TRAIL, CXCL10 and CCL2 plasma levels during long-term Interferon-beta treatment of patients with multiple sclerosis correlate with flu-like adverse effects but do not predict therapeutic response

J Neuroimmunol. 2007 Oct;190(1-2):170-6. doi: 10.1016/j.jneuroim.2007.08.009. Epub 2007 Sep 19.

Abstract

High serum levels of soluble TRAIL (sTRAIL) before or during the first year of Interferon-beta (IFN-beta) therapy were shown to predict an individual therapeutic response of patients with relapsing-remitting multiple sclerosis (RRMS). Here, we investigated whether sTRAIL plasma levels during long-term IFN-beta treatment correlate with future therapeutic response or adverse effects of treatment. Postinjection short-time bursts of sTRAIL were associated with flu-like symptoms and IP-10/CXCL10 as well as MCP-1/CCL2 induction, and were detected after up to 6 years of continuous IFN-beta therapy. However, neither sTRAIL nor chemokine levels allowed prediction of one- and two-year clinical treatment response in 30 RRMS patients, prospectively followed by blinded investigators.

Publication types

  • Clinical Trial
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Biomarkers / blood
  • Chemokine CCL2 / blood*
  • Chemokine CCL2 / drug effects
  • Chemokine CCL2 / immunology
  • Chemokine CXCL10 / blood*
  • Chemokine CXCL10 / drug effects
  • Chemokine CXCL10 / immunology
  • Female
  • Humans
  • Influenza, Human / chemically induced
  • Influenza, Human / immunology
  • Influenza, Human / physiopathology
  • Interferon-beta / adverse effects*
  • Interferon-beta / immunology*
  • Male
  • Middle Aged
  • Multiple Sclerosis, Relapsing-Remitting / drug therapy*
  • Predictive Value of Tests
  • Prospective Studies
  • TNF-Related Apoptosis-Inducing Ligand / blood*
  • TNF-Related Apoptosis-Inducing Ligand / drug effects
  • TNF-Related Apoptosis-Inducing Ligand / immunology

Substances

  • Biomarkers
  • CCL2 protein, human
  • CXCL10 protein, human
  • Chemokine CCL2
  • Chemokine CXCL10
  • TNF-Related Apoptosis-Inducing Ligand
  • TNFSF10 protein, human
  • Interferon-beta