Background: Myxovirus resistance protein A (MxA) is a protein that is upregulated by interferon-beta. Homeostatic MxA mRNA levels are potentially correlated with inflammatory disease activity in multiple sclerosis (MS) and could have an important role in MS pathology.

Aim: To investigate the association between myxovirus resistance protein A (MxA) mRNA levels in blood and disease activity and progression in MS over a long-term follow-up period.

Methods: Baseline blood MxA mRNA levels were determined in a prospective cohort of 116 untreated patients with a clinically isolated syndrome (CIS) or early relapsing remitting MS (RRMS), and related to long-term relapses, radiological disease activity, clinical scores [Expanded Disability Status Scale (EDSS), timed-25-foot walk (T25FW), 9-hole-peg test (9HPT)], MS type, and disease modifying therapy (DMT) use.

Results: Low MxA mRNA levels were associated with the occurrence of ≥9 T2-lesions on MRI imaging and the occurrence of relapses during long-term follow-up (median 11 years, IQR 5.91-13.69 years). MxA mRNA levels were not associated with EDSS, T25FW, 9HPT, and MS subtype.

Conclusion: Baseline MxA mRNA levels are associated with long-term development of T2-lesions on MRI-scans in our cohort. This confirms the relevance of the endogenous interferon-beta system in the occurrence of MS disease activity.

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC9428291PMC
http://dx.doi.org/10.3389/fneur.2022.907245DOI Listing

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Article Synopsis
  • - The study investigates the role of Myxovirus resistance protein A (MxA) on the JAK/STAT signaling pathway in HepG2 cells, focusing on the localization and expression of MxA through various biochemical methods.
  • - Results showed that MxA is primarily localized in the cytoplasm, and while knocking down MxA does not impact STAT protein levels, it significantly lowers antiviral proteins PKR and OAS expression.
  • - Overexpressing MxA increases ISRE activity and boosts PKR and OAS levels, indicating that MxA promotes antiviral protein expression by enhancing the JAK/STAT pathway's activity, though this effect is blocked in HepG2.2.15 cells.
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