Features of intrathecal immunoglobulins in patients with multiple sclerosis

被引:17
作者
Di Pauli, Franziska [1 ]
Gredler, Viktoria [1 ]
Kuenz, Bettina [1 ]
Lutterotti, Andreas [1 ]
Ehling, Rainer [1 ]
Gneiss, Claudia [1 ]
Schocke, Michael [2 ]
Deisenhammer, Florian [1 ]
Reindl, Markus [1 ]
Berger, Thomas [1 ]
机构
[1] Innsbruck Med Univ, Clin Dept Neurol, A-6020 Innsbruck, Austria
[2] Innsbruck Med Univ, Dept Radiol, A-6020 Innsbruck, Austria
关键词
Multiple sclerosis; Immunoglobulins; Subclasses; Cerebrospinal fluid; Progression; Oligoclonal bands; Disease course; B cells; CEREBROSPINAL-FLUID PARAMETERS; DIAGNOSTIC-CRITERIA; OLIGOCLONAL BANDS; IGG SUBCLASSES; FC; ANTIBODIES; RECEPTORS; CORRELATE; CELLS; MRI;
D O I
10.1016/j.jns.2009.09.016
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
We have analyzed immunoglobulin (Ig) isotypes and IgG subclasses in cerebrospinal fluid (CSF) and serum of patients with multiple sclerosis (MS) and other neurological diseases to determine whether different Ig isotype patterns correlate with clinical or paraclinical findings and CSF B cell populations. Intrathecal IgG1 synthesis was elevated in MS patients. An increased intrathecal IgM production was found in patients with a higher cerebral MRI lesion burden, whereas other clinical and paraclinical parameters were not associated with a specific Ig isotype or subclass profile. Finally, intrathecal IgG production (IgG1 and IgG3) correlated with the presence of mature B cells and plasma blasts. (C) 2009 Elsevier B.V. All rights reserved.
引用
收藏
页码:147 / 150
页数:4
相关论文
共 30 条
[1]   MULTIPLE-SCLEROSIS - RELATIONS BETWEEN MRI AND CT FINDINGS, CEREBROSPINAL-FLUID PARAMETERS AND CLINICAL-FEATURES [J].
BAUM, K ;
NEHRIG, C ;
GIRKE, W ;
BRAU, H ;
SCHORNER, W .
CLINICAL NEUROLOGY AND NEUROSURGERY, 1990, 92 (01) :49-56
[2]   Intrathecal immunoglobulin G synthesis and brain injury by quantitative MRI in multiple sclerosis [J].
Brandao, Carlos O. ;
Ruocco, Heloisa H. ;
Farias, Alessandro S. ;
Oliveira, Celina ;
Cendes, Fernando ;
Damasceno, Benito P. ;
Santos, Leonilda M. B. .
NEUROIMMUNOMODULATION, 2006, 13 (02) :89-95
[3]   Patterns of cerebrospinal fluid pathology correlate with disease progression in multiple sclerosis [J].
Cepok, S ;
Jacobsen, M ;
Schock, S ;
Omer, B ;
Jaekel, S ;
Böddeker, I ;
Oertel, WH ;
Sommer, N ;
Hemmer, B .
BRAIN, 2001, 124 :2169-2176
[4]  
DHANDAYUTHAPANI S, 1992, CLIN EXP IMMUNOL, V88, P253, DOI 10.1111/j.1365-2249.1992.tb03069.x
[5]   Recommended standard of cerebrospinal fluid analysis in the diagnosis of multiple sclerosis -: A consensus statement [J].
Freedman, MS ;
Thompson, EJ ;
Deisenhammer, F ;
Giovannoni, G ;
Grimsley, G ;
Keir, G ;
Öhman, S ;
Racke, MK ;
Sharief, M ;
Sindic, CJM ;
Sellebjerg, F ;
Tourtellotte, WW .
ARCHIVES OF NEUROLOGY, 2005, 62 (06) :865-870
[6]   Class and subclass selection in parasite-specific antibody responses [J].
Garraud, O ;
Perraut, R ;
Riveau, G ;
Nutman, TB .
TRENDS IN PARASITOLOGY, 2003, 19 (07) :300-304
[7]   Stimulatory and inhibitory signals originating from the macrophage Fcγ receptors [J].
Gerber, JS ;
Mosser, DM .
MICROBES AND INFECTION, 2001, 3 (02) :131-139
[8]   Immunoglobulin isotypes reveal a predominant role of type 1 immunity in multiple sclerosis [J].
Greve, B ;
Magnusson, CGM ;
Melms, A ;
Weissert, R .
JOURNAL OF NEUROIMMUNOLOGY, 2001, 121 (1-2) :120-125
[9]   IGG1,3 AND 4 OLIGOCLONAL BANDS IN MULTIPLE-SCLEROSIS AND OTHER NEUROLOGICAL DISEASES [J].
GRIMALDI, LME ;
MAIMONE, D ;
REGGIO, A ;
RAFFAELE, R .
ITALIAN JOURNAL OF NEUROLOGICAL SCIENCES, 1986, 7 (05) :507-513
[10]   Multiple sclerosis [J].
Hafler, DA ;
Slavik, JM ;
Anderson, DE ;
O'Connor, KC ;
De Jager, P ;
Baecher-Allan, C .
IMMUNOLOGICAL REVIEWS, 2005, 204 :208-231