Evidence map›Paper›PMID 39287981›Full record

ArticleThe Journal of clinical investigation2024

Targeting aryl hydrocarbon receptor functionally restores tolerogenic dendritic cells derived from patients with multiple sclerosis.

Federico Fondelli, Jana Willemyns, Roger Domenech-Garcia, Maria José Mansilla, Gerard Godoy-Tena, Anna G Ferreté-Bonastre, Alex Agúndez-Moreno, Silvia Presas-Rodriguez, Cristina Ramo-Tello, Esteban Ballestar and 1 more

Abstract read
In one paragraph

Article in The Journal of clinical investigation, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

12 citing papers in PubMed.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors.

Federico FondelliImmunology Division, Laboratori Clínic de la Metropolitana Nord, Germans Trias i Pujol University Hospital and Research Institute, Campus Can Ruti, Badalona, Spain.
Jana WillemynsImmunology Division, Laboratori Clínic de la Metropolitana Nord, Germans Trias i Pujol University Hospital and Research Institute, Campus Can Ruti, Badalona, Spain.
Roger Domenech-GarciaImmunology Division, Laboratori Clínic de la Metropolitana Nord, Germans Trias i Pujol University Hospital and Research Institute, Campus Can Ruti, Badalona, Spain.
Maria José MansillaImmunology Division, Laboratori Clínic de la Metropolitana Nord, Germans Trias i Pujol University Hospital and Research Institute, Campus Can Ruti, Badalona, Spain.
Gerard Godoy-TenaEpigenetics and Immune Disease Group, Josep Carreras Leukaemia Research Institute (IJC), Badalona, Barcelona, Spain.
Anna G Ferreté-BonastreEpigenetics and Immune Disease Group, Josep Carreras Leukaemia Research Institute (IJC), Badalona, Barcelona, Spain.
Alex Agúndez-MorenoImmunology Division, Laboratori Clínic de la Metropolitana Nord, Germans Trias i Pujol University Hospital and Research Institute, Campus Can Ruti, Badalona, Spain.
Silvia Presas-RodriguezMultiple Sclerosis Unit, Department of Neurosciences, Germans Trias i Pujol University Hospital, Badalona, Spain.
Cristina Ramo-TelloMultiple Sclerosis Unit, Department of Neurosciences, Germans Trias i Pujol University Hospital, Badalona, Spain.
Esteban BallestarEpigenetics and Immune Disease Group, Josep Carreras Leukaemia Research Institute (IJC), Badalona, Barcelona, Spain.
Eva Martínez-CáceresImmunology Division, Laboratori Clínic de la Metropolitana Nord, Germans Trias i Pujol University Hospital and Research Institute, Campus Can Ruti, Badalona, Spain.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Multiple sclerosis (MS) is a chronic disease characterized by dysregulated self-reactive immune responses that damage the neurons' myelin sheath, leading to progressive disability. The primary therapeutic option, immunosuppressants, inhibits pathogenic anti-myelin responses but depresses the immune system. Antigen-specific monocyte-derived autologous tolerogenic dendritic cells (tolDCs) offer alternative therapeutic approaches to restore tolerance to autoantigens without causing generalized immunosuppression. However, immune dysregulation in MS could impact the properties of the monocytes used as starting material for this cell therapy. Here, we characterized CD14+ monocytes, mature dendritic cells, and vitamin D3-tolDCs (VitD3-tolDCs) from active, treatment-naive MS patients and healthy donors (HDs). Using multiomics, we identified a switch in these cell types toward proinflammatory features characterized by alterations in the aryl hydrocarbon receptor (AhR) and NF-κB pathways. MS patient-derived VitD3-tolDCs showed reduced tolerogenic properties compared with those from HDs, which were fully restored through direct AhR agonism and by use of in vivo or in vitro dimethyl fumarate (DMF) supplementation. Additionally, in the experimental autoimmune encephalomyelitis mouse model, combined therapy of DMF and VitD3-tolDCs was more efficient than monotherapies in reducing the clinical score of mice. We propose that a combined therapy with DMF and VitD3-tolDCs offers enhanced therapeutic potential in treating MS.

Indexed as

Dendritic CellsImmune ToleranceMultiple SclerosisReceptors, Aryl HydrocarbonAdultAnimalsBasic Helix-Loop-Helix ProteinsCholecalciferolEncephalomyelitis, Autoimmune, ExperimentalFemaleHumansMaleMiceMiddle AgedMonocytesNF-kappa BAHR protein, humanBasic Helix-Loop-Helix ProteinsCholecalciferolNF-kappa BReceptors, Aryl HydrocarbonAutoimmunityDemyelinating disordersDendritic cellsImmunotherapyTherapeutics

Identifiers

PMID39287981
PMCPMC11527446

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.