Pharmacodynamics of interferon beta in multiple sclerosis patients with or without serum neutralizing antibodies

Autor: Francesca Bagnato, Maria Trojano, Ludwig Kappos, Petra Duda, Alessia Alberelli, Valentina Durastanti, Guido Antonelli, Gabriella De Vito, Vito Lavolpe, Enrico Girardi, Carolina Scagnolari
Rok vydání: 2007
Předmět:
Zdroj: Journal of Neurology. 254:597-604
ISSN: 1432-1459
0340-5354
DOI: 10.1007/s00415-006-0332-7
Popis: To analyze the in vivo biological effect of anti-interferon beta (IFN-beta) neutralizing antibodies (NABs), blood concentrations of neopterin, beta2microglobulin (Beta2-MG), mRNA-dependent myxovirusresistant protein A (MxA) and dsRNA-dependent protein kinase (PKR) were measured before (predose) and 24 hours after (postdose) IFN-beta administration in 49 patients with multiple sclerosis (MS) with (n = 25) and without (n = 24) NABs. The results indicated that predose levels of MxA-mRNA and PKR-mRNA were highly variable [coefficient of variation (CV) > 100%] among patients. A lower inter-individual variability was observed for pre-dose levels of Beta2-MG and neopterin (CVs of 29% and 44%, respectively). Significantly lower pre- and post-dose blood levels of IFN induced markers, except for postdose PKR-mRNA (p = 0.09), were seen in NAB+ compared with NAB-patients and between patients with high (> 200 t1/10) and low (£ 200 t1/10) NAB titers. A significant inverse correlation between NAB titer and pre-dose levels of the above IFN-induced markers was found. In summary, our findings confirm that NABs affect absolute concentrations of IFN-beta induced markers and suggest that such an effect occurs in a titer-dependent manner
Databáze: OpenAIRE