PMID- 11240039 OWN - NLM STAT- MEDLINE DCOM- 20010412 LR - 20190826 IS - 0165-5728 (Print) IS - 0165-5728 (Linking) VI - 114 IP - 1-2 DP - 2001 Mar 1 TI - Interleukin-18 is induced in acute inflammatory demyelinating polyneuropathy. PG - 253-8 AB - T lymphocytes of the Th1 subset producing the proinflammatory cytokine interferon-gamma (IFN-gamma) have been implicated in the pathogenesis of immune-mediated diseases of the peripheral nervous system (PNS) such as the acute Guillain-Barre syndrome (GBS) and its animal model experimental autoimmune neuritis (EAN). Interleukin-18 (IL-18) is a potent IFN-gamma-inducing cytokine that is synthesized as an inactive precursor molecule and cleaved by caspase-1 into its mature active form. In our present study we analyzed the expression of IL-18 and caspase-1 in the nerve roots of EAN rats using reverse transcriptase-polymerase chain reaction and immunocytochemistry. Using an enzyme-linked immunosorbent assay, we furthermore determined IL-18 protein levels in paired serum and cerebrospinal fluid (CSF) samples from patients with GBS as well as from noninflammatory neurologic disease (NIND) controls. In EAN, IL-18 and caspase-1 mRNA levels in the nerve roots increased during the stage of active disease progression. Immunocytochemically, both perivascular and parenchymal IL-18 protein expression was increased in the roots of EAN rats and mainly associated with ED1+ macrophages stained on serial sections. IL-18 serum levels were significantly higher in GBS patients than in NIND controls (238+/-71 vs. 42+/-7 pg/ml, P<0.001). Our data implicate the Th1-inducing cytokine IL-18 in the pathogenesis of acute immune-mediated PNS demyelination. FAU - Jander, S AU - Jander S AD - Department of Neurology, Heinrich-Heine-University, Moorenstrasse 5, D-40225 Dusseldorf, Germany. jander@uni-duesseldorf.de FAU - Stoll, G AU - Stoll G LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - Netherlands TA - J Neuroimmunol JT - Journal of neuroimmunology JID - 8109498 RN - 0 (Interleukin-18) RN - 0 (RNA, Messenger) RN - 82115-62-6 (Interferon-gamma) RN - EC 3.4.22.36 (Caspase 1) SB - IM MH - Animals MH - Caspase 1/genetics MH - Female MH - Gene Expression/immunology MH - Guillain-Barre Syndrome/blood/cerebrospinal fluid/*immunology MH - Immunohistochemistry MH - Interferon-gamma/immunology/metabolism MH - Interleukin-18/blood/cerebrospinal fluid/*genetics MH - RNA, Messenger/analysis MH - Rats MH - Rats, Inbred Lew MH - Reverse Transcriptase Polymerase Chain Reaction MH - Spinal Nerve Roots/immunology/metabolism MH - Th1 Cells/enzymology/*immunology EDAT- 2001/03/10 10:00 MHDA- 2001/04/17 10:01 CRDT- 2001/03/10 10:00 PHST- 2001/03/10 10:00 [pubmed] PHST- 2001/04/17 10:01 [medline] PHST- 2001/03/10 10:00 [entrez] AID - S0165572800004604 [pii] AID - 10.1016/s0165-5728(00)00460-4 [doi] PST - ppublish SO - J Neuroimmunol. 2001 Mar 1;114(1-2):253-8. doi: 10.1016/s0165-5728(00)00460-4.