シミズ ユウコ   SHIMIZU Yuko
  清水 優子
   所属   医学部 医学科(東京女子医科大学病院)
   職種   准教授
論文種別 総説
言語種別 英語
査読の有無 査読あり
表題 Neutralizing antibodies are associated with a reduction of interferon-β efficacy during the treatment of Japanese multiple sclerosis patients.
掲載誌名 正式名:The Tohoku journal of experimental medicine
略  称:Tohoku J Exp Med
ISSNコード:13493329/00408727
掲載区分国内
巻・号・頁 228(2),pp.85-92
著者・共著者 Sato Douglas Kazutoshi, Nakashima Ichiro, Fukazawa Toshiyuki, Shimizu Yuko, Tomizawa Yuji, Yokoyama Kazumasa, Misu Tatsuro, Creeke Paul I, Farrell Rachel, Giovannoni Gavin, Itoyama Yasuto, Fujihara Kazuo, Aoki Masashi
発行年月 2012/10
概要 Multiple sclerosis (MS) is a chronic immune-mediated inflammatory demyelinating disease of the central nervous system. Interferon-β (IFN-β) has been used as the first line therapy for MS treatment in Japan, but patients treated with IFN-β may develop antibodies, known as neutralizing antibodies (NAbs), which abrogate its therapeutic effects. Intramuscular IFN-β 1a and subcutaneous IFN-β 1b are currently available in Japan, but large-scale studies evaluating the prevalence and clinical implications of NAbs against these IFN-β preparations in MS patients have only been performed in Caucasian populations. NAbs positivity has been reported to be associated with HLA-DRB1 alleles, suggesting that the positivity might differ among populations with distinct genetic backgrounds. Clinical information and sera were collected from 229 consecutive MS patients treated with IFN-β in 4 centers in Japan. Sera were tested for NAbs using a luciferase reporter gene assay. In total, 5.2% of IFN-β-1a-treated patients (4/77) and 30.3% of IFN-β-1b-treated patients (46/152) were positive for Nabs. The frequency of NAbs was highest in patients treated for 13 to 24 months. Clinical relapse and contrast-enhancing lesions in the magnetic resonance imaging increased together with NAbs titers in this group. In conclusion, the prevalence of NAbs in Japanese MS patients is similar to that in Caucasian populations and is associated with an increase in disease activity. Therefore, routine NAbs testing is recommended also in Asian populations to ensure the early identification of patients who would benefit from a change in therapy.
DOI 10.1620/tjem.228.85
PMID 22976494