Immunosuppression associated with measles virus (MV) can be demonstrated by
cytokine production failure in
subacute sclerosing panencephalitis (
SSPE) and may have implications on the pathogenesis of the disease.
Cytokines (IL-12, IL-10, IL-4, IL-17, IL-18, IFN-alpha, IFN-gamma) and
chemokines (CXCL8, CXCL10, CCL2 and CCL5) were measured in the cerebrospinal fluid (CSF) and serum samples from 60 patients with
SSPE, 36 patients with infectious and/or inflammatory (IN) and 28 with other non-inflammatory (NIN) neurological diseases by ELISA.
IL-12 p70+p40 was elevated in CSF and sera of
SSPE when compared to the NIN group. However, the CSF levels of
IL-12 p70 alone were not increased, indicating an increase of p40. The CSF of
SSPE patients also showed relatively higher levels of
IL-10 than that of the NIN group. CXCL10 levels in CSF were significantly higher in
SSPE, whereas CXCL8 was increased in sera compared to NIN. No difference was detected in IFN-gamma, IFN-alpha,
IL-17,
IL-18,
IL-4 or CCL2 and CCL5 levels. These results demonstrate that immune response against MV in
SSPE may be impaired, although some T cell/Th1 inducing stimulations are present.