Cerebrospinal fluid erythropoietin (EPO) in amyotrophic lateral sclerosis

Cerebrospinal fluid erythropoietin (EPO) in amyotrophic lateral sclerosis
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DOI:
10.1016/j.neulet.2007.02.002
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发表时间:
2007-04-18
影响因子:
2.5
通讯作者:
Tumani, Hayrettin
Tumani, Hayrettin
中科院分区:
医学4区
文献类型:
--
作者:
Brettschneider, Johannes;Widl, Karin;Tumani, Hayrettin

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A candidate neuroprotective agent for neurodegenerative disorders is erythropoietin (EPO). We measured EPO in cerebrospinal fluid (CSF) and serum of patients with amyotrophic lateral sclerosis (ALS). Patients with ALS (N=60), Alzheimer's disease (AD, N=20) and age-matched controls (N= 33) were included. Patients with ALS included 30 patients who showed a rapid progression of disease, and 30 patients that showed a slower progression. EPO was measured using ELISA technique. We found CSF EPO levels to be lower in ALS as compared to AD and controls (p < 0.05), while no differences were found with regard to serum levels. Patients with ALS who showed a rapid disease progression had lower CSF EPO levels compared to those who progressed more slowly (p = 0.03). Low CSF EPO in ALS may imply that the EPO-associated capacity to protect neurons from degeneration is impaired in ALS. Low concentrations of CSF EPO seem to point towards a rapid progression of disease that may be associated with a poorer prognosis. (c) 2007 Published by Elsevier Ireland Ltd.