PMID- 28438224 OWN - NLM STAT- MEDLINE DCOM- 20180302 LR - 20181113 IS - 1742-2094 (Electronic) IS - 1742-2094 (Linking) VI - 14 IP - 1 DP - 2017 Apr 24 TI - Early strong intrathecal inflammation in cerebellar type multiple system atrophy by cerebrospinal fluid cytokine/chemokine profiles: a case control study. PG - 89 LID - 10.1186/s12974-017-0863-0 [doi] LID - 89 AB - BACKGROUND: The pathology of multiple system atrophy cerebellar-type (MSA-C) includes glial inflammation; however, cerebrospinal fluid (CSF) inflammatory cytokine profiles have not been investigated. In this study, we determined CSF cytokine/chemokine/growth factor profiles in MSA-C and compared them with those in hereditary spinocerebellar ataxia (SCA). METHODS: We collected clinical data and CSF from 20 MSA-C patients, 12 hereditary SCA patients, and 15 patients with other non-inflammatory neurological diseases (OND), and measured 27 cytokines/chemokines/growth factors using a multiplexed fluorescent bead-based immunoassay. The size of each part of the hindbrain and hot cross bun sign (HCBS) in the pons was studied by magnetic resonance imaging. RESULTS: Granulocyte-macrophage colony-stimulating factor (GM-CSF), interleukin (IL)-6, IL-7, IL-12, and IL-13 levels were significantly higher in MSA-C and SCA compared with OND. In MSA-C, IL-5, IL-6, IL-9, IL-12, IL-13, platelet-derived growth factor-bb, macrophage inflammatory protein (MIP)-1alpha, and GM-CSF levels positively correlated with anteroposterior diameters of the pontine base, vermis, or medulla oblongata. By contrast, in SCA patients, IL-12 and MIP-1alpha showed significant negative correlations with anteroposterior diameters of the pontine base, and unlike MSA-C, there was no cytokine with a positive correlation in SCA. IL-6 was significantly higher in MSA-C patients with the lowest grade of HCBS compared with those with the highest grade. Macrophage chemoattractant protein-1 (MCP-1) had a significant negative correlation with disease duration only in MSA-C patients. Tumor necrosis factor-alpha, IL-2, IL-15, IL-4, IL-5, IL-10, and IL-8 were all significantly lower in MSA-C and SCA compared with OND, while IL-1ra, an anti-inflammatory cytokine, was elevated only in MSA-C. IL-1beta and IL-8 had positive correlations with Unified Multiple System Atrophy Rating Scale part 1 and 2, respectively, in MSA-C. CONCLUSIONS: Although CSF cytokine/chemokine/growth factor profiles were similar between MSA-C and SCA, pro-inflammatory cytokines, such as IL-6, GM-CSF, and MCP-1, correlated with the disease stage in a way higher at the beginning only in MSA-C, reflecting early stronger intrathecal inflammation. FAU - Yamasaki, Ryo AU - Yamasaki R AD - Department of Neurology, Neurological Institute, Graduate School of Medical Sciences, Kyushu University, 3-1-1 Maidashi, Higashi-Ku, Fukuoka, 812-8582, Japan. ryoya@neuro.med.kyushu-u.ac.jp. FAU - Yamaguchi, Hiroo AU - Yamaguchi H AD - Department of Neurology, Neurological Institute, Graduate School of Medical Sciences, Kyushu University, 3-1-1 Maidashi, Higashi-Ku, Fukuoka, 812-8582, Japan. FAU - Matsushita, Takuya AU - Matsushita T AD - Department of Neurology, Neurological Institute, Graduate School of Medical Sciences, Kyushu University, 3-1-1 Maidashi, Higashi-Ku, Fukuoka, 812-8582, Japan. FAU - Fujii, Takayuki AU - Fujii T AD - Department of Neurology, Neurological Institute, Graduate School of Medical Sciences, Kyushu University, 3-1-1 Maidashi, Higashi-Ku, Fukuoka, 812-8582, Japan. FAU - Hiwatashi, Akio AU - Hiwatashi A AD - Department of Clinical Radiology, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan. FAU - Kira, Jun-Ichi AU - Kira JI AD - Department of Neurology, Neurological Institute, Graduate School of Medical Sciences, Kyushu University, 3-1-1 Maidashi, Higashi-Ku, Fukuoka, 812-8582, Japan. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20170424 PL - England TA - J Neuroinflammation JT - Journal of neuroinflammation JID - 101222974 RN - 0 (Biomarkers) RN - 0 (Chemokines) RN - 0 (Cytokines) SB - IM MH - Biomarkers/cerebrospinal fluid MH - Case-Control Studies MH - Cerebellum/*metabolism MH - Chemokines/*cerebrospinal fluid MH - Cytokines/*cerebrospinal fluid MH - Female MH - Humans MH - Male MH - Middle Aged MH - Multiple System Atrophy/*cerebrospinal fluid/*diagnostic imaging MH - Spinal Cord/diagnostic imaging/metabolism PMC - PMC5404297 OTO - NOTNLM OT - Cerebrospinal fluid OT - Cytokine OT - Interleukin-6 OT - Magnetic resonance imaging OT - Monocyte chemoattractant protein-1 OT - Multiple system atrophy EDAT- 2017/04/26 06:00 MHDA- 2018/03/03 06:00 PMCR- 2017/04/24 CRDT- 2017/04/26 06:00 PHST- 2016/10/13 00:00 [received] PHST- 2017/04/14 00:00 [accepted] PHST- 2017/04/26 06:00 [entrez] PHST- 2017/04/26 06:00 [pubmed] PHST- 2018/03/03 06:00 [medline] PHST- 2017/04/24 00:00 [pmc-release] AID - 10.1186/s12974-017-0863-0 [pii] AID - 863 [pii] AID - 10.1186/s12974-017-0863-0 [doi] PST - epublish SO - J Neuroinflammation. 2017 Apr 24;14(1):89. doi: 10.1186/s12974-017-0863-0.