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感染在埃及多发性硬化症患者中的相关性。

Relevance of infection in Egyptian multiple sclerosis patients.

作者信息

Gerges Steven Emil, Alosh Taha Kamel, Khalil Salma Hamed, El Din Mona Mokhtar Waheed

机构信息

Faculty of Medicine, Ain Shams University, 19 Awad Fahmy st-El Zatoun, Cairo, Egypt.

出版信息

Egypt J Neurol Psychiatr Neurosurg. 2018;54(1):41. doi: 10.1186/s41983-018-0043-x. Epub 2018 Dec 7.

Abstract

BACKGROUND

Multiple sclerosis (MS) is an autoimmune demyelinating disorder. The etiology of MS remains unknown exactly. heat shock proteins were suggested as a potential trigger of immune system causing MS.

OBJECTIVES

The aim of this study was to assess the level of anti- heat shock proteins 60 (Hp hsp60) antibodies at patients of MS and to correlate it with various epidemiological and clinical data.

SUBJECTS AND METHODS

This study design was a cross-sectional case control one. A total of 65 patients with multiple sclerosis diagnosed according to 2010 revised McDonald criteria and other 65 age- and sex-matched healthy controls were included in this study. All participants were subjected to full history taking, complete neurological examination including Expanded Disability Status Scale (EDSS) for the patients, measurement of serum level of anti-Hp hsp60 IgG using ELISA technique, and MRI brain for all the patients, being a goldstone for inclusion in the study.

RESULTS

There was statistically significant high level of anti-Hp hsp60 IgG at MS patients especially secondary progressive multiple sclerosis (SPMS) patients. Moreover, a positive statistically significant correlation was found between it and age of patients, duration of illness, and EDSS.

CONCLUSION

We conclude that hsp60 of Hp may be a useful biomarker for attesting course progression in MS.

摘要

背景

多发性硬化症(MS)是一种自身免疫性脱髓鞘疾病。MS的确切病因仍不清楚。热休克蛋白被认为是引发免疫系统导致MS的一个潜在因素。

目的

本研究旨在评估MS患者抗热休克蛋白60(Hp hsp60)抗体水平,并将其与各种流行病学和临床数据相关联。

对象与方法

本研究设计为横断面病例对照研究。本研究纳入了65例根据2010年修订的麦克唐纳标准确诊的多发性硬化症患者以及65例年龄和性别匹配的健康对照者。所有参与者均接受全面的病史采集、包括对患者进行扩展残疾状态量表(EDSS)评分的完整神经系统检查、使用酶联免疫吸附测定(ELISA)技术测量血清抗Hp hsp60 IgG水平,以及对所有患者进行脑部磁共振成像(MRI)检查,这是纳入本研究的一项关键指标。

结果

MS患者尤其是继发进展型多发性硬化症(SPMS)患者的抗Hp hsp60 IgG水平在统计学上显著升高。此外,还发现其与患者年龄、病程及EDSS之间存在统计学上的显著正相关。

结论

我们得出结论,Hp的hsp60可能是用于证明MS病程进展的一个有用生物标志物。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/594d/6290718/0741235ac425/41983_2018_43_Fig1_HTML.jpg

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