Association between peripheral blood T cell subsets and clinical disability in multiple sclerosis patients - Scorecard - MDSpire

Correlation of Peripheral Blood T Cell Subtypes with Clinical Disability Levels in Patients with Multiple Sclerosis

  • By

  • Penju Liu

  • Wei Liu

  • Xiaoting Zhang

  • Peng Yuan

  • July 20, 2026

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Clinical Scorecard: Correlation of Peripheral Blood T Cell Subtypes with Clinical Disability Levels in Patients with Multiple Sclerosis

At a Glance

CategoryDetail
ConditionMultiple Sclerosis
Key MechanismsInvolvement of CD4+ and CD8+ T cells in immune-mediated pathology.
Target PopulationPatients with Multiple Sclerosis
Care SettingTertiary neurology center

Key Highlights

  • Study involved 48 MS patients with mean EDSS score of 3.20 ± 1.50.
  • CD4+/CD8+ ratio negatively correlated with EDSS scores (r = −0.345, p = 0.016).
  • Progressive decline in CD4+/CD8+ ratio observed across disability severity groups.
  • Exploratory analyses suggested DMT exposure may influence the CD4+/CD8+ ratio association with EDSS.
  • Findings suggest potential for CD4+/CD8+ ratio as a peripheral immune indicator in MS.

Guideline-Based Recommendations

Diagnosis

  • Confirmed MS diagnosis according to the 2017 McDonald criteria.

Management

  • Consider disease-modifying therapies (DMT) based on clinical assessment.

Monitoring & Follow-up

  • Utilize EDSS for standardized disability measurement.

Risks

  • Recognize limitations of EDSS, including non-linearity and insensitivity to cognitive impairment.

Patient & Prescribing Data

Adults aged 18-65 with clinically stable MS.

DMT exposure may influence T cell subset ratios and disability correlation.

Clinical Best Practices

  • Integrate peripheral blood T cell profiling with clinical disability assessments.
  • Consider T cell subset distributions as potential biomarkers for disease monitoring.

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