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Although the overall number (frequency) of Tregs may be unchanged in MS patients compared to controls, studies indicate that their inhibitory function is impaired, which correlates with diminished immune control in vivo ( Further studies have shown the absence of GSH in T cells does not interfere with TCR signaling but leads to a failure to reprogram cellular processes needed for robust clonal expansion and prevents the induction of aerobic glycolysis and the increase in cell size associated with T cell activation (Klein Geltink et al., 2017)

Exactly how this occurs will require further study, but at least three factors could contribute

Aberrant expansion of CD177 + neutrophils promotes endothelial dysfunction in systemic lupus erythematosus via neutrophil extracellular traps

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