eprintid: 18939 rev_number: 19 eprint_status: archive userid: 587 dir: disk0/00/01/89/39 datestamp: 2010-01-07 14:41:25 lastmod: 2015-07-23 09:38:23 status_changed: 2010-01-07 14:41:25 type: article metadata_visibility: show item_issues_count: 0 creators_name: Petzold, A. creators_name: Brassat, D. creators_name: Mas, P. creators_name: Rejdak, K. creators_name: Keir, G. creators_name: Giovannoni, G. creators_name: Thompson, E.J. creators_name: Clanet, M. creators_id: APETZ95 creators_id: KREJD89 creators_id: GKEIR26 title: Treatment response in relation to inflammatory and axonal surrogate marker in multiple sclerosis ispublished: pub subjects: 25900 divisions: F87 keywords: S100B, neurofilament, NfHSMI35 , NOx , surrogate marker, multiple sclerosis, treatment response note: © Arnold 2004 abstract: BACKGROUND: This study aimed to investigate if treatment response could retrospectively be related to inflammatory or axonal pathology as measured by plasma surrogate markers. METHODS: In this 1-year observational study 30 multiple sclerosis (MS) patients with relapsing-remitting disease were treated with intramuscular IFNbeta-1a or subcutaneous IFNbeta-1b. Responders and nonresponders were defined according to clinical and magnetic resonance imaging criteria. The control group consisted of 14 healthy subjects. Plasma levels of surrogate markers for inflammation (nitric oxide metabolites (NOx)), astrocytic activation (S100B) and axonal damage (NfH(SM135)) were measured using standard assays. RESULTS: There were 11 nonresponders and 19 responders to IFNbeta treatment. Median S100B levels were elevated in a higher proportion of treatment responders (63%, 42.9 pg/mL) compared to nonresponders (18%, 11.7 pg/mL, P < 0.05, Fisher's exact test) and controls (0%, 2 pg/mL, P < 0.001). Levels of NOx were found to be more frequently elevated in nonresponders (72%, 39 microM) compared to healthy controls (0%, 37 microM, P < 0.05). Levels of NfH(SM135) were more frequently elevated in responders (58%, 300 pg/mL, P < 0.001) and nonresponders (72%, 500 pg/mL, P < 0.001) compared to controls (0%, 4.5 pg/mL). CONCLUSION: Patients with relapsing-remitting MS who had surrogate marker supported evidence for astrocytic activation responded more frequently to treatment with IFNbeta. date: 2004 official_url: http://dx.doi.org/10.1191/1352458504ms1021sr vfaculties: VFBRS oa_status: green language: eng primo: open primo_central: open_green doi: 10.1191/1352458504ms1021sr lyricists_name: Petzold, A lyricists_id: APETZ95 full_text_status: public publication: Multiple Sclerosis volume: 10 number: 3 pagerange: 281-283 refereed: TRUE issn: 1352-4585 citation: Petzold, A.; Brassat, D.; Mas, P.; Rejdak, K.; Keir, G.; Giovannoni, G.; Thompson, E.J.; Petzold, A.; Brassat, D.; Mas, P.; Rejdak, K.; Keir, G.; Giovannoni, G.; Thompson, E.J.; Clanet, M.; - view fewer <#> (2004) Treatment response in relation to inflammatory and axonal surrogate marker in multiple sclerosis. Multiple Sclerosis , 10 (3) pp. 281-283. 10.1191/1352458504ms1021sr <https://doi.org/10.1191/1352458504ms1021sr>. Green open access document_url: https://discovery.ucl.ac.uk/id/eprint/18939/1/18939.pdf