) over a time course of 0, 6, 12, 24, and 48 hours. After the end of stimulation, the cells were collected, and the expression level of G-CSF and M-CSF was evaluated by real-time polymerase chain reaction (RT-PCR).
Results: The expression of G-CSF and M-CSF receptors decreased significantly over time as a time course of stimulation, with the lowest value 12 hours after stimulation. Comparing G-CSF and M-CSF, the decreasing ratio has been the same. The level of TNF-α function was evaluated as a time course.
Conclusion: The results of RT-PCR showed that TNF-α significantly decreases the expression of innate immune system receptors such as G-CSF and M-CSF. This reduction was in surface receptors such as G-CSF and M-CSF.