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PredicateObject
rdf:type
lifeskim:mentions
pubmed:dateCreated
2000-7-27
pubmed:abstractText
rIFN-beta reduces the frequency of the gadolinium-enhancing (Gd+) magnetic resonance imaging (MRI) lesions in relapsing remitting (RR) MS. Its mechanism of action on improving the integrity of the blood-brain barrier (BBB) remains unclear. We investigated the effect of rIFN-beta-1b on the soluble intercellular adhesion molecule-1 (sICAM-1) serum levels (ELISA) in 36 RR MS patients receiving treatment with rIFN-beta for 1 year, and also the TNF-alpha - induced membrane-bound ICAM-1 (mICAM-1) expression on cultured rat brain microvascular endothelial cells (BMECs). In vivo data showed that sICAM-1 serum levels at baseline significantly increased (P<0.01) in 12 months of rIFN-beta-1b treatment. The increase paralleled a clinical and MRI improvement. In the second semester of the treatment the integrated area under the curve of Expanded Disability Status Score normalised to entry baseline (DeltaEDSS AUC) was significantly (P<0.05) smaller than in the first semester. The percentage of patients with Gd+MRI decreased significantly (P<0.05) in the first (33%) and second (29%) semesters of treatment compared to baseline (62%). In vitro experiments showed that the incubation of BMEC monolayer with 100 u/ml of TNF-alpha for 24 h significantly (P<0.05) increased mICAM-1 expression, whereas 2000 u/ml of rIFN-beta-1b for 72 h did not modify the baseline levels. The incubation of BMEC with 2000 u/ml of rIFN-beta-1b for 48 h followed by combined IFN-beta-1b and TNF-alpha for 24 h significantly (P<0.05) downregulated TNF-alpha-induced mICAM-1 expression. These results suggest that the effect of rIFN-beta-1b on the BBB may be mediated by changes in both sICAM-1 serum levels and mICAM-1 BMEC expression.
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
IM
pubmed:chemical
pubmed:status
MEDLINE
pubmed:month
May
pubmed:issn
1355-0284
pubmed:author
pubmed:issnType
Print
pubmed:volume
6 Suppl 2
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
S47-51
pubmed:dateRevised
2006-11-15
pubmed:meshHeading
pubmed-meshheading:10871785-Adjuvants, Immunologic, pubmed-meshheading:10871785-Adolescent, pubmed-meshheading:10871785-Adult, pubmed-meshheading:10871785-Animals, pubmed-meshheading:10871785-Blood-Brain Barrier, pubmed-meshheading:10871785-Brain, pubmed-meshheading:10871785-Cells, Cultured, pubmed-meshheading:10871785-Endothelium, Vascular, pubmed-meshheading:10871785-Female, pubmed-meshheading:10871785-Gadolinium, pubmed-meshheading:10871785-Humans, pubmed-meshheading:10871785-Intercellular Adhesion Molecule-1, pubmed-meshheading:10871785-Interferon-beta, pubmed-meshheading:10871785-Longitudinal Studies, pubmed-meshheading:10871785-Magnetic Resonance Imaging, pubmed-meshheading:10871785-Male, pubmed-meshheading:10871785-Microcirculation, pubmed-meshheading:10871785-Middle Aged, pubmed-meshheading:10871785-Multiple Sclerosis, Relapsing-Remitting, pubmed-meshheading:10871785-Rats, pubmed-meshheading:10871785-Solubility
pubmed:year
2000
pubmed:articleTitle
Effects of rIFN-beta-1b on serum circulating ICAM-1 in relapsing remitting multiple sclerosis and on the membrane-bound ICAM-1 expression on brain microvascular endothelial cells.
pubmed:affiliation
Department of Neurological and Psychiatric Sciences, University of Bari, Bari, Italy.
pubmed:publicationType
Journal Article, Clinical Trial, Research Support, Non-U.S. Gov't