Antibodies against interferon-beta in multiple sclerosis

被引:19
作者
Aarskog, Nina Karin [1 ]
Maroy, Tove [1 ]
Myhr, Kjell-Morten [1 ,2 ]
Vedeler, Christian A. [1 ,2 ]
机构
[1] Haukeland Hosp, Dept Neurol, N-5021 Bergen, Norway
[2] Univ Bergen, Dept Clin Med, N-5021 Bergen, Norway
关键词
Multiple sclerosis; Interferon-beta; ELISA; Real-time PCR; NEUTRALIZING ANTIBODIES;
D O I
10.1016/j.jneuroim.2009.04.012
中图分类号
R392 [医学免疫学]; Q939.91 [免疫学];
学科分类号
100102 ;
摘要
We measured the frequency of binding antibody (BAB) and neutralizing antibody (NAB) against interferon-beta (IFN-beta) in sera from 827 patients with relapsing-remitting multiple sclerosis (RRMS) using various IFN-beta medications. Of the 827 patients, 363 (43.9%) had serum BAB after more than 12 months of IFN-beta treatment. Of the 363 BAB-positive sera, we analyzed 137 for BAB using a myxovirus-resistant protein A (MxA) protein induction assay (ELISA) and an MxA messenger RNA (mRNA) induction assay (real-time polymerase chain reaction (PCR)). We obtained similar results for each serum in both NAB assays, indicating a good correlation between transcription and translation of MxA. We tested all 363 sera by real-time PCR, and NAB was present in 70.8% of BAB-positive sera, or 31.1% of the 827 patients with relapsing-remitting multiple sclerosis (RRMS). Real-time PCR offers several advantages for measuring NAB compared with the MxA protein induction enzyme-linked immunosorbent assay and should be used routinely for NAB among patients with MS using IFN-beta treatment. (C) 2009 Elsevier B.V. All rights reserved.
引用
收藏
页码:148 / 150
页数:3
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