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多发性硬化症患者一线治疗应答中的人群结构与 HLA-DRB1*1501。

Population structure and HLA DRB1 1501 in the response of subjects with multiple sclerosis to first-line treatments.

机构信息

Program in Translational NeuroPsychiatric Genomics, Department of Neurology, Brigham and Women's Hospital and Harvard Medical School, Boston, MA, United States.

出版信息

J Neuroimmunol. 2011 Apr;233(1-2):168-74. doi: 10.1016/j.jneuroim.2010.10.038. Epub 2010 Nov 27.

DOI:10.1016/j.jneuroim.2010.10.038
PMID:21115201
Abstract

Using retrospectively collected outcome data for treatment naïve subjects treated with either glatiramer acetate (GA) (n=332) or interferon beta (IFN β) (n=424), we replicated the lack of a significant difference in efficacy between these treatments. Further, for both treatments, we observed a decline in the hazard of a relapse over time, which may suggest the existence of subsets of subjects with differential responses to each treatment. The HLA DRB1 1501 allele explained some of this variation in event-free survival while on GA, and we found suggestive evidence that an IRF8 polymorphism influences event-free survival in IFN β treated subjects.

摘要

使用回顾性收集的未经治疗的受试者的结果数据,这些受试者接受了格拉替雷(GA)(n=332)或干扰素β(IFNβ)(n=424)治疗,我们复制了这两种治疗方法在疗效方面没有显著差异。此外,对于这两种治疗方法,我们观察到随着时间的推移,复发的风险下降,这可能表明存在对每种治疗方法有不同反应的亚组受试者。在接受 GA 治疗时,HLA DRB1 1501 等位基因解释了 GA 治疗时无事件生存中部分变异,我们发现了有说服力的证据表明,IRF8 多态性影响 IFNβ 治疗受试者的无事件生存。

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