HEREAT Human Molecular
Genetics and Epigenetics
Research Laboratory


The Impact of the CD226 Gly307Ser Genetic Variant on Human CD8 T Cells in Multiple Sclerosis



Common Genetic Etiology Between Single-Gene Disorders and Familial Multiple Sclerosis

Multiple sclerosis (MS) is a complex immune-mediated neurodegenerative disease with significant contributions from genetic and immune factors. One key genetic variant, rs763361, located in the CD226 gene, has been linked to increased susceptibility to MS. This variant results in a glycine-to-serine substitution at position 307 of the CD226 protein, a surface molecule that plays a vital role in immune regulation, especially in T cells. A recent study by Morandi et al. (2024) sheds light on the impact of this genetic variant on the functionality of CD8 T cells, which play a crucial role in MS pathogenesis.

The Role of CD226 in T Cells
CD226, also known as DNAM-1 (DNAX accessory molecule-1), is a glycoprotein expressed on most natural killer (NK) cells and T cells. It interacts with its ligands, CD155 and CD112, and is involved in the activation and differentiation of T cells. Previous studies have shown that the CD226 Gly307Ser variant affects CD4 T cells, reducing immune regulatory capacity and enhancing proinflammatory responses. However, its impact on CD8 T cells, a population increasingly recognized for their role in MS, had not been thoroughly explored until now.

Investigating CD226 Variants in CD8 T Cells
Morandi and colleagues conducted an in-depth investigation into how the CD226 Gly307Ser variant influences CD8 T cells. They collected CD8 T cells from healthy individuals homozygous for either the protective (CD226-307Gly) or risk (CD226-307Ser) allele. Using high-parametric flow cytometry, bulk RNA sequencing, and detailed functional assays, they analyzed the effects of T-cell receptor (TCR) stimulation on these cells.

Transcriptomic and Functional Differences
The study revealed that while the overall phenotype of CD8 T cells carrying the protective or risk allele was similar, significant differences emerged at the transcriptomic level. CD8 T cells from individuals carrying the CD226-307Ser risk allele exhibited an enrichment in signaling pathways associated with TCR, JAK/STAT, and IFNγ, key pathways in immune responses.

The researchers also found that CD8 T cells expressing the risk allele showed increased phosphorylation of extracellular signal-regulated kinases (ERK1/2) and STAT4, leading to enhanced production of IFNγ, a proinflammatory cytokine. This finding suggests that the CD226\ Gly307Ser variant drives immune dysregulation by amplifying IFNγ production in CD8 T cells, contributing to chronic inflammation.

Implications for Multiple Sclerosis
MS lesions are often dominated by CD8 T cells, which outnumber CD4 T cells. These CD8 T cells are thought to contribute to the destruction of myelin, the protective sheath around nerve fibers, by attacking myelin proteins. The findings of Morandi et al. suggest that individuals carrying the CD226-307Ser risk allele may have heightened CD8 T-cell activity, driven by increased IFNγ signaling, which could exacerbate neuroinflammation and damage in MS.

Moreover, the study's data supports the hypothesis that the CD226 Gly307Ser variant may play a broader role in autoimmune disease by altering CD8 T-cell functions. The observed upregulation of IFNγ and other proinflammatory molecules in CD8 T cells could be a key mechanism by which the risk variant contributes to disease pathogenesis.

Conclusion: A Step Forward in Understanding MS Pathogenesis
Morandi et al. have provided important insights into how the CD226 Gly307Ser variant impacts CD8 T cells and contributes to the pathogenesis of MS. By amplifying IFNγ signaling and TCR activation pathways, this genetic variant promotes a proinflammatory environment that may drive the immune-mediated damage seen in MS. These findings underscore the importance of CD8 T cells in MS and highlight the potential for targeting IFNγ signaling as a therapeutic strategy in individuals with the CD226-307Ser risk allele.

\The study's comprehensive approach, combining phenotypic, transcriptomic, and functional analyses, sets a new standard for understanding the intricate interactions between genetics and immune function in autoimmune diseases like MS. As research in this field continues, the role of CD226 and its associated pathways may become a critical target for future therapies aimed at modulating immune responses in MS and other autoimmune disorders.

Reference:
Morandi, E., Adoue, V., Bernard, I., Friebel, E., Nunez, N., Aubert, Y., ... & Saoudi, A. (2024). Impact of the Multiple Sclerosis-Associated Genetic Variant CD226 Gly307Ser on Human CD8 T-Cell Functions. Neurology: Neuroimmunology & Neuroinflammation, 11(6), e200306.