Tuncay GÜNDÜZ, Tuba TANYEL KİREMİTÇİ, Canan ULUSOY, Murat KÜRTÜNCÜ, Recai TÜRKOĞLU

Klinik İzole Sendrom ve Multipl Skleroz Hastalarının Beyin Omurilik Sıvılarında Perisitik Mediatörlerin Analizi: Pilot Çalışma

DOI: 10.26650/experimed.2018.434227Amaç: Multipl skleroz’da kan beyin bariyerinin bozulduğu pek çok çalışmada gösterilmiştir. Perisitler bir dizi hücre yanında kan beyin bariyerinin devamlılığının sağlanmasında aktif rol üstlenir. Bu çalışmada multipl skleroz hastalarında perisit disfonksiyonunun demyelinizan plakların gelişimindeki etkisi araştırılmıştır.Gereç ve Yöntem: Klinik izole sendrom (KİS), relapsing remitting multipl skleroz (RRMS) ve sağlıklı kontrol grubundan alınan beyin omurilik sıvılarında perisit disfonksiyon mediatörlerinin (PDGFbb, MMP9, TIMP3 ve ADAM17) konsantrasyonları ELISA ile ölçüldü ve oligoklonal bantlar (OKB) araştırıldı. Bu mediyatörlerin, gruplar arasındaki farklılıkları lezyon yükü, atak sayısı ve EDSS skorları ile korelasyon gösterip göstermediği belirlendi. Bulgular: Her dört mediyatörün konsantrasyonları KİS ve RRMS hastalarında benzer bulundu. Bununla beraber her iki grupta sağlıklı kontollerden yüksek bulundu. KİS ve RRMS grubunda, mediyatörlerin seviyelerinin bakılan hiçbir parametre ile korelasyon göstermediği saptandı. Buna karşın, beyin omurilik sıvılarında OKB bulunan hastalarda PDGFbb (p=0,045), MMP9 (p=0,037) ve TIMP3 (p=0,033) düzeylerinin OKB bulunmayanlara göre daha yüksek olduğu, ADAM17 seviyelerinin ise değişmediği görüldü. Sonuç: Bu çalışma perisit disfonksiyon mediyatörlerinin MS’in patogenezinde hastalığın erken dönemlerinden itibaren rol alabileceğini göstermektedir. Oligoklonal band bulunan hastalarda daha yüksek seviyelerdeki mevcudiyeti, perisit disfonksiyonunun OKB oluşumu ile bir ilgisi olabileceğini akla getirmektedir.

Anahtar Kelimeler:

klinik izole sendrom, perisit, beyin omurilik sıvısı, nöroinflamasyon, Multipl skleroz, nöroinflamasyon

Cerebrospinal Fluid Analysis of Pericytic Mediators in Clinically Isolated Syndrome and Multiple Sclerosis: A Preliminary Study

DOI: 10.26650/experimed.2018.434227Objectives: In many studies, blood brain barrier has been shown to be compromised in multiple sclerosis patients. Pericytes play an active role in ensuring the continuity of the blood brain barrier along with a series of cells. In this study, the effect of pericytic dysfunction on the development of demyelinating plaques in patients with multiple sclerosis was investigated. Material and Method: Concentrations of pericyte dysfunction mediators (PDGFbb, MMP9, TIMP3 and ADAM17) in cerebrospinal fluid of patients with clinically isolated syndrome (CIS), relapsing remitting multiple sclerosis (RRMS) and healthy control group were measured by ELISA and oligoclonal bands (OCB) were investigated. We aimed to determine whether the concentration of these mediators differed between groups and whether they correlated with lesion load, number of attacks, and EDSS scores.Results: Concentrations of all four mediators were similar in patients with CIS and RRMS. However, both groups were found to be higher than the healthy group. In the CIS and RRMS groups, the levels of the mediators were not correlated with any parameters examined. However, the levels of PDGFbb (p=0.045), MMP9 (p=0.037), and TIMP3 (p=0.033) were higher in OCB positive patients than in those without OCB, whereas ADAM17 levels remained unchanged. Conclusion: This study shows that pericytes may play a role in the pathogenesis of MS from early stages of the disease. The presence of higher levels in patients with OCB suggests that pericyte dysfunction may be associated with OCB formation.

Keywords:

clinically isolated syndrome, pericyte, cerebrospinal fluid, neuroinflammation, Multiple sclerosis,

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