The Impact of Methylprednisolone Pulses during Relapses of Multiple Sclerosis on the Kinetics of Anti-Interferon-Beta Antibodies

被引:0
作者
Giantzi, Virginia [1 ]
Karapanayiotides, Theodoros [1 ]
Lagoudaki, Roza [1 ,2 ]
Poulatsidou, Kyriaki-Nefeli [1 ,2 ]
Lourbopoulos, Athanasios [1 ,2 ]
Daniilidis, Michail [1 ,2 ]
Taskos, Nikolaos [1 ]
Milonas, Loannis [1 ]
Grigoriadis, Nikolaos [1 ,2 ]
机构
[1] Aristotle Univ Thessaloniki, AHEPA Univ Hosp, Dept Neurol 2, GR-54006 Thessaloniki, Greece
[2] Aristotle Univ Thessaloniki, AHEPA Univ Hosp, Lab Expt Neurol & Neuroimmunol, GR-54006 Thessaloniki, Greece
关键词
Neutralizing antibodies; Binding antibodies; Anti-interferon-beta antibodies; Multiple sclerosis; NEUTRALIZING ANTIBODIES; IFN-BETA; DIAGNOSTIC-CRITERIA; BINDING-ANTIBODIES; MS; CORTICOSTEROIDS; IFN-BETA-1B; THERAPY; TRIAL;
D O I
10.1159/000444319
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
Background/Aims: We assessed the, hitherto unknown, impact of intravenous methylprednisolone (ivMP) pulses during relapses of multiple sclerosis (MS) on the kinetics of anti-interferon-beta neutralizing antibodies (Nabs) and binding antibodies (Babs). Methods: Babs (ELISA) and Nabs (antiviral cytopathic effect assay) titers were evaluated before, immediately after and at 1 month following ivMP in 60 MS patients. Results: ivMP reduces Nabs and Babs titers for at least 1 month. Baseline titers determine Nabs and Babs seronegativity at the end of ivMP. Clinical response to ivMP tends to be better in Nabs(+) patients. Conclusion: Sampling for Nabs/Babs should be avoided during or shortly after ivMP to avoid transient positive or negative results that may obscure the decision to switch treatment. (C) 2016 S. Karger AG, Basel
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页码:82 / 88
页数:7
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