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.