Pharmacogenomics of Interferon Beta Therapy in Multiple Sclerosis

Summary

Multiple sclerosis (MS) is an immune-mediated disorder characterised by demyelination in the central nervous system and a highly variable clinical course. Interferon-beta (IFNβ) remains one of the foundational disease-modifying therapies, yet up to 40 % of patients derive limited benefit or develop neutralising antibodies. Pharmacogenomics seeks to explain this inter-individual heterogeneity by linking genetic and molecular profiles to treatment response. Studies have revealed that baseline expression levels of type I interferon response genes can predict subsequent pharmacological effects, while specific single nucleotide polymorphisms (SNPs) in immune-regulatory loci modulate receptor signalling and downstream pathways such as JAK-STAT. Emerging approaches integrate genome-wide association data with transcriptomic signatures and machine-learning models to stratify responders and non-responders, aiming to personalise therapy, reduce exposure to ineffective drugs and improve long-term outcomes. This field addresses a global imperative: to refine therapeutic decision-making, optimise resource use and mitigate the burden of disability in MS.

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Pharmacogenomics of Interferon Beta Therapy in Multiple Sclerosis publication trend

The graph below shows the total number of articles in pharmacogenomics of interferon beta therapy in multiple sclerosis across all publications each year (not limited to Nature Index journals).

Technical terms

Interferon-beta (IFNβ): A type I interferon used as a first-line disease-modifying therapy in MS, acting through modulation of innate and adaptive immunity.

Pharmacogenomics: The study of how genetic variation influences individual responses to drugs, encompassing both efficacy and adverse effects.

Single nucleotide polymorphism (SNP): A common form of genetic variation involving a single base-pair change, which can impact gene function or regulation.

Gene expression signature: A specific pattern of transcript abundance across multiple genes that characterises a biological state or predicts a clinical outcome.

Biomarker: A measurable indicator of a biological or pathogenic process, or of pharmacological response to a therapeutic intervention.

References

  1. CCR5 Δ32 and CTLA-4 +49 A/G Gene Polymorphisms and Interferon-β Treatment Response in Croatian and Slovenian Multiple Sclerosis Patients. International Journal of Molecular Sciences (2024).
  2. Fuzzy Logic System for Classifying Multiple Sclerosis Patients as High, Medium, or Low Responders to Interferon-Beta. Technologies (2023).
  3. Pharmacogenomics of Interferon-ß Therapy in Multiple Sclerosis: Baseline IFN Signature Determines Pharmacological Differences between Patients. PLOS ONE (2008).

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