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Distinct Cytokine and Chemokine Expression in Plasma and Calpeptin-Treated PBMCs of a Relapsing-Remitting Multiple Sclerosis Patient: A Case Report.

Abstract
The cytokine/chemokine expression signature of a 60-year-old African American male with relapsing-remitting multiple sclerosis (RRMS) was analyzed using patient blood samples obtained from two separate visits to the clinic. Thirty-six different cytokines, chemokines, and growth factors were detected in the plasma of the RRMS patient using a multiplexed bead-based immunoassay. Results indicated that at least ten of these factors with a concentration of > 100 pg/mL are identified as pro-inflammatory. Calpain inhibition led to an anti-inflammatory effect, as indicated by a decrease in expression of pro-inflammatory cytokines/chemokines such as GM-CSF, IFNγ, and IL-17A, and a relative increase in two of the anti-inflammatory cytokines (IL-13 and IL-4) in the peripheral blood mononuclear cells activated with anti-CD3/CD28. Overall, these results suggest that the unique cytokine/chemokine pattern observed in the plasma of the RRMS patient can be used as a prognostic marker and calpain inhibition may be used as a novel therapeutic strategy for treating excessive inflammatory response specific to RRMS patients.
AuthorsRaghavendar Chandran, Mollie Capone, Denise Matzelle, Rachel Polcyn, Elizabeth Kau, Azizul Haque, Naren L Banik
JournalNeurochemical research (Neurochem Res) Vol. 43 Issue 12 Pg. 2224-2231 (Dec 2018) ISSN: 1573-6903 [Electronic] United States
PMID30291537 (Publication Type: Case Reports, Journal Article)
Chemical References
  • Chemokines
  • Cysteine Proteinase Inhibitors
  • Cytokines
  • Dipeptides
  • calpeptin
Topics
  • Chemokines (biosynthesis, genetics)
  • Cysteine Proteinase Inhibitors (pharmacology, therapeutic use)
  • Cytokines (biosynthesis, genetics)
  • Dipeptides (pharmacology, therapeutic use)
  • Gene Expression
  • Humans
  • Leukocytes, Mononuclear (drug effects, metabolism)
  • Male
  • Middle Aged
  • Multiple Sclerosis, Relapsing-Remitting (blood, drug therapy)

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