PMID- 18208868 OWN - NLM STAT- MEDLINE DCOM- 20081020 LR - 20171116 IS - 1352-4585 (Print) IS - 1352-4585 (Linking) VI - 14 IP - 4 DP - 2008 May TI - CSF levels of soluble HLA-G and Fas molecules are inversely associated to MRI evidence of disease activity in patients with relapsing-remitting multiple sclerosis. PG - 446-54 LID - 10.1177/1352458507085137 [doi] AB - Cerebrospinal fluid (CSF) concentrations of soluble human leukocyte antigen class I (HLA-I) (sHLA-I), HLA-G (sHLA-G) and anti-apoptotic Fas (sFas) molecules were measured by enzyme linked immunosorbent assay technique in 65 relapsing-remitting (RR) MS patients classified according to clinical and magnetic resonance imaging (MRI) evidence of disease activity. Sixty-four patients with other inflammatory neurological disorders (OIND) and 64 subjects with noninflammatory neurological disorders (NIND) served as controls. CSF concentrations were higher in RRMS and in OIND than in NIND patients for sHLA-I (P < 0.02), greater in RRMS than in OIND and in NIND for sHLA-G (P < 0.001 and P < 0.01, respectively) and lower in RRMS than in OIND and in NIND for sFas (P < 0.001 and P < 0.02, respectively). An increase in CSF levels was identified in MRI active RRMS for sHLA-I (P < 0.01) and in MRI stable RRMS for sHLA-G (P < 0.01), whereas CSF values of sFas were decreased in RRMS without Gd-enhancing lesions (P < 0.02). In MS patients with no evidence of MRI disease activity, a trend towards an inverse correlation was found between CSF concentrations of sHLA-G and sHLA-I and between CSF levels of sHLA-G and sFas. Our results indicate that enhanced CSF levels of sHLA-I antigens most likely represent an indirect manifestation of intrathecal immune activation taking place in neuroinflammation. Conversely, reciprocal fluctuations in CSF sHLA-G and sFas levels observed when MRI disease activity resolved suggest that sHLA-G could play an immunomodulatory role in MS through Fas/FasL-mediated mechanisms. FAU - Fainardi, E AU - Fainardi E AD - Multiple Sclerosis Center, Section of Neurology, University of Ferrara, Arcispedale S. Anna, Corso della Giovecca 203, Ferrara I-44100, Italy. henryfai@tin.it FAU - Rizzo, R AU - Rizzo R FAU - Melchiorri, L AU - Melchiorri L FAU - Stignani, M AU - Stignani M FAU - Castellazzi, M AU - Castellazzi M FAU - Tamborino, C AU - Tamborino C FAU - Paolino, E AU - Paolino E FAU - Tola, M R AU - Tola MR FAU - Granieri, E AU - Granieri E FAU - Baricordi, O R AU - Baricordi OR LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20080121 PL - England TA - Mult Scler JT - Multiple sclerosis (Houndmills, Basingstoke, England) JID - 9509185 RN - 0 (HLA Antigens) RN - 0 (HLA-G Antigens) RN - 0 (Histocompatibility Antigens Class I) RN - 0 (fas Receptor) SB - IM MH - Adult MH - Apoptosis/immunology MH - Enzyme-Linked Immunosorbent Assay MH - Female MH - Flow Cytometry MH - HLA Antigens/*cerebrospinal fluid MH - HLA-G Antigens MH - Histocompatibility Antigens Class I/*cerebrospinal fluid MH - Humans MH - *Magnetic Resonance Imaging MH - Male MH - Middle Aged MH - Multiple Sclerosis, Relapsing-Remitting/*cerebrospinal fluid/*pathology MH - Neuritis/cerebrospinal fluid/pathology MH - *Severity of Illness Index MH - fas Receptor/*cerebrospinal fluid EDAT- 2008/01/23 09:00 MHDA- 2008/10/22 09:00 CRDT- 2008/01/23 09:00 PHST- 2008/01/23 09:00 [pubmed] PHST- 2008/10/22 09:00 [medline] PHST- 2008/01/23 09:00 [entrez] AID - 1352458507085137 [pii] AID - 10.1177/1352458507085137 [doi] PST - ppublish SO - Mult Scler. 2008 May;14(4):446-54. doi: 10.1177/1352458507085137. Epub 2008 Jan 21.