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The effect of methylprednisolone on lymphocyte phenotype and function in patients with multiple sclerosis.

Abstract：

:The extent to which symptomatic improvement in patients with multiple sclerosis treated with intravenous methylprednisolone depends on immunological actions of corticosteroids is unknown. In this study the effect of methylprednisolone on circulating T and B cell function has been assessed in vitro and in vivo. Low molar concentrations of methylprednisolone increased pokeweed mitogen-stimulated IgG synthesis by unfractionated lymphocytes in 20 patients with multiple sclerosis and 15 controls. Treatment with methylprednisolone was associated with increased IgG synthesis in a further cohort of 26 affected individuals although dose responsiveness to methylprednisolone was uninfluenced in these patients. Sequential concanavalin A-pokeweed mitogen-induced IgG synthesis by mononuclear cells was also stimulated by methylprednisolone. Phenotypic analysis of paired samples from 12 patients with multiple sclerosis, taken before and after treatment showed no alteration in CD4 or CD8 cells, their suppressor inducer or suppressor subpopulations or activated lymphocytes.

journal_name

J Neuroimmunol

journal_title

Journal of neuroimmunology

authors

Kirk P,Compston A

doi

10.1016/0165-5728(90)90114-3

subject

Has Abstract

pub_date

1990-01-01 00:00:00

pages

1-8

issue

1

eissn

0165-5728

issn

1872-8421

pii

0165-5728(90)90114-3

journal_volume

26

pub_type

杂志文章

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