Source:http://linkedlifedata.com/resource/pubmed/id/11757963
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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
11
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pubmed:dateCreated |
2001-12-6
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pubmed:abstractText |
Patients with multiple sclerosis (MS) can benefit from treatment with interferon beta-1b. However, the mechanisms of action of this drug are incompletely understood and effects of interferon beta-lb on axonal injury are not known. A measure of axonal injury can be obtained in vivo using magnetic resonance spectroscopy to quantify the resonance intensity of the neuronal marker, N-acetylaspartate (NAA). In a small pilot study, we performed combined magnetic resonance imaging and magnetic resonance spectroscopic imaging on 10 patients with relapsing-remitting MS before and 1 year after starting treatment with subcutaneous interferon beta-lb. Resonance intensities of NAA relative to creatine (Cr) were measured in a large, central brain volume. These measurements were compared with those made in a group of 6 untreated patients selected to have a similar range of scores on the Expanded Disability Status Scale and mean NAA/Cr at baseline. NAA/Cr in the treated group [2.74 (0.16), mean (SD)] showed an increase of 5.5% 12 months after the start of therapy [2.89 (0.24),p = 0.05], while NAA/Cr in the untreated group decreased, but not significantly [2.76 (0.1) at baseline, 2.65 (0.14) at 12 months,p > 0.1]. NAA/Cr had become significantly higher in the treated group at 12 months than in the untreated group (p = 0.03). Our data suggest that, in addition to losing axons, patients with chronic multiple sclerosis suffer from chronic, sublethal axonal injury that is at least partially reversible with interferon beta-lb therapy.
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pubmed:commentsCorrections | |
pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:chemical |
http://linkedlifedata.com/resource/pubmed/chemical/Adjuvants, Immunologic,
http://linkedlifedata.com/resource/pubmed/chemical/Aspartic Acid,
http://linkedlifedata.com/resource/pubmed/chemical/Biological Markers,
http://linkedlifedata.com/resource/pubmed/chemical/Interferon-beta,
http://linkedlifedata.com/resource/pubmed/chemical/N-acetylaspartate,
http://linkedlifedata.com/resource/pubmed/chemical/interferon beta 1a,
http://linkedlifedata.com/resource/pubmed/chemical/interferon beta-1b
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pubmed:status |
MEDLINE
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pubmed:month |
Nov
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pubmed:issn |
0340-5354
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
248
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
979-86
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pubmed:dateRevised |
2006-11-15
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pubmed:meshHeading |
pubmed-meshheading:11757963-Adjuvants, Immunologic,
pubmed-meshheading:11757963-Adult,
pubmed-meshheading:11757963-Aspartic Acid,
pubmed-meshheading:11757963-Biological Markers,
pubmed-meshheading:11757963-Diffuse Axonal Injury,
pubmed-meshheading:11757963-Female,
pubmed-meshheading:11757963-Humans,
pubmed-meshheading:11757963-Injections, Subcutaneous,
pubmed-meshheading:11757963-Interferon-beta,
pubmed-meshheading:11757963-Magnetic Resonance Imaging,
pubmed-meshheading:11757963-Magnetic Resonance Spectroscopy,
pubmed-meshheading:11757963-Male,
pubmed-meshheading:11757963-Middle Aged,
pubmed-meshheading:11757963-Multiple Sclerosis,
pubmed-meshheading:11757963-Recurrence,
pubmed-meshheading:11757963-Treatment Outcome
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pubmed:year |
2001
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pubmed:articleTitle |
Axonal metabolic recovery in multiple sclerosis patients treated with interferon beta-1b.
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pubmed:affiliation |
Montreal Neurological Institute, Quebec, Canada.
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pubmed:publicationType |
Journal Article,
Clinical Trial,
Research Support, Non-U.S. Gov't
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