Department of Neurology, Aeginition Hospital, Athens National University, School of Medicine, Athens, Greece. mrentzos @ med.uoa.gr
Eur Neurol. 2010;63(5):285-90. doi: 10.1159/000287582. Epub 2010 Apr 14.
There is evidence that immunological factors may be involved in pathogenic mechanisms of amyotrophic lateral sclerosis (ALS). Interleukin (IL)-15 and IL-12 are proinflammatory cytokines produced by activated blood and glial cells. They promote T cell differentiation and proliferation.
We measured by ELISA serum and cerebrospinal fluid (CSF) levels of IL-15 and IL-12 in 21 patients with ALS and 19 patients with other noninflammatory neurological disorders (NIND) studied as a control group. IL-15 and IL-12 serum and CSF levels were also correlated with duration of the disease, the disability level determined using the revised ALS Functional Rating Scale and the clinical subtype of the disease onset in patients with ALS.
IL-15 and IL-12 serum levels were higher in patients with ALS as compared with patients with NIND (p = 0.014 and p = 0.011, respectively). IL-15 and IL-12 CSF levels were also increased in patients with ALS (p = 0.011 and p = 0.005, respectively). IL-15 and IL-12 levels were not correlated with disease duration, disability scale or clinical subtype of the disease onset in ALS patients.
Our findings suggest that these molecules may be involved in the pathogenic mechanisms acting as potential markers of immune activation in ALS.
有证据表明,免疫因素可能参与肌萎缩侧索硬化症(ALS)的发病机制。白细胞介素(IL)-15 和 IL-12 是由激活的血液和神经胶质细胞产生的促炎细胞因子。它们促进 T 细胞分化和增殖。
我们通过 ELISA 测量了 21 例 ALS 患者和 19 例非炎症性神经疾病(NIND)患者的血清和脑脊液(CSF)中 IL-15 和 IL-12 水平,并将其作为对照组进行了研究。还将 IL-15 和 IL-12 的血清和 CSF 水平与疾病持续时间、使用修订后的 ALS 功能评定量表确定的残疾水平以及 ALS 患者的疾病起始临床亚型进行了相关性分析。
与 NIND 患者相比,ALS 患者的血清 IL-15 和 IL-12 水平升高(p = 0.014 和 p = 0.011)。IL-15 和 IL-12 的 CSF 水平也在 ALS 患者中升高(p = 0.011 和 p = 0.005)。IL-15 和 IL-12 水平与 ALS 患者的疾病持续时间、残疾量表或疾病起始临床亚型均无相关性。
我们的发现表明,这些分子可能参与了发病机制,作为 ALS 免疫激活的潜在标志物。