Learning from nature: pregnancy changes the expression of inflammation-related genes in patients with multiple sclerosis

Pregnancy is associated with reduced activity of multiple sclerosis (MS). However, the biological mechanisms underlying this pregnancy-related decrease in disease activity are poorly understood. We conducted a genome-wide transcription analysis in peripheral blood mononuclear cells (PBMCs) from 12 w...

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Veröffentlicht in:PloS one 2010-01, Vol.5 (1), p.e8962-e8962
Hauptverfasser: Gilli, Francesca, Lindberg, Raija L P, Valentino, Paola, Marnetto, Fabiana, Malucchi, Simona, Sala, Arianna, Capobianco, Marco, di Sapio, Alessia, Sperli, Francesca, Kappos, Ludwig, Calogero, Raffaele A, Bertolotto, Antonio
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container_issue 1
container_start_page e8962
container_title PloS one
container_volume 5
creator Gilli, Francesca
Lindberg, Raija L P
Valentino, Paola
Marnetto, Fabiana
Malucchi, Simona
Sala, Arianna
Capobianco, Marco
di Sapio, Alessia
Sperli, Francesca
Kappos, Ludwig
Calogero, Raffaele A
Bertolotto, Antonio
description Pregnancy is associated with reduced activity of multiple sclerosis (MS). However, the biological mechanisms underlying this pregnancy-related decrease in disease activity are poorly understood. We conducted a genome-wide transcription analysis in peripheral blood mononuclear cells (PBMCs) from 12 women (7 MS patients and 5 healthy controls) followed during their pregnancy. Samples were obtained before, during (i.e. at the third, sixth, and ninth month of gestation) and after pregnancy. A validation of the expression profiles has been conducted by using the same samples and an independent group of 25 MS patients and 11 healthy controls. Finally, considering the total group of 32 MS patients, we compared expression profiles of patients relapsing during pregnancy (n = 6) with those of relapse-free patients (n = 26). Results showed an altered expression of 347 transcripts in non-pregnant MS patients with respect to non-pregnant healthy controls. Complementary changes in expression, occurring during pregnancy, reverted the previous imbalance particularly for seven inflammation-related transcripts, i.e. SOCS2, TNFAIP3, NR4A2, CXCR4, POLR2J, FAM49B, and STAG3L1. Longitudinal analysis showed that the overall deregulation of gene expression reverted to "normal" already within the third month of gestation, while in the post-partum gene expressions rebounded to pre-pregnancy levels. Six (18.7%) of the 32 MS patients had a relapse during pregnancy, mostly in the first trimester. The latter showed delayed expression profiles when compared to relapse-free patients: in these patients expression imbalance was reverted later in the pregnancy, i.e. at sixth month. Specific changes in expression during pregnancy were associated with a decrease in disease activity assessed by occurrence of relapses during pregnancy. Findings might help in understanding the pathogenesis of MS and may provide basis for the development of novel therapeutic strategies.
doi_str_mv 10.1371/journal.pone.0008962
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However, the biological mechanisms underlying this pregnancy-related decrease in disease activity are poorly understood. We conducted a genome-wide transcription analysis in peripheral blood mononuclear cells (PBMCs) from 12 women (7 MS patients and 5 healthy controls) followed during their pregnancy. Samples were obtained before, during (i.e. at the third, sixth, and ninth month of gestation) and after pregnancy. A validation of the expression profiles has been conducted by using the same samples and an independent group of 25 MS patients and 11 healthy controls. Finally, considering the total group of 32 MS patients, we compared expression profiles of patients relapsing during pregnancy (n = 6) with those of relapse-free patients (n = 26). Results showed an altered expression of 347 transcripts in non-pregnant MS patients with respect to non-pregnant healthy controls. Complementary changes in expression, occurring during pregnancy, reverted the previous imbalance particularly for seven inflammation-related transcripts, i.e. SOCS2, TNFAIP3, NR4A2, CXCR4, POLR2J, FAM49B, and STAG3L1. Longitudinal analysis showed that the overall deregulation of gene expression reverted to "normal" already within the third month of gestation, while in the post-partum gene expressions rebounded to pre-pregnancy levels. Six (18.7%) of the 32 MS patients had a relapse during pregnancy, mostly in the first trimester. The latter showed delayed expression profiles when compared to relapse-free patients: in these patients expression imbalance was reverted later in the pregnancy, i.e. at sixth month. Specific changes in expression during pregnancy were associated with a decrease in disease activity assessed by occurrence of relapses during pregnancy. 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of inflammation-related genes in patients with multiple sclerosis</atitle><jtitle>PloS one</jtitle><addtitle>PLoS One</addtitle><date>2010-01-29</date><risdate>2010</risdate><volume>5</volume><issue>1</issue><spage>e8962</spage><epage>e8962</epage><pages>e8962-e8962</pages><issn>1932-6203</issn><eissn>1932-6203</eissn><abstract>Pregnancy is associated with reduced activity of multiple sclerosis (MS). However, the biological mechanisms underlying this pregnancy-related decrease in disease activity are poorly understood. We conducted a genome-wide transcription analysis in peripheral blood mononuclear cells (PBMCs) from 12 women (7 MS patients and 5 healthy controls) followed during their pregnancy. Samples were obtained before, during (i.e. at the third, sixth, and ninth month of gestation) and after pregnancy. A validation of the expression profiles has been conducted by using the same samples and an independent group of 25 MS patients and 11 healthy controls. Finally, considering the total group of 32 MS patients, we compared expression profiles of patients relapsing during pregnancy (n = 6) with those of relapse-free patients (n = 26). Results showed an altered expression of 347 transcripts in non-pregnant MS patients with respect to non-pregnant healthy controls. 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Findings might help in understanding the pathogenesis of MS and may provide basis for the development of novel therapeutic strategies.</abstract><cop>United States</cop><pub>Public Library of Science</pub><pmid>20126412</pmid><doi>10.1371/journal.pone.0008962</doi><tpages>e8962</tpages><oa>free_for_read</oa></addata></record>
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ispartof PloS one, 2010-01, Vol.5 (1), p.e8962-e8962
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1932-6203
language eng
recordid cdi_plos_journals_1289252106
source MEDLINE; DOAJ Directory of Open Access Journals; Public Library of Science (PLoS); EZB-FREE-00999 freely available EZB journals; PubMed Central; Free Full-Text Journals in Chemistry
subjects Age
Analysis
Antigens
Breast cancer
CXCR4 protein
Cytokines
Deregulation
Estrogens
Female
Gene expression
Gene Expression Profiling
Genes
Genetic aspects
Genetics and Genomics/Gene Expression
Genomes
Genomics
Gestation
Growth factors
Growth hormones
Humans
Hypoxia
Immunology/Autoimmunity
Inflammation
Inflammation Mediators - metabolism
Leukocytes (mononuclear)
Lymphocytes
Multiple sclerosis
Multiple Sclerosis - genetics
Neurobiology
Neurological Disorders/Multiple Sclerosis and Related Disorders
Neurosciences
Pathogenesis
Patients
Peripheral blood mononuclear cells
Placenta
Pregnancy
Pregnant women
Proteins
Transcription
Transcription (Genetics)
Women's health
Women's Health/Autoimmunity, Autoimmune, and Inflammatory Diseases
Womens health
title Learning from nature: pregnancy changes the expression of inflammation-related genes in patients with multiple sclerosis
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