RT Journal Article T1 Soluble Receptor Isoform of IFN-Beta (sIFNAR2) in Multiple Sclerosis Patients and Their Association With the Clinical Response to IFN-Beta Treatment A1 Aliaga-Gaspar, Pablo A1 Hurtado-Guerrero, Isaac A1 Ciano-Petersen, Nicolas Lundahl A1 Urbaneja, Patricia A1 Brichette-Mieg, Isabel A1 Reyes, Virginia A1 Rodriguez-Bada, Jose Luis A1 Alvarez-Lafuente, Roberto A1 Arroyo, Rafael A1 Quintana, Ester A1 Ramio-Torrenta, Lluis A1 Alonso, Ana A1 Leyva, Laura A1 Fernandez, Oscar A1 Oliver-Martos, Begona K1 alternative splicing K1 soluble receptors K1 IFNAR K1 interferon beta K1 multiple sclerosis K1 I interferon receptor K1 Ifnar-2 K1 Serum K1 Validation K1 Cytokines K1 Subunit AB PurposeInterferon beta receptor 2 subunit (IFNAR2) can be produced as a transmembrane protein, but also as a soluble form (sIFNAR2) generated by alternative splicing or proteolytic cleavage, which has both agonist and antagonist activities for IFN-beta. However, its role regarding the clinical response to IFN-beta for relapsing-remitting multiple sclerosis (RRMS) is unknown. We aim to evaluate the in vitro short-term effects and after 6 and 12 months of IFN-beta therapy on sIFNAR2 production and their association with the clinical response in MS patients. MethodsNinety-four RRMS patients were included and evaluated at baseline, 6 and 12 months from treatment onset. A subset of 41 patients were classified as responders and non-responders to IFN-beta therapy. sIFNAR2 serum levels were measured by ELISA. mRNA expression for IFNAR1, IFNAR2 splice variants, MxA and proteases were assessed by RT-PCR. The short-term effect was evaluated in PBMC from RRMS patients after IFN-beta stimulation in vitro. ResultsProtein and mRNA levels of sIFNAR2 increased after IFN-beta treatment. According to the clinical response, only non-responders increased sIFNAR2 significantly at both protein and mRNA levels. sIFNAR2 gene expression correlated with the transmembrane isoform expression and was 2.3-fold higher. While MxA gene expression increased significantly after treatment, IFNAR1 and IFNAR2 only slightly increased. After short-term IFN-beta in vitro induction of PBMC, 6/7 patients increased the sIFNAR2 expression. ConclusionsIFN-beta administration induces the production of sIFNAR2 in RRMS and higher levels might be associated to the reduction of therapeutic response. Thus, levels of sIFNAR2 could be monitored to optimize an effective response to IFN-beta therapy. PB Frontiers media sa SN 1664-3224 YR 2021 FD 2021-12-16 LK https://hdl.handle.net/10668/24480 UL https://hdl.handle.net/10668/24480 LA en DS RISalud RD Apr 5, 2025