INF-β1b therapy modulates L-arginine and nitric oxide metabolism in patients with relapse remittent multiple sclerosis

J Neurol Sci. 2012 Dec 15;323(1-2):187-92. doi: 10.1016/j.jns.2012.09.014. Epub 2012 Sep 28.

Abstract

Objective: The scope of this study is the examination of NO(2)+NO(3), 3-nitrotyrosine (3-NT), S-nitrosothiols (RSNO), arginase activity and asymmetric (ADMA) and symmetric (SDMA) dimethyl-L-arginine concentrations in plasma of MS patients during interferon-β1b therapy.

Methods: The study population included 15 (12 women, 3 men) untreated MS patients and 12 (10 women, 2 men) interferon-β1b treated MS patients with clinically definite relapsing MS (McDonalds criteria) for at least 1 year and a baseline EDSS score of 1.0 to 3.5 inclusive. Patients were treated with 250 μg IU interferon-β1b s.c. every second day during 30 months. The disease course was evaluated using correlations between baseline EDSS score and relapse rates in both groups.

Results: During interferon-β1b treatment, EDSS scores in treated patients were decreased compared to untreated ones - after 18 and 30 months (p<0.05). In interferon-β1b treated MS patients, NO(2)+NO(3), 3-NT and RSNO plasma concentrations were significantly lower (p<0.05), while arginase activity, ADMA and SDMA levels were significantly increased (p<0.05) during the therapy, compared to the baseline levels in treated patients.

Conclusion: The investigated parameters may be the new biomarkers, providing information for the therapeutic approach and valuable in clinical monitoring.

Publication types

  • Comparative Study
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Arginase / blood
  • Arginine / analogs & derivatives*
  • Arginine / blood
  • Biomarkers
  • Drug Monitoring
  • Female
  • Follow-Up Studies
  • Humans
  • Inflammation
  • Interferon beta-1b
  • Interferon-beta / pharmacology*
  • Interferon-beta / therapeutic use
  • Male
  • Middle Aged
  • Multiple Sclerosis, Relapsing-Remitting / blood
  • Multiple Sclerosis, Relapsing-Remitting / drug therapy*
  • Nitrates / blood
  • Nitric Oxide / blood*
  • Nitrites / blood
  • Nitroso Compounds / blood
  • Severity of Illness Index
  • Sulfhydryl Compounds / blood
  • Tyrosine / analogs & derivatives
  • Tyrosine / blood
  • Young Adult

Substances

  • Biomarkers
  • Nitrates
  • Nitrites
  • Nitroso Compounds
  • Sulfhydryl Compounds
  • Interferon beta-1b
  • Nitric Oxide
  • 3-nitrotyrosine
  • Tyrosine
  • symmetric dimethylarginine
  • N,N-dimethylarginine
  • Interferon-beta
  • Arginine
  • Arginase