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          Institute: MPI für molekulare Biomedizin     Collection: Publikationen molekulare Biomedizin     Display Documents

ID: 35100.0, MPI für molekulare Biomedizin / Publikationen molekulare Biomedizin
Serum cytokine levels do not correlate with disease activity and severity assessed by brain MRI in multiple sclerosis
Authors:Kraus, J.; Kuehne, B. S.; Tofighi, J.; Frielinghaus, P.; Stolz, E.; Blaes, F.; Laske, C.; Engelhardt, B.; Traupe, H.; Kaps, M.; Oschmann, P.
Date of Publication (YYYY-MM-DD):2002-04
Title of Journal:Acta Neurologica Scandinavica
Issue / Number:4
Start Page:300
End Page:308
Review Status:not specified
Audience:Not Specified
Abstract / Description:OBJECTIVE: Chronic and acute dysregulation of the cytokine network has been described in multiple sclerosis (MS). Inflammatory lesions in the central nervous system of MS patients can be assessed by brain magnetic resonance imaging (MRI). This study has been performed to investigate whether changes of cytokines correlate with morphological changes as determined by MRI. MATERIALS AND METHODS: We included 46 patients with relapsing-remitting MS in the study. The serum concentrations of tumor necrosis factor-beta (TNF-beta), TNF receptor-1 (TNFR-1; 55 kDa) and TNFR-2 (75 kDa), interleukin-4 (IL-4), interleukin-10 (IL-10) and interferon-gamma (IFN-gamma) were measured by enzyme linked immunosorbent assay in all patients. Each parameter was correlated with clinical findings and brain MRI parameters. We measured both the number (lesion load) and cumulated area (disease burden) of all lesions on brain MRI. In addition, the number and cumulated area of those lesions showing signs of activity [Gadolinium (Gd)-enhancement, perifocal edema] were determined. RESULTS: A non-significant trend (P < 0.05) was found only for the correlation of serum IFN-gamma levels and the number of active MRI lesions showing both Gd-enhancement and perifocal edema in the subgroup of patients (n=21) with active lesions. When corrected for multiple comparisons, this correlation was not significant anymore, as it was above the corrected P-value of 0.001. We could not observe any further correlation of cytokine levels and MRI parameters. However, TNF-beta serum levels were significantly (P < 0.05) elevated in the patient subgroups with higher number of lesions and disease burden, respectively. CONCLUSION: Our data show that the determination of serum levels of the investigated cytokines and cytokine receptors is not useful as a tool to determine subclinical disease activity and severity as assessed by brain MRI.
Free Keywords:Adult
; Antigens, CD/blood
; Biological Markers/blood
; Brain/*pathology
; Cytokines/*blood
; Female
; Human
; Interferon Type II/blood
; Interleukin-10/blood
; Interleukin-4/blood
; Lymphotoxin/blood
; *Magnetic Resonance Imaging
; Male
; Middle Age
; Multiple Sclerosis/*diagnosis/*immunology
; Receptors, Tumor Necrosis Factor/blood
External Publication Status:published
Document Type:Article
Communicated by:N. N.
Affiliations:MPI für vaskuläre Biologie
Identifiers:URL:http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=... [ID No:1]
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