Population structure and HLA DRB1*1501 in the response of subjects with multiple sclerosis to first-line treatments

被引:32
作者
Gross, Robert [1 ,2 ]
Healy, Brian C. [2 ,3 ,4 ]
Cepok, Sabine [5 ]
Chitnis, Tanuja [2 ,3 ]
Khoury, Samia J. [2 ,3 ]
Hemmer, Bernard [5 ]
Weiner, Howard L. [2 ,3 ]
Hafler, David A. [2 ,3 ,6 ,7 ]
De Jager, Philip L. [1 ,2 ,3 ,7 ]
机构
[1] Brigham & Womens Hosp, Program Translat NeuroPsychiat Gen, Dept Neurol, Boston, MA 02115 USA
[2] Harvard Univ, Sch Med, Boston, MA USA
[3] Brigham & Womens Hosp, Dept Neurol, Partners Multiple Sclerosis Ctr, Boston, MA 02115 USA
[4] Massachusetts Gen Hosp, Ctr Biostat, Boston, MA 02114 USA
[5] Tech Univ Munich, Klinikum Rechts Isar, Dept Neurol, D-8000 Munich, Germany
[6] Yale Univ, Sch Med, Dept Neurol, New Haven, CT 06510 USA
[7] Broad Inst, Program Med & Populat Genet, Cambridge, MA USA
关键词
Multiple sclerosis; Disease modifying treatment; Genetic; GLATIRAMER ACETATE; DOUBLE-BLIND; THERAPY; DISEASE; MULTICENTER; MS;
D O I
10.1016/j.jneuroim.2010.10.038
中图分类号
R392 [医学免疫学]; Q939.91 [免疫学];
学科分类号
100102 ;
摘要
Using retrospectively collected outcome data for treatment naive subjects treated with either glatiramer acetate (GA) (n=332) or interferon beta (IFN beta) (n=424), we replicated the lack of a significant difference in efficacy between? these treatments. Further, for both treatments, we observed a decline in the hazard of a relapse over time, which may suggest the existence of subsets of subjects with differential responses to each treatment. The HLA DRB1*1501 allele explained some of this variation in event-free survival while on GA, and we found suggestive evidence that an IRF8 polymorphism influences event-free survival in IFN beta treated subjects. (C) 2010 Elsevier B.V. All rights reserved.
引用
收藏
页码:168 / 174
页数:7
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