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Table 7 The present study investigates the impact disease-modifying therapy (DMT) medications on several immune cell populations, with a particular focus on the underlying processes including mitochondrial and metabolic dysfunction

From: Mitochondrial and metabolic dysfunction of peripheral immune cells in multiple sclerosis

DMT drugs

Immune cell type

Mechanism of mitochondrial and metabolic dysfunction

References

Interferon beta

T cell

Reverse the decreased glycolysis and mitochondrial respiration activity by upregulating the expression of aldolase, HK-1, ENO1, GLUT1, DLAT and DLST

[77]

DC

Suppress the differentiation of Th17 cells and induces IL-10 secretion via activated STAT1 and STAT3

[151]

Monocyte

Alter monocytic ROS production and mitochondrial ETC-related genes

[121, 122]

Dimethyl fumarate (DMF)

CD4 or CD8

Increase caspase-mediated apoptosis through CytC, reduce intracellular GSH, increase MMP, ROS levels and mitochondrial OCR

[104]

Tc17

Upregulate ROS in Tc17 cells through PI3K-AKT-T-BET and IL-2-STAT5 signaling pathways

[105]

Monocyte

Upregulate monocytic ROS production as a result of genetically sustained low level of the promotor methylation of NOX3

[120]

Inhibit glycolysis process and ROS production through decreasing ERK phosphorylation

[124]

DC

Regulate oxidative stress potentially through modulation GSH-HO-1 pathway

[157, 160, 161]

Teriflunomide

T cell

Enhance OCR and EACR by boosting complex III activity in the ETC

[78]