PMID- 11739812 OWN - NLM STAT- MEDLINE DCOM- 20020115 LR - 20190514 IS - 0028-3878 (Print) IS - 0028-3878 (Linking) VI - 57 IP - 11 DP - 2001 Dec 11 TI - HLA-DRB1*1501 and response to copolymer-1 therapy in relapsing-remitting multiple sclerosis. PG - 1976-9 AB - BACKGROUND: Copolymer 1 (Cop-1) is a random synthetic amino acid copolymer, effective in the treatment of the relapsing-remitting form of MS (RRMS). In vitro and in vivo studies suggest that the mechanism of Cop-1 involves its binding to major histocompatibility complex class II molecules as an initial step. OBJECTIVE: To assess a possible relationship between human leukocyte antigen (HLA) alleles and response to Cop-1 therapy. METHODS: Eighty-three patients with RRMS, 44 treated with Cop-1 and 39 with interferon beta-1a (IFNbeta-1a) for 2 years, were typed by molecular methods for HLA class II genes and subgrouped according to clinical outcome. RESULTS: Data have shown a possible positive correlation between presence of DRB1*1501 and response to Cop-1 therapy (p = 0.008). No relationship between HLA alleles and therapy has been found in IFNbeta-1a treated patients. CONCLUSIONS: Results suggest that DRB1*1501 might be relevant for the clinical outcome in Cop-1 treated patients and, if confirmed in larger studies, it could be helpful in the selection of RRMS patients for different therapeutic options. FAU - Fusco, C AU - Fusco C AD - Servizio Immunoematologia e Trasfusione, Universita Fedrico II, Napoli, Italy. FAU - Andreone, V AU - Andreone V FAU - Coppola, G AU - Coppola G FAU - Luongo, V AU - Luongo V FAU - Guerini, F AU - Guerini F FAU - Pace, E AU - Pace E FAU - Florio, C AU - Florio C FAU - Pirozzi, G AU - Pirozzi G FAU - Lanzillo, R AU - Lanzillo R FAU - Ferrante, P AU - Ferrante P FAU - Vivo, P AU - Vivo P FAU - Mini, M AU - Mini M FAU - Macri, M AU - Macri M FAU - Orefice, G AU - Orefice G FAU - Lombardi, M L AU - Lombardi ML LA - eng PT - Clinical Trial PT - Comparative Study PT - Journal Article PL - United States TA - Neurology JT - Neurology JID - 0401060 RN - 0 (HLA-DR Antigens) RN - 0 (HLA-DRB1 Chains) RN - 0 (Peptides) RN - 5M691HL4BO (Glatiramer Acetate) RN - 77238-31-4 (Interferon-beta) RN - XRO4566Q4R (Interferon beta-1a) SB - IM MH - Adult MH - Alleles MH - Female MH - Glatiramer Acetate MH - HLA-DR Antigens/*genetics MH - HLA-DRB1 Chains MH - Humans MH - Interferon beta-1a MH - Interferon-beta/adverse effects/therapeutic use MH - Male MH - Middle Aged MH - Multiple Sclerosis, Relapsing-Remitting/diagnosis/*drug therapy/genetics MH - Neurologic Examination/drug effects MH - Patient Selection MH - Peptides/adverse effects/*therapeutic use MH - Prognosis EDAT- 2001/12/12 10:00 MHDA- 2002/01/16 10:01 CRDT- 2001/12/12 10:00 PHST- 2001/12/12 10:00 [pubmed] PHST- 2002/01/16 10:01 [medline] PHST- 2001/12/12 10:00 [entrez] AID - 10.1212/wnl.57.11.1976 [doi] PST - ppublish SO - Neurology. 2001 Dec 11;57(11):1976-9. doi: 10.1212/wnl.57.11.1976.