Is the modulatory effect of pregnancy in multiple sclerosis associated with changes in blood apoptotic molecules?

Abstract:

OBJECTIVE:We examined whether the modulatory effect of pregnancy on multiple sclerosis (MS) is associated with changes in the apoptotic molecules in sera. SUBJECTS AND METHODS:The serum levels of tumor necrosis factor-related apoptosis-inducing ligand (sTRAIL), sFas, Fas ligand (sFasL) and macrophage migration inhibitory factor were analyzed from 19 MS patients and 14 controls during late pregnancy and post-partum. The obtained results were related to disease activity and the progression of MS. RESULTS:Disease activity decreased during pregnancy. The levels of sTRAIL and sFasL increased from late pregnancy to post-partum situation in both MS patients and controls, but in MS patients the changes in the levels of sTRAIL from late pregnancy to post-partum were smaller than in controls. CONCLUSIONS:Post-partum upregulation of TRAIL and FasL seems to be caused by physiologic reactivation of the mother's immune system after pregnancy. An increased risk of relapses in MS post-partum may be associated with changes in the immunomodulatory potential of these apoptotic molecules.

journal_name

Acta Neurol Scand

authors

Rinta S,Airas L,Elovaara I

doi

10.1111/j.1600-0404.2009.01301.x

subject

Has Abstract

pub_date

2010-09-01 00:00:00

pages

168-74

issue

3

eissn

0001-6314

issn

1600-0404

pii

ANE1301

journal_volume

122

pub_type

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