Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
6
pubmed:dateCreated
1995-4-20
pubmed:abstractText
In multiple sclerosis (MS) up-regulation of beta-adrenoceptors on peripheral blood mononuclear cells (PBMCs) has been attributed to either autonomic dysfunction, inflammation or a combination of the two. We have compared secondary progressive MS patients with normal subjects (NS) and two models of autonomic dysfunction; pure autonomic failure (PAF) and multiple system atrophy (MSA, Shy-Drager syndrome). There was up-regulation of beta-adrenoceptors on PBMCs in MS and PAF patients but not in MSA patients. Only in PAF patients beta-adrenoceptor up-regulation was correlated with low plasma levels of noradrenaline (NA) and adrenaline (Ad). In addition to studies in the basal state, measurements also were made after the centrally acting sympatholytic agent clonidine. These were combined with haemodynamic and neurohormonal measurements. After clonidine, there was a fall in blood pressure in NS and MSA patients but not in MS and PAF patients; a rise in growth hormone (GH) in NS and PAF patients but not in MS and MSA patients; and an up-regulation in PBMCs beta-adrenoceptors in NS but not in MS, MSA and PAF patients. Up-regulation of beta-adrenoceptors on PBMCs in MS could be attributed to autonomic dysfunction but the disparity between MS and PAF patients when considering their plasma levels of NA and Ad argue against. Although the neurohormonal responses to clonidine and the physiological assessment of autonomic function in progressive MS patients, demonstrate central autonomic dysfunction resembling that of the MSA patients, the normal basal beta-adrenoceptor densities in the latter, suggests that the up-regulation of these receptors is independent of the central autonomic dysfunction in MS.
pubmed:grant
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
IM
pubmed:chemical
pubmed:status
MEDLINE
pubmed:month
Dec
pubmed:issn
0001-6314
pubmed:author
pubmed:issnType
Print
pubmed:volume
90
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
382-7
pubmed:dateRevised
2009-9-29
pubmed:meshHeading
pubmed-meshheading:7892755-Adult, pubmed-meshheading:7892755-Aged, pubmed-meshheading:7892755-Autonomic Nervous System, pubmed-meshheading:7892755-Autonomic Nervous System Diseases, pubmed-meshheading:7892755-Clonidine, pubmed-meshheading:7892755-Epinephrine, pubmed-meshheading:7892755-Female, pubmed-meshheading:7892755-Growth Hormone, pubmed-meshheading:7892755-Hemodynamics, pubmed-meshheading:7892755-Humans, pubmed-meshheading:7892755-Iodocyanopindolol, pubmed-meshheading:7892755-Male, pubmed-meshheading:7892755-Middle Aged, pubmed-meshheading:7892755-Monocytes, pubmed-meshheading:7892755-Multiple Sclerosis, pubmed-meshheading:7892755-Norepinephrine, pubmed-meshheading:7892755-Pindolol, pubmed-meshheading:7892755-Radioligand Assay, pubmed-meshheading:7892755-Receptors, Adrenergic, beta, pubmed-meshheading:7892755-Shy-Drager Syndrome, pubmed-meshheading:7892755-Up-Regulation
pubmed:year
1994
pubmed:articleTitle
High beta-adrenoceptor density on peripheral blood mononuclear cells in progressive multiple sclerosis: a manifestation of autonomic dysfunction?
pubmed:affiliation
Multiple Sclerosis Laboratory, National Hospital for Neurology and Neurosurgery, London, England.
pubmed:publicationType
Journal Article, Research Support, Non-U.S. Gov't