Immune Profiling Reveals the T-Cell Effect of Ocrelizumab in Early Relapsing-Remitting Multiple Sclerosis - Centre de Recherche en Transplantation et Immunologie Accéder directement au contenu
Article Dans Une Revue Neurology Neuroimmunology & Neuroinflammation Année : 2023

Immune Profiling Reveals the T-Cell Effect of Ocrelizumab in Early Relapsing-Remitting Multiple Sclerosis

Emilie Dugast
Sita Shah
Jérémy Morille
  • Fonction : Auteur
Christine Lebrun-Frenay
Jérôme de Sèze
  • Fonction : Auteur
Aude Maurousset
  • Fonction : Auteur
Eric Berger
  • Fonction : Auteur
Olivier Casez
  • Fonction : Auteur
Pierre Labauge
  • Fonction : Auteur
Aurélie Ruet
  • Fonction : Auteur
Catarina Raposo
  • Fonction : Auteur
Fabien Bakdache
Régine Buffels
  • Fonction : Auteur
Arnaud Nicot
Sandrine Wiertlewski
  • Fonction : Auteur
Pierre-Antoine Gourraud
Laureline Berthelot
  • Fonction : Auteur

Résumé

Background and objectives: Ocrelizumab (OCR), a humanized anti-CD20 monoclonal antibody, is highly efficient in patients with relapsing-remitting multiple sclerosis (RR-MS). We assessed early cellular immune profiles and their association with disease activity at treatment start and under therapy, which may provide new clues on the mechanisms of action of OCR and on the disease pathophysiology.Methods: A first group of 42 patients with an early RR-MS, never exposed to disease-modifying therapy, was included in 11 centers participating to an ancillary study of the ENSEMBLE trial (NCT03085810) to evaluate the effectiveness and safety of OCR. The phenotypic immune profile was comprehensively assessed by multiparametric spectral flow cytometry at baseline and after 24 and 48 weeks of OCR treatment on cryopreserved peripheral blood mononuclear cells and analyzed in relation to disease clinical activity. A second group of 13 untreated patients with RR-MS was included for comparative analysis of peripheral blood and CSF. The transcriptomic profile was assessed by single-cell qPCRs of 96 genes of immunologic interest.Results: Using an unbiased analysis, we found that OCR as an effect on 4 clusters of CD4+ T cells: one corresponding to naive CD4+ T cells was increased, the other clusters corresponded to effector memory (EM) CD4+CCR6- T cells expressing homing and migration markers, 2 of them also expressing CCR5 and were decreased by the treatment. Of interest, one CD8+ T-cell cluster was decreased by OCR corresponding to EM CCR5-expressing T cells with high expression of the brain homing markers CD49d and CD11a and correlated with the time elapsed since the last relapse. These EM CD8+CCR5+ T cells were enriched in the CSF of patients with RR-MS and corresponded to activated and cytotoxic cells.Discussion: Our study provides novel insights into the mode of action of anti-CD20, pointing toward the role of EM T cells, particularly a subset of CD8 T cells expressing CCR5.

Domaines

Neurosciences
Fichier principal
Vignette du fichier
e200091.full.pdf (1.5 Mo) Télécharger le fichier
Origine : Fichiers éditeurs autorisés sur une archive ouverte
licence : CC BY NC ND - Paternité - Pas d'utilisation commerciale - Pas de modification

Dates et versions

hal-04064282 , version 1 (30-05-2023)

Licence

Paternité - Pas d'utilisation commerciale - Pas de modification

Identifiants

Citer

Alexandra Garcia, Emilie Dugast, Sita Shah, Jérémy Morille, Christine Lebrun-Frenay, et al.. Immune Profiling Reveals the T-Cell Effect of Ocrelizumab in Early Relapsing-Remitting Multiple Sclerosis. Neurology Neuroimmunology & Neuroinflammation, 2023, 10 (3), pp.e200091. ⟨10.1212/NXI.0000000000200091⟩. ⟨hal-04064282⟩
44 Consultations
24 Téléchargements

Altmetric

Partager

Gmail Facebook X LinkedIn More