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The Cord-Age-Gender Connection in Multiple Sclerosis Pathophysiology

A special issue of International Journal of Molecular Sciences (ISSN 1422-0067). This special issue belongs to the section "Molecular Pathology, Diagnostics, and Therapeutics".

Deadline for manuscript submissions: closed (28 February 2021) | Viewed by 9820

Special Issue Editor


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Guest Editor
1. Bank of Tissues and Cells, Hospices Civils de Lyon, Hôpital Edouard Herriot, Place d’Arsonval, F-69003 Lyon, France
2. Stem-Cell and Brain Research Institute, 18 Avenue de Doyen Lépine, F-69500 Bron, France
3. Lyon-Est School of Medicine, University Claude Bernard Lyon 1, 43 Bd du 11 Novembre 1918, F-69100 Villeurbanne, France
Interests: multiple sclerosis pathophysiology; CNS-targeted autoimmunity; neuroinflammation; computational data mining; systems biology
Special Issues, Collections and Topics in MDPI journals

Special Issue Information

Dear Colleagues,

The term of silent progression has recently been coined to depict the slow clinical deterioration which, despite an apparent lack of disease activity, insidiously develops in patients with relapsing remitting multiple sclerosis (RRMS). Such a key finding clearly urges us to challenge our current views on MS pathophysiology. This Special Issue is framed by the general idea that, on a common ground of myelin-directed autoimmunity, three combining factors are greatly impacting the clinical outcome of multiple sclerosis: age, gender, and the spinal cord localization of MS lesions. The main goal of this issue is thus to gather relevant data and/or analyses which explore one or several of the following points:

a) the molecular impact of gender and/or aging on MS pathophysiology or its animal model;

b) the molecular effects of sex hormones and/or aging on glial cells and/or immune cells;

c) the spinal cord-specific molecular signature of glial cells under normal or pathological conditions.

Prof. Dr. Serge Nataf
Guest Editor

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Published Papers (3 papers)

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Editorial

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3 pages, 165 KiB  
Editorial
Cord–Age–Gender Connections Shape the Pathophysiology of Multiple Sclerosis Progressive Forms
by Serge Nataf
Int. J. Mol. Sci. 2019, 20(20), 5103; https://0-doi-org.brum.beds.ac.uk/10.3390/ijms20205103 - 15 Oct 2019
Cited by 2 | Viewed by 2067
Abstract
There is increasing evidence that sex hormones, aging, and the occurrence of spinal cord (SC) tissue alterations exert combined effects on the development and outcome of multiple sclerosis (MS) progressive forms [...] Full article
(This article belongs to the Special Issue The Cord-Age-Gender Connection in Multiple Sclerosis Pathophysiology)

Research

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19 pages, 1493 KiB  
Article
TGFB1-Mediated Gliosis in Multiple Sclerosis Spinal Cords Is Favored by the Regionalized Expression of HOXA5 and the Age-Dependent Decline in Androgen Receptor Ligands
by Serge Nataf, Marine Guillen and Laurent Pays
Int. J. Mol. Sci. 2019, 20(23), 5934; https://0-doi-org.brum.beds.ac.uk/10.3390/ijms20235934 - 26 Nov 2019
Cited by 16 | Viewed by 4469
Abstract
In multiple sclerosis (MS) patients with a progressive form of the disease, spinal cord (SC) functions slowly deteriorate beyond age 40. We previously showed that in the SC of these patients, large areas of incomplete demyelination extend distance away from plaque borders and [...] Read more.
In multiple sclerosis (MS) patients with a progressive form of the disease, spinal cord (SC) functions slowly deteriorate beyond age 40. We previously showed that in the SC of these patients, large areas of incomplete demyelination extend distance away from plaque borders and are characterized by a unique progliotic TGFB1 (Transforming Growth Factor Beta 1) genomic signature. Here, we attempted to determine whether region- and age-specific physiological parameters could promote the progression of SC periplaques in MS patients beyond age 40. An analysis of transcriptomics databases showed that, under physiological conditions, a set of 10 homeobox (HOX) genes are highly significantly overexpressed in the human SC as compared to distinct brain regions. Among these HOX genes, a survey of the human proteome showed that only HOXA5 encodes a protein which interacts with a member of the TGF-beta signaling pathway, namely SMAD1 (SMAD family member 1). Moreover, HOXA5 was previously found to promote the TGF-beta pathway. Interestingly, SMAD1 is also a protein partner of the androgen receptor (AR) and an unsupervised analysis of gene ontology terms indicates that the AR pathway antagonizes the TGF-beta/SMAD pathway. Retrieval of promoter analysis data further confirmed that AR negatively regulates the transcription of several members of the TGF-beta/SMAD pathway. On this basis, we propose that in progressive MS patients, the physiological SC overexpression of HOXA5 combined with the age-dependent decline in AR ligands may favor the slow progression of TGFB1-mediated gliosis. Potential therapeutic implications are discussed. Full article
(This article belongs to the Special Issue The Cord-Age-Gender Connection in Multiple Sclerosis Pathophysiology)
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Other

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5 pages, 543 KiB  
Commentary
The Demonstration of an Aqp4/Tgf-Beta 1 Pathway in Murine Astrocytes Holds Implications for Both Neuromyelitis Optica and Progressive Multiple Sclerosis
by Serge Nataf
Int. J. Mol. Sci. 2020, 21(3), 1035; https://0-doi-org.brum.beds.ac.uk/10.3390/ijms21031035 - 04 Feb 2020
Cited by 7 | Viewed by 2797
Abstract
The role exerted by Aquaporin 4 (AQP4) as a regulator of astrocyte immune functions has been poorly explored. A recent report demonstrates that under neuroinflammatory conditions, the expression of Aqp4 on murine astrocytes is mandatory for the effective control of acute inflammation in [...] Read more.
The role exerted by Aquaporin 4 (AQP4) as a regulator of astrocyte immune functions has been poorly explored. A recent report demonstrates that under neuroinflammatory conditions, the expression of Aqp4 on murine astrocytes is mandatory for the effective control of acute inflammation in the central nervous system. Such an immunomodulatory function appears to be mediated by a promotion of the transforming growth factor beta 1 (Tgfb1) pathway. Here, these results are discussed in the context of neuromyelitis optica (NMO) and multiple sclerosis (MS) progressive forms. It is proposed that NMO and progressive MS might rely on opposite molecular mechanisms involving, in NMO, an acutely-defective AQP4/TGFB1 pathway and, in progressive MS, a chronically-stimulated AQP4/TGFB1 pathway. Data supporting the involvement of angiotensin II as a molecular link between AQP4 and TGFB1 are also reviewed. Full article
(This article belongs to the Special Issue The Cord-Age-Gender Connection in Multiple Sclerosis Pathophysiology)
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