Immune response during interferon beta-1b treatment in patients with multiple sclerosis who experienced relapses and those who were relapse-free in the START study

J Neuroimmunol. 2013 Jan 15;254(1-2):131-40. doi: 10.1016/j.jneuroim.2012.08.012. Epub 2012 Sep 19.

Abstract

We measured immune markers in subjects with multiple sclerosis (MS) treated with IFNβ-1b for 12 months. IL-17 levels were significantly higher at Month 6 (p=0.036) in relapsing subjects while BDNF levels were significantly higher at Month 3 (p=0.028) in relapse-free subjects. Change from baseline in IL-4 levels inversely correlated with disability score whereas change from baseline in IL-10/IFN-gamma ratio inversely correlated with occurrence of relapses. CXCR3+CD8+ T-cells tended to be higher but declined with treatment in relapse-free compared with relapsing subjects. Findings show the potential of cytokine and neurotrophic factors as biomarkers of clinical response to IFNβ-1b.

Publication types

  • Clinical Trial, Phase IV
  • Multicenter Study
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Abortion, Habitual / prevention & control
  • Adjuvants, Immunologic / therapeutic use*
  • Adolescent
  • Adult
  • Cytokines / metabolism*
  • Disability Evaluation
  • Enzyme-Linked Immunosorbent Assay
  • Female
  • Humans
  • Interferon beta-1b
  • Interferon-beta / therapeutic use*
  • Male
  • Matrix Metalloproteinase 2 / metabolism
  • Middle Aged
  • Multiple Sclerosis / drug therapy*
  • Multiple Sclerosis / immunology*
  • Tissue Inhibitor of Metalloproteinase-2 / metabolism
  • Vascular Cell Adhesion Molecule-1 / metabolism
  • Young Adult

Substances

  • Adjuvants, Immunologic
  • Cytokines
  • Vascular Cell Adhesion Molecule-1
  • Tissue Inhibitor of Metalloproteinase-2
  • Interferon beta-1b
  • Interferon-beta
  • Matrix Metalloproteinase 2