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Effect of cyclosporine on rubella virus-specific immune responses in chronic progressive multiple sclerosis.

Abstract
Cyclosporine A (CsA) has been used in putative autoimmune diseases after sensitization to unknown antigens. We have previously shown that CsA prevented continued activation of T-cells in chronic progressive multiple sclerosis (CPMS) patients. The current study was undertaken to determine whether CsA, or CsA and prednisone (CsA + P) could suppress immune responses to a common recall antigen. Serum antibody levels were higher in all CPMS patients than age-matched normal controls. However, rubella antibody titers in the CsA or CsA + P groups were no different from a placebo-treated CPMS patient group. The lymphocyte responses to inactivated rubella virus of CsA and CsA + P-treated CPMS patients were lower than placebo and control but not statistically different. Therapy with both CSA and CSA + P was associated with significantly lower panel mixed leukocyte responses and Ta1 expression than in the placebo-treated group; CD3, CD4, CD8 antigen expression and active rosette formation by T-cells were similar for the three CPMS groups. These results suggest that while CsA exerts measurable effects on non-specific indicators of cellular immunity in CPMS patients, it may not be as effective in suppressing pre-existent specific immune responses.
AuthorsA Nath, J S Wolinsky, R H Kerman
JournalJournal of neuroimmunology (J Neuroimmunol) Vol. 22 Issue 2 Pg. 143-8 (Apr 1989) ISSN: 0165-5728 [Print] Netherlands
PMID2925842 (Publication Type: Clinical Trial, Controlled Clinical Trial, Journal Article, Research Support, Non-U.S. Gov't)
Chemical References
  • Antibodies, Viral
  • Antigens, Viral
  • Cyclosporins
  • Drug Combinations
  • Prednisone
Topics
  • Antibodies, Viral (analysis)
  • Antibody Formation (drug effects)
  • Antigens, Viral (immunology)
  • Chronic Disease
  • Cyclosporins (pharmacology)
  • Drug Combinations
  • Humans
  • Lymphocyte Activation
  • Multiple Sclerosis (immunology)
  • Prednisone (pharmacology)
  • Rubella virus (immunology)

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