RT Journal Article T1 Candidate Gene Study of TRAIL and TRAIL Receptors: Association with Response to Interferon Beta Therapy in Multiple Sclerosis Patients A1 López-Gómez, Carlos A1 Pino-Ángeles, Almudena A1 Órpez-Zafra, Teresa A1 Pinto-Medel, Mª Jesús A1 Oliver-Martos, Begoña A1 Ortega-Pinazo, Jesús A1 Arnáiz, Carlos A1 Guijarro-Castro, Cristina A1 Varadé, Jezabel A1 Alvarez-Lafuente, Roberto A1 Urcelay, Elena A1 Sánchez-Jiménez, Francisca María A1 Fernández Fernández, Oscar A1 Leyva-Fernández, Laura K1 Esclerosis múltiple - Tratamiento AB TRAIL and TRAIL Receptor genes have been implicated in Multiple Sclerosis pathology as well as in the response to IFN betatherapy. The objective of our study was to evaluate the association of these genes in relation to the age at disease onset(AAO) and to the clinical response upon IFN beta treatment in Spanish MS patients. We carried out a candidate gene studyof TRAIL, TRAILR-1, TRAILR-2, TRAILR-3 and TRAILR-4 genes. A total of 54 SNPs were analysed in 509 MS patients under IFNbeta treatment, and an additional cohort of 226 MS patients was used to validate the results. Associations of rs1047275 inTRAILR-2 and rs7011559 in TRAILR-4 genes with AAO under an additive model did not withstand Bonferroni correction. Incontrast, patients with the TRAILR-1 rs20576-CC genotype showed a better clinical response to IFN beta therapy comparedwith patients carrying the A-allele (recessive model: p = 8.886 x 10-4, pc = 0.048, OR = 0.30). This SNP resulted in a nonsynonymous substitution of Glutamic acid to Alanine in position 228 (E228A), a change previously associated withsusceptibility to different cancer types and risk of metastases, suggesting a lack of functionality of TRAILR-1. In order tounravel how this amino acid change in TRAILR-1 would affect to death signal, we performed a molecular modelling withboth alleles. Neither TRAIL binding sites in the receptor nor the expression levels of TRAILR-1 in peripheral bloodmononuclear cell subsets (monocytes, CD4+ and CD8+ T cells) were modified, suggesting that this SNP may be altering thedeath signal by some other mechanism. These findings show a role for TRAILR-1 gene variations in the clinical outcome ofIFN beta therapy that might have relevance as a biomarker to predict the response to IFN beta in MS. PB Public Library of Sciences YR 2013 FD 2013 LK https://hdl.handle.net/10630/36810 UL https://hdl.handle.net/10630/36810 LA eng NO López-Gómez C, Pino-Ángeles A, Órpez-Zafra T, Pinto-Medel MJ, Oliver-Martos B, Ortega-Pinazo J, Arnáiz C, Guijarro-Castro C, Varadé J, Álvarez-Lafuente R, Urcelay E, Sánchez-Jiménez F, Fernández Ó, Leyva L. Candidate gene study of TRAIL and TRAIL receptors: association with response to interferon beta therapy in multiple sclerosis patients. PLoS One.2013 Apr 29;8(4):e62540. doi: 10.1371/journal.pone.0062540. PMID: 23658636; PMCID: PMC3639207. NO Artículo publicado PLoS One.2013 Apr 29;8(4):e62540 NO The authors acknowledge the support from Fondo de Investigacio´ n Sanitaria & Fondo Europeo de Desarrollo Regional (PS09/01764) and Consejerı´a deSalud de la Junta de Andalucı´a (SAS07/0231) to L.L., and from Consejerı´a de Innovacio´ n (P07-CTS-03223) to OF. The authors would like to thank Biogen Idec IberiaS.L. for financial support. The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript. DS RIUMA. Repositorio Institucional de la Universidad de Málaga RD 3 mar 2026