Document Type : Original Article (s)
                            
                        
                                                    Authors
                            
                                                            
                                                                            1
                                                                        MSc Student, Department of Immunology, School of Medicine AND Isfahan MS and Neuroimmunology Research Center AND Student Research Committee, Isfahan University of Medical Sciences, Isfahan, Iran                                
                                                            
                                                                            2
                                                                        Associate Professor, Department of Biology, School of Sciences, University of Isfahan, Isfahan, Iran                                
                                                            
                                                                            3
                                                                        Assistant Professor, Department of Immunology, School of Medicine AND Isfahan MS and Neuroimmunology Research Center, Isfahan University of Medical Sciences, Isfahan, Iran                                
                                                            
                                                                            4
                                                                        Professor, Department of Neurology, School of Medicine AND Isfahan MS and Neuroimmunology Research Center, Isfahan University of Medical Sciences, Isfahan, Iran                                
                                                            
                                                                            5
                                                                        PhD Student, Department of Immunology, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran                                
                                                            
                                                                            6
                                                                        Department of Immunology, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran                                
                                                            
                                                                            7
                                                                        PhD Student, Department of Epidemiology, School of Health and Nutrition, Shiraz University of Medical Sciences, Shiraz, Iran                                
                            
                                                
                        
                            Abstract
                            Background: Regulatory CD4+Foxp3+ T cells (Tregs) play an important role in the prevention of autoimmune disease. It is also suggested that in multiple sclerosis (MS), a central nervous system disease, an aberrant Treg function may play a role. Lymphocyte activation gene3 (LAG-3) as a surface marker of Treg cells with negative regulation of the immune system can effectively encounter with effector lymphocytes. In this study, we evaluated frequency of CD4+Foxp3+LAG-3+ T cells before and after treatment with Fingolimod.Methods: Blood samples was obtained from 20 patients with multiple sclerosis before and after 1 months of Fingolimod treatment, and from 12 age-matched healthy control subjects. Then pripheral blood mononuclear cell (PBMCs) were isolated and the frequency of Treg cells expressing LAG-3 were determined by flowcytometry.Findings: The frequency of CD4+Foxp3+LAG3+ T cells in the peripheral blood of MS patients was increased when compared to baseline (P = 0.005).Conclusion: Our findings suggested that Fingolimod not only increases CD4+Foxp3+ Treg cells, but also is able to enhance expression of LAG-3 on their surface. This is a new finding for the Fingolimod on the immune system.
                        
                        
                        
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