Natalizumab treatment reduces endothelial activity in MS patients

被引:32
作者
Millonig, Alban [1 ]
Hegen, Harald [1 ]
Di Pauli, Franziska [1 ]
Ehling, Rainer [1 ]
Gneiss, Claudia [1 ]
Hoelzl, Martina [1 ]
Kuenz, Bettina [1 ]
Lutterotti, Andreas [1 ]
Rudzki, Dagmar [1 ]
Berger, Thomas [1 ]
Reindl, Markus [1 ]
Deisenhammer, Florian [1 ]
机构
[1] Innsbruck Med Univ, Dept Neurol, A-6020 Innsbruck, Austria
关键词
PROGRESSIVE MULTIFOCAL LEUKOENCEPHALOPATHY; SOLUBLE ADHESION MOLECULES; RELAPSING MULTIPLE-SCLEROSIS; ALPHA-CONVERTING ENZYME; INTERFERON-BETA; CELL-ADHESION; MONOCLONAL-ANTIBODIES; CONTROLLED TRIAL; VCAM-1; BLOOD;
D O I
10.1016/j.jneuroim.2010.07.012
中图分类号
R392 [医学免疫学]; Q939.91 [免疫学];
学科分类号
100102 ;
摘要
Vascular cell adhesion molecule-1 a ligand for leukocyte very late activating antigen-4 is a key player in leukocyte extravasation in MS lesions. Natalizumab a monoclonal antibody against VLA-4 blocks this interaction. VCAM-1 and its soluble form are up-regulated during endothelial activation in MS. We investigated the effect of Natalizumab on sVCAM-1 and VLA-4 on circulating leukocytes in MS patients. Natalizumab reduced levels of sVCAM-1 compared to controls (256 vs. 597 ng/mL). This effect was sustained and only reversed in patients with neutralizing antibodies against Natalizumab. Correspondingly Natalizumab diminished VLA-4 on leukocyte subsets. Our findings indicate that Natalizumab reduces transmigration not only by blocking VLA-4 but also by down-regulating VCAM-1. (c) 2010 Elsevier B.V. All rights reserved.
引用
收藏
页码:190 / 194
页数:5
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