Lamoureux G, Cosgrove J, Duquette P, Lapierre Y, Jolicoeur R, Vanderland F
Clin Exp Immunol. 1981 Mar;43(3):557-64.
A clinical and laboratory trial was designated to test the value of a potentially active pool of transfer factor (TF) given for a period of 3 months, at weekly intervals, in 27 relapsing MS patients and controls. The pool of TF was extracted from peripheral lymphocytes of 36 normal individuals presensitized with DNCB as marker. It was biologically capable of transferring DNCB sensitivity to MS recipients and did not show any toxicity. Clinically, a slight but not significant improvement of the functional and disability indices was observed in the TF group over a period of 1 year, while both indices increased in the control group. The treatment had no influence on the number of relapses and/or on sensory and visually evoked potentials, axial tomography and electronystagmography. In laboratory tests, a significant difference was found in the total CSF protein (P less than 0 . 05) and IgG (P less than 0 . 01) levels in the two groups studied; both values decreased or were stabilized in the group receiving TF, while they increased in the control group. Whether or not these slight clinically and biologically beneficial effects were due to the high dose of TF given or to its biological activity remains to be established. This pilot study suggests that a more appropriate answer regarding TF in MS might be obtained by using biologically active material, given for longer periods of time, at a closer interval and in a larger number of patients.
一项临床和实验室试验旨在测试在27例复发型多发性硬化症(MS)患者及对照组中,连续3个月每周给予一次潜在活性转移因子(TF)池的价值。该TF池从36名用二硝基氯苯(DNCB)致敏作为标记的正常个体的外周淋巴细胞中提取。它在生物学上能够将DNCB敏感性转移给MS受体,且未显示任何毒性。临床上,在1年的时间里,TF组的功能和残疾指数有轻微但不显著的改善,而对照组的这两个指数均有所上升。该治疗对复发次数和/或感觉及视觉诱发电位、轴向断层扫描和眼震电图均无影响。在实验室检测中,研究的两组脑脊液总蛋白(P<0.05)和免疫球蛋白G(IgG,P<0.01)水平存在显著差异;接受TF的组中这两个值均下降或稳定,而对照组中则升高。这些轻微的临床和生物学有益效果是由于给予的TF高剂量还是其生物活性所致,仍有待确定。这项初步研究表明,通过使用生物活性物质,在更长的时间内、更短的间隔且纳入更多患者,可能会得到关于TF在MS中更合适的答案。