1995
DOI: 10.1002/ana.410370115
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Tumor necrosis factor‐α messenger RNA expression in patients with relapsing‐remitting multiple sclerosis is associated with disease activity

Abstract: We determined the cytokine messenger RNA (mRNA) expression pattern of blood mononuclear cells in 29 patients with relapsing-remitting multiple sclerosis every 4 weeks over a period of 12 months. During this period 27 relapses occurred in 14 patients (48%). Progression of disease activity as assessed by the occurrence of new lesions on nonenhancing T2-weighted magnetic resonance images of the head was detected in 12 (48%) of 25 patients. Using a semiquantitative polymerase chain reaction we demonstrated signifi… Show more

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Cited by 326 publications
(154 citation statements)
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“…Odds ratios showed a statistically significant association between antigen-specific T cell response to MOBP and exacerbations of MS. Thus, our study extends previous work demonstrating a correlation of changes in immune responses with increased MRI activity (Calabresi et al, 1998a;Oger et al, 1988;Prat et al, 2000;Rieckmann et al, 1995). Due to sample size available, our initial studies were limited to analyses to MOBP aa 1-19, MOBP aa 11-29, MOBP aa 20-38, MOBP aa 31-49, MOBP aa 41-59 and bovine MBP.…”
Section: Discussionsupporting
confidence: 79%
“…Odds ratios showed a statistically significant association between antigen-specific T cell response to MOBP and exacerbations of MS. Thus, our study extends previous work demonstrating a correlation of changes in immune responses with increased MRI activity (Calabresi et al, 1998a;Oger et al, 1988;Prat et al, 2000;Rieckmann et al, 1995). Due to sample size available, our initial studies were limited to analyses to MOBP aa 1-19, MOBP aa 11-29, MOBP aa 20-38, MOBP aa 31-49, MOBP aa 41-59 and bovine MBP.…”
Section: Discussionsupporting
confidence: 79%
“…Increased IFN-~ and TNF-ot activity (30) and increased TNF-ct and TNF-[3 m R N A levels (31) occur in PBL of MS patients before both clinical relapse and active magnetic resonance scans (31). Relapse in MS has also been associated with decreased expression o f the antiinflammatory cytokines TGF-[3 and IL-10 in MS (31).…”
Section: Discussionmentioning
confidence: 99%
“…Increased IFN-~ and TNF-ot activity (30) and increased TNF-ct and TNF-[3 m R N A levels (31) occur in PBL of MS patients before both clinical relapse and active magnetic resonance scans (31). Relapse in MS has also been associated with decreased expression o f the antiinflammatory cytokines TGF-[3 and IL-10 in MS (31). Similarly, inflammatory cytokines have been demonstrated in the CNS during active EAE (32)(33)(34), whereas recovery has been associated with concomitant decreased CNS expression of IFN-% IL-2, IL-4, and IL-6 and increased expression of IL-10 m R N A (35).…”
Section: Discussionmentioning
confidence: 99%
“…In addition, transgenic mice that constitutively expressed a trans-dominant form of IB␣ displayed lower incidence and severity of collagen-induced arthritis, an animal model of human rheumatoid arthritis (47). AP-1 and/or NF-B induce the expression of cytokines and chemokines involved in EAE and MS. Tumor necrosis factor ␣ (TNF␣) has been shown to activate both AP-1 and NF-B, and TNF␣ is a potent pro-inflammatory cytokine that plays an important role in MS (48,49). Matrix metalloproteinase-9 (MMP-9), which is regulated by AP-1 and NF-B, also plays a crucial role in lymphocyte recruitment to the central nervous system in MS, and patients with MS show high levels of MMP-9 in the cerebrospinal fluid (50,51).…”
Section: Discussionmentioning
confidence: 99%