Effects of High Efficacy Multiple Sclerosis Disease Modifying Drugs on the Immune Synapse : A Systematic Review

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BACKGROUND: Co-signaling and adhesion molecules are important elements for creating immune synapses between T lymphocytes and antigen-presenting cells; they positively or negatively regulate the interaction between a T cell receptor with its cognate antigen, presented by the major histocompatibility complex.

OBJECTIVES: We conducted a systematic review on the effects of High Efficacy Disease Modifying Drugs (HEDMDs) for Multiple Sclerosis (MS) on the co-signaling and adhesion molecules that form the immune synapse.

METHODS: We searched EMBASE, MEDLINE, and other sources to identify clinical or preclinical reports on the effects of HEDMDs on co-signaling and adhesion molecules that participate in the formation of immune synapses in patients with MS or other autoimmune disorders. We included reports on cladribine tablets, anti- CD20 monoclonal antibodies, S1P modulators, inhibitors of Bruton's Tyrosine Kinase, and natalizumab.

RESULTS: In 56 eligible reports among 7340 total publications, limited relevant evidence was uncovered. Not all co-signaling and adhesion molecules have been studied in relation to every HEDMD, with more data being available on the anti-CD20 monoclonal antibodies (that affect CD80, CD86, GITR and TIGIT), cladribine tablets (affecting CD28, CD40, ICAM-1, LFA-1) and the S1P modulators (affecting CD86, ICAM-1 and LFA-1) and less on Natalizumab (affecting CD80, CD86, CD40, LFA-1, VLA-4) and Alemtuzumab (affecting GITR and CTLA-4).

CONCLUSION: The puzzle of HEDMD effects on the immune synapse is far from complete. The available evidence suggests that distinguishing differences exist between drugs and are worth pursuing further.

Medienart:

E-Artikel

Erscheinungsjahr:

2024

Erschienen:

2024

Enthalten in:

Zur Gesamtaufnahme - year:2024

Enthalten in:

Current pharmaceutical design - (2024) vom: 09. Feb.

Sprache:

Englisch

Beteiligte Personen:

Deftereos, Spyros N [VerfasserIn]
Vavougios, George D [VerfasserIn]
Bakirtzis, Christos [VerfasserIn]
Hadjigeorgiou, George [VerfasserIn]
Grigoriadis, Nikolaos [VerfasserIn]

Links:

Volltext

Themen:

Adhesion molecules
Autoimmune Disorders
Co-Signaling molecules
Disease Modifying Drugs
Immune Synapse
Journal Article
Multiple Sclerosis

Anmerkungen:

Date Revised 12.02.2024

published: Print-Electronic

Citation Status Publisher

doi:

10.2174/0113816128288102240131053205

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM368332063