CSF cytokine profile in MOG-IgG+ neurological disease is similar to AQP4-IgG+ NMOSD but distinct from MS: a cross-sectional study and potential therapeutic implications.
CSF cytokine profile in MOG-IgG+ neurological disease is similar to AQP4-IgG+ NMOSD but distinct from MS: a cross-sectional study and potential therapeutic implications.
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DOI:
10.1136/jnnp-2018-317969
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发表时间:
2018-09
期刊:
影响因子:
--
通讯作者:
Aoki M
中科院分区:
文献类型:
--
作者:
Kaneko K;Sato DK;Nakashima I;Ogawa R;Akaishi T;Takai Y;Nishiyama S;Takahashi T;Misu T;Kuroda H;Tanaka S;Nomura K;Hashimoto Y;Callegaro D;Steinman L;Fujihara K;Aoki M
To evaluate cerebrospinal fluid (CSF) cytokine profiles in myelin oligodendrocyte glycoprotein IgG-positive (MOG-IgG+) disease in adult and paediatric patients. In this cross-sectional study, we measured 27 cytokines in the CSF of MOG-IgG+ disease in acute phase before treatment (n=29). The data were directly compared with those in aquaporin-4 antibody-positive (AQP4-IgG+) neuromyelitis optica spectrum disorder (NMOSD) (n=20), multiple sclerosis (MS) (n=20) and non-inflammatory controls (n=14). In MOG-IgG+ disease, there was no female preponderance and the ages were younger (mean 18 years, range 3–68; 15 were below 18 years) relative to AQP4-IgG+ NMOSD (41, 15–77) and MS (34, 17–48). CSF cell counts were higher and oligoclonal IgG bands were mostly negative in MOG-IgG+ disease and AQP4-IgG+ NMOSD compared with MS. MOG-IgG+ disease had significantly elevated levels of interleukin (IL)-6, IL-8, granulocyte-colony stimulating factor and granulocyte macrophage-colony stimulating factor, interferon-γ, IL-10, IL-1 receptor antagonist, monocyte chemotactic protein-1 and macrophage inflammatory protein-1α as compared with MS. No cytokine in MOG-IgG+ disease was significantly different from AQP4-IgG+ NMOSD. Moreover many elevated cytokines were correlated with each other in MOG-IgG+ disease and AQP4-IgG+ NMOSD but not in MS. No difference in the data was seen between adult and paediatric MOG-IgG+ cases. The CSF cytokine profile in the acute phase of MOG-IgG+ disease is characterised by coordinated upregulation of T helper 17 (Th17) and other cytokines including some Th1-related and regulatory T cells-related ones in adults and children, which is similar to AQP4-IgG+ NMOSD but clearly different from MS. The results suggest that as with AQP4-IgG+ NMOSD, some disease-modifying drugs for MS may be ineffective in MOG-IgG+ disease while they may provide potential therapeutic targets.
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影响因子:
5.8
作者:
Min, Ju-Hong;Kim, Byoung Joon;Lee, Kwang Ho
通讯作者:
Lee, Kwang Ho
DOI:
10.1212/nxi.0000000000000012
发表时间:
2014-06
期刊:
Neurology(R) neuroimmunology & neuroinflammation
影响因子:
--
作者:
Dale RC;Tantsis EM;Merheb V;Kumaran RY;Sinmaz N;Pathmanandavel K;Ramanathan S;Booth DR;Wienholt LA;Prelog K;Clark DR;Guillemin GJ;Lim CK;Mathey EK;Brilot F
通讯作者:
Brilot F
DOI:
10.1212/nxi.0000000000000175
发表时间:
2015-12-01
影响因子:
8.8
作者:
Di Pauli, Franziska;Hoftberger, Romana;Berger, Thomas
通讯作者:
Berger, Thomas
影响因子:
9.3
作者:
Berg CT;Khorooshi R;Asgari N;Owens T
通讯作者:
Owens T
影响因子:
3.3
作者:
Horellou, Philippe;Wang, Min;Deiva, Kumaran
通讯作者:
Deiva, Kumaran