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The Impact of Methylprednisolone Pulses during Relapses of Multiple Sclerosis on the Kinetics of Anti-Interferon-Beta Antibodies.

TitleThe Impact of Methylprednisolone Pulses during Relapses of Multiple Sclerosis on the Kinetics of Anti-Interferon-Beta Antibodies.
Publication TypeJournal Article
Year of Publication2016
AuthorsGiantzi, V., Karapanayiotides T., Lagoudaki R., Poulatsidou K-N., Lourbopoulos A., Daniilidis M., Taskos N., Milonas I., & Grigoriadis N.
JournalEur Neurol
Volume75
Issue1-2
Pagination82-8
Date Published2016
ISSN1421-9913
KeywordsAdministration, Intravenous, Adult, Antibodies, Neutralizing, Enzyme-Linked Immunosorbent Assay, Female, Humans, Interferon-beta, Kinetics, Methylprednisolone, Multiple Sclerosis, Neuroprotective Agents
Abstract

BACKGROUND/AIMS: We assessed the, hitherto unknown, impact of intravenous methylprednisolone (ivMP) pulses during relapses of multiple sclerosis (MS) on the kinetics of anti-interferon-beta neutralizing antibodies (Nabs) and binding antibodies (Babs).METHODS: Babs (ELISA) and Nabs (antiviral cytopathic effect assay) titers were evaluated before, immediately after and at 1 month following ivMP in 60 MS patients.RESULTS: ivMP reduces Nabs and Babs titers for at least 1 month. Baseline titers determine Nabs and Babs seronegativity at the end of ivMP. Clinical response to ivMP tends to be better in Nabs(+) patients.CONCLUSION: Sampling for Nabs/Babs should be avoided during or shortly after ivMP to avoid transient positive or negative results that may obscure the decision to switch treatment.

DOI10.1159/000444319
Alternate JournalEur. Neurol.
PubMed ID26867030

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