Differentiation of remitting neuromyelitis optica spectrum disorders from multiple sclerosis by integrating parameters from serum proteins and lymphocyte subsets

被引:9
作者
Ip, Peng-Peng [1 ]
Chung, Chen-Yen [1 ]
Chang, Chien-Ching [1 ]
Lee, Yu-Fang [2 ]
Wang, Hui-Min [1 ]
Lian, Ie-Bin [3 ]
Fann, Cathy Shen-Jang [1 ]
Yang, Chih-Chao [2 ]
Liao, Fang [1 ]
机构
[1] Acad Sinica, Inst Biomed Sci, Taipei, Taiwan
[2] Natl Taiwan Univ Hosp, Dept Neurol, Taipei, Taiwan
[3] Natl Changhua Univ Educ, Dept Math, Changhua, Taiwan
关键词
Multiple sclerosis; Neuromyelitis optica spectrum disorder; Galectin-9; CXCL10; CXCL13; CHEMOKINE RECEPTORS; INFLAMMATION; CELLS; CSF; EXPRESSION; BIOMARKERS; IMMUNITY; JAPANESE; DISEASE; LESIONS;
D O I
10.1016/j.jneuroim.2018.02.002
中图分类号
R392 [医学免疫学]; Q939.91 [免疫学];
学科分类号
100102 ;
摘要
Differential diagnosis for neuromyelitis optica spectrum disorder (NMOSD) and multiple sclerosis (MS) is always doubtful. To differentiate these diseases, we studied the immune status in the blood of patients with MS (n = 45) or NMOSD (n = 23) at remission phase. Remitting NMOSD patients had increased levels of CXCL13 and memory B cells, while remitting MS patients had elevated levels of galectin-9 and Th1 cells. A diagnostic model with these four variables is built to distinguish remitting NMOSD from MS with a sensitivity of 91.30%. Our diagnostic model may help to improve the differentiation of remitting NMOSD from MS.
引用
收藏
页码:45 / 52
页数:8
相关论文
共 36 条
[11]   Multiple sclerosis in the Japanese population [J].
Kira, J .
LANCET NEUROLOGY, 2003, 2 (02) :117-127
[12]   T-cells in the cerebrospinal fluid express a similar repertoire of inflammatory chemokine receptors in the absence or presence of CNS inflammation:: implications for CNS trafficking [J].
Kivisäkk, P ;
Trebst, C ;
Liu, Z ;
Tucky, BH ;
Sorensen, TL ;
Rudick, RA ;
Mack, M ;
Ransohoff, RM .
CLINICAL AND EXPERIMENTAL IMMUNOLOGY, 2002, 129 (03) :510-518
[13]   CSF cytokines/chemokines as biomarkers in neuroinflammatory CNS disorders: A systematic review [J].
Kothur, Kavitha ;
Wienholt, Louise ;
Brilot, Fabienne ;
Dale, Russell C. .
CYTOKINE, 2016, 77 :227-237
[14]  
Lalan Saurabh, 2012, Int J MS Care, V14, P209, DOI 10.7224/1537-2073-14.4.209
[15]   A serum autoantibody marker of neuromyelitis optica: distinction from multiple sclerosis [J].
Lennon, VA ;
Wingerchuk, DM ;
Kryzer, TJ ;
Pittock, SJ ;
Lucchinetti, CF ;
Fujihara, K ;
Nakashima, I ;
Weinshenker, BG .
LANCET, 2004, 364 (9451) :2106-2112
[16]   Microglial Activation and Chronic Neurodegeneration [J].
Lull, Melinda E. ;
Block, Michelle L. .
NEUROTHERAPEUTICS, 2010, 7 (04) :354-365
[17]  
Mahad DJ, 2002, J NEUROL NEUROSUR PS, V72, P498
[18]   Heterogeneity of aquaporin-4 autoimmunity and spinal cord lesions in multiple sclerosis in Japanese [J].
Matsuoka, Takeshi ;
Matsushita, Takuya ;
Kawano, Yuji ;
Osoegawa, Manabu ;
Ochi, Hirofumi ;
Ishizu, Takaaki ;
Minohara, Motozumi ;
Kikuchi, Hitoshi ;
Mihara, Futoshi ;
Ohyagi, Yasumasa ;
Kira, Jun-ichi .
BRAIN, 2007, 130 :1206-1223
[19]   Pure optic-spinal form of multiple sclerosis in Japan [J].
Misu, T ;
Fujihara, K ;
Nakashima, I ;
Miyazawa, I ;
Okita, N ;
Takase, S ;
Itoyama, Y .
BRAIN, 2002, 125 :2460-2468
[20]   Multiple sclerosis [J].
Nylander, Alyssa ;
Hafler, David A. .
JOURNAL OF CLINICAL INVESTIGATION, 2012, 122 (04) :1180-1188