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@ARTICLE{Crowley:302328,
author = {T. Crowley and J. Chen and K. S. Rosiewicz and L.
Jopp-Saile$^*$ and G. Herold and C. Biese and C. Fischer and
J. Kerkering and M. Alisch and F. Paul and V. Siffrin},
title = {{M}apping {CD}4+ {T} cell diversity in {CSF} to identify
endophenotypes of multiple sclerosis.},
journal = {Brain communications},
volume = {7},
number = {3},
issn = {2632-1297},
address = {[Oxford]},
publisher = {Oxford University Press},
reportid = {DKFZ-2025-01323},
pages = {fcaf231},
year = {2025},
abstract = {Multiple sclerosis (MS) is a chronic inflammatory CNS
disease with heterogeneous manifestation. Prognostic markers
for early classification of MS are currently under
investigation. Higher diagnostic resolution of cerebrospinal
fluid (CSF) has the potential to contribute significantly to
patient stratification, which should be especially important
for a subgroup of patients with high risk to convert to a
progressive disease course. This study aimed to determine
whether spectral flow cytometry of CSF cells could identify
pathogenic CD4+ T cell subset in MS. Using a two-step
approach, we designed a marker panel informed by publicly
available transcriptomic datasets from early human MS and
our own single-cell RNA sequencing (scRNA-seq) in acute and
chronic experimental autoimmune encephalomyelitis (EAE), a
murine MS model. Notably, chronic ('phase') markers such as
Il7r and Ramp3 (associated with memory T cells), Itgb1
(integrin beta-1) and anti-apoptotic genes like Dnaja1,
Hsph1 and Jun/AP-1 were enriched in EAE. These markers
reflect pro-survival signalling and tissue-residency
characteristics, including CXCR6, CD69 and Bhlhe40, which
suggest an adaptation of CD4+ T cells towards persistent
neuroinflammatory responses in chronic EAE. This
phase-specific marker profile highlights CD4+ T cells as
both indicators and contributors to disease progression in
EAE. Translating these findings to MS datasets, we found an
enrichment of phase-specific markers in CSF cells. Spectral
flow cytometry in an independent MS cohort revealed distinct
memory and effector T cell subsets, indicating unique CSF
signatures in MS. This study underscores the heterogeneity
and dynamic changes of CD4+ T cells detectable by spectral
flow cytometry, enhancing diagnostic resolution of CSF cells
and informing more precise therapeutic strategies for MS.},
keywords = {T cell subsets (Other) / cerebrospinal fluid (Other) /
chronic neuroinflammation (Other) / experimental
neuroinflammation (Other) / multiple sclerosis (Other)},
cin = {A010},
ddc = {610},
cid = {I:(DE-He78)A010-20160331},
pnm = {311 - Zellbiologie und Tumorbiologie (POF4-311)},
pid = {G:(DE-HGF)POF4-311},
typ = {PUB:(DE-HGF)16},
pubmed = {pmid:40574973},
pmc = {pmc:PMC12199765},
doi = {10.1093/braincomms/fcaf231},
url = {https://inrepo02.dkfz.de/record/302328},
}