Myasthenia gravis patients with low plasma IL-6 and IFN-γ benefit from etanercept treatment

被引:63
作者
Tüzün, E
Meriggioli, MN
Rowin, J
Yang, H
Christadoss, P
机构
[1] Univ Texas, Med Branch, Dept Microbiol & Immunol, Galveston, TX 77555 USA
[2] Univ Illinois, Dept Neurol & Rehabil, Chicago, IL 60612 USA
关键词
autoimmunity; etanercept; interferon-gamma; interleukin-6; myasthenia gravis;
D O I
10.1016/j.jaut.2005.01.013
中图分类号
R392 [医学免疫学]; Q939.91 [免疫学];
学科分类号
100102 ;
摘要
Steroid-dependent myasthenia gravis patients improved following treatment with etanercept (recombinant human TNF receptor: Fc) in a prospective pilot trial. While the plasma anti -acetylcholine receptor antibody levels remained unaffected, etanercept treatment increased plasma levels of C3, circulating immune coniplexes, IL-10 and IFN-gamma. There was a direct correlation between plasma IL-6, TNF-alpha and IFN-gamma levels and the post-treatment clinical scores of patients. Moreover, patients with lower pretreatment plasma IL-6 and IFN-gamma levels attained better clinical improvement following etanercept treatment. (c) 2005 Elsevier Ltd. All rights reserved.
引用
收藏
页码:261 / 268
页数:8
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