RT journal article T1 Exploring proteomic immunoprofiles: common neurological and immunological pathways in multiple sclerosis and type 1 diabetes mellitus A1 Cano Cano, Fátima A1 Lara Barea, Almudena A1 Cruz Gómez, Álvaro Javier A1 Martín Loro, Francisco A1 Gómez Jaramillo, María Laura A1 González Montelongo, María del Carmen A1 Roca Rodríguez, María del Mar A1 Beltrán Camacho, Lucía A1 Forero, Lucía A1 González Rosa, Javier Jesús A1 Durán Ruiz, María del Carmen A1 Arroba Espinosa, Ana Isabel A1 Aguilar Diosdado, Manuel A2 Anatomía y Embriología Humana A2 BiomedicinaBiotecnología y Salud Pública A2 Medicina A2 Psicología AB Background: Interest in the study of type 1 diabetes mellitus (T1DM) and multiple sclerosis (MS) has increased because of their significant negative impact on the patient quality of life and the profound implications for the health care system. Although the clinical symptoms of T1DM differ from those of MS, such as pancreatic β-cell failure in T1DM and demyelination in the central nervous system (CNS) in MS, both pathologies are considered as autoimmune-related diseases with shared pathogenic pathways, which include autophagy, inflammation and degeneration, among others. Considering the challenges in obtaining pancreatic β-cells and CNS tissue from patients with T1DM and MS, respectively, it is fundamental to explore alternative methods for evaluating disease status. Proteomic analysis of peripheral blood mononuclear cells (PBMCs) is an ideal approach for identifying novel and potential biomarkers for both autoimmune diseases. Methods: We conducted a proteomic analysis of PBMCs from patients with T1DM and relapsing remitting Multiple Sclerosis (herein forth MS) patients (n = 9 per condition), using a label-free quantitative proteomics approach. The patients were diagnosed following the American Diabetes Association (ADA) criteria for T1DM and McDonald criteria for MS respectively, and were aged over 18 years and more than 2 years from the onset respectively. Results: A total of 2476 proteins were differentially expressed in PBMCs from patients with T1DM and MS patients compared with those form healthy controls (H). Predictive analysis highlighted 15 common proteins, up- or downregulated in PBMCs from patients with T1DM and MS patients vs. healthy controls, involved in the immune system activity (BTF3, TTR, CD59, CSTB), diseases of the neuronal system (TTR), signal transduction (STMN1, LAMTOR5), metabolism of nucleotides (RPS21), proteins (TTR, ENAM, CD59, RPS21, SRP9) and RNA (SRSF10, RPS21). In addition, this study revealed both shared and distinct molecular patterns between the two conditions. Conclusions: Compared with H, patients with T1DM and MS presented a specific expression pattern of common proteins has been identified. This pattern underscores the shared mechanisms involved in their immune responses and neurological complications, alongside dysregulation of the autophagy pathway. Notably, CSTB has emerged as a differential biomarker, distinguishing between these two autoimmune diseases. PB Springer Nature SN 1528-3658 YR 2025 FD 2025-02 LK http://hdl.handle.net/10498/36356 UL http://hdl.handle.net/10498/36356 LA eng DS Repositorio Institucional de la Universidad de Cádiz RD 08-nov-2026