Modulation of immune responses by bile acid receptor agonists in myasthenia gravis.

J Neuroimmunol

Department of Neurology, The University of Chicago, Chicago, IL 60637, United States of America. Electronic address:

Published: December 2020

Bile acids bind to multiple receptors, including Takeda G protein-coupled receptor 5 (TGR5) and farnesoid-X-receptors alpha (FXRα). We compared the response of PBMCs to the activation of these receptors in healthy controls and myasthenic patients. We found that TGR5 is a more potent negative regulator of T cell cytokine response than FXRα in both groups. In contrast, TGR5 and FXRα agonists elicit distinct B cell responses in myasthenia compared to controls, specifically on the frequency of IL-6 B cells and regulatory B cells, as well as IL-10 secretion from PBMCs. We propose that TGR5 is a potential therapeutic target in myasthenia.

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http://dx.doi.org/10.1016/j.jneuroim.2020.577397DOI Listing

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