PMID- 8207119 OWN - NLM STAT- MEDLINE DCOM- 19940712 LR - 20190825 IS - 0165-5728 (Print) IS - 0165-5728 (Linking) VI - 52 IP - 1 DP - 1994 Jun TI - Increased levels of soluble tumor necrosis factor receptor in patients with multiple sclerosis and HTLV-1-associated myelopathy. PG - 33-40 AB - Tumor necrosis factor-alpha (TNF-alpha) is a potent mediator produced by activated T lymphocytes and macrophages, which may play a role in the pathogenesis and development of multiple sclerosis (MS) and HTLV-1-associated myelopathy (HAM). The first step in the induction of many biological effects elicited by TNF-alpha is its binding to specific cell surface receptors. A soluble form of TNF receptor (sTNF-R) can be detected in the body fluid. We measured sTNF-R levels in the sera and cerebrospinal fluid (CSF) of patients with either MS or HAM, and evaluated the correlation between this mediator and disease activity. The levels of sTNF-R in the sera and CSF of patients with MS were significantly increased compared with controls, particularly patients with acute relapsing MS during an exacerbation (P < 0.001). CSF levels of sTNF-R showed a strong correlation with those of TNF (r = 0.716, P < 0.001). Higher levels of sTNF-R in the sera of HAM patients were detected as compared with those of either controls (P < 0.001) or non-HAM carriers (P < 0.001). Patients with HAM exhibited significantly higher CSF levels of sTNF-R than those with other neurological diseases (P < 0.0001). These results suggest that the detection of sTNF-R in the sera and CSF may predict disease progression. Availability of such a marker would be useful in monitoring disease activity. FAU - Matsuda, M AU - Matsuda M AD - Department of Medicine (Neurology), Shinshu University, School of Medicine, Matsumoto, Japan. FAU - Tsukada, N AU - Tsukada N FAU - Miyagi, K AU - Miyagi K FAU - Yanagisawa, N AU - Yanagisawa N 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 (Receptors, Tumor Necrosis Factor) RN - 0 (Tumor Necrosis Factor-alpha) SB - IM MH - Adult MH - Aged MH - Female MH - Humans MH - Male MH - Middle Aged MH - Multiple Sclerosis/blood/cerebrospinal fluid/*metabolism MH - Paraparesis, Tropical Spastic/blood/cerebrospinal fluid/*metabolism MH - Receptors, Tumor Necrosis Factor/*analysis MH - Tumor Necrosis Factor-alpha/analysis EDAT- 1994/06/01 00:00 MHDA- 2000/06/01 09:00 CRDT- 1994/06/01 00:00 PHST- 1994/06/01 00:00 [pubmed] PHST- 2000/06/01 09:00 [medline] PHST- 1994/06/01 00:00 [entrez] AID - 0165-5728(94)90159-7 [pii] AID - 10.1016/0165-5728(94)90159-7 [doi] PST - ppublish SO - J Neuroimmunol. 1994 Jun;52(1):33-40. doi: 10.1016/0165-5728(94)90159-7.