1
Return

Sex-chromosome complement and Activin-A shape the therapeutic potential of TNFR2 activation in a model of MS and CNP

delete2025-05-16
delete0
delete
OA
AI
S
Shruti Gupta
S
Sreejita Arnab
K
Kayla L. Nguyen
R
Reed, Marisa
P
Payam Fathi
K
Kelly Tammen
E
Emma L. Turner
E
Erin Jones
F
Fischer, Roman
D
David Mendelowitz
J
John R. Bethea *
DOI:10.1073/pnas.2426771122delete
deleteOriginal
deleteOriginal request for help
deleteShare
deleteSave
Abstract

Abstract

En 中文
Tumor necrosis factor receptor 2 (TNFR2) activation is a promising-therapeutic strategy for autoimmune disorders such as multiple sclerosis (MS) and chronic neuropathic pain (CNP). This study aimed to identify mechanisms governing the sex-specific efficacy of TNFR2 activation on abrogating pain and motor disease severity in mice experiencing experimental autoimmune encephalomyelitis (EAE), a rodent model of MS. We find that the XX sex-chromosome complement is indispensable for TNFR2-mediated attenuation of EAE-associated motor disease. Mice with XY chromosomes experienced exacerbated motor disease severity, associated with an elevated magnitude of neurodegeneration and demyelination. Contrasting this, we show that TNFR2-mediated alleviation of EAE induced CNP is both sex and sex-chromosome independent. However, the alleviation of CNP following TNFR2 activation across two different neuropathic pain models (EAE and chronic constriction injury) was dependent on the gonadal hormone Activin-A. This suggests a shared mechanism through which gonadal-derived factors impact TNFR2-mediated pain relief, independent of sex hormones. These findings highlight the importance of considering sex chromosomes and sex-independent gonadal hormones in evaluating potential sex-specific differences in drug efficacy during therapeutic development.
Keywords:
multiple sclerosis (MS)
tumor necrosis factor receptor 2 (TNFR2)
Activin-A
sex-chromosome complement
neuropathic pain

Journal

P
Proceedings of the National Academy of Sciences of the United States of America
IF:
9.1
Papers:
10.8W
Citations:
73.5W

Organization

U
Univ Penn
Scholars:
4.0K
Papers: 2.6K
Citations: 726
U
univ stuttgart
Scholars:
467
Papers: 206
Citations: 49
Cited Papers

Cited Papers

Citing Papers

Citing Papers