Subcutaneous Interferon-β injections in patients with multiple sclerosis initiate inflammatory skin reactions by local chemokine induction

被引:40
作者
Buttmann, M
Goebeler, M
Toksoy, A
Schmid, S
Graf, W
Berberich-Siebelt, F
Rieckmann, P
机构
[1] Univ Wurzburg, Dept Neurol, D-97080 Wurzburg, Germany
[2] Univ Heidelberg, Univ Hosp Mannheim, Dept Dermatol, D-68135 Mannheim, Germany
[3] Univ Wurzburg, Dept Dermatol, D-97080 Wurzburg, Germany
[4] Univ Wurzburg, Dept Mol Pathol, D-97080 Wurzburg, Germany
关键词
CXC chemokine IP-10; monocyte chemoattractant protein-1; adverse effects; skin; Interferon-beta;
D O I
10.1016/j.jneuroim.2005.07.011
中图分类号
R392 [医学免疫学]; Q939.91 [免疫学];
学科分类号
100102 ;
摘要
Subcutaneous Interferon-beta (IFN-beta) injections for the treatment of multiple sclerosis (MS) frequently cause inflammatory injection site reactions. To study the role of chemokines we obtained skin biopsies from 7 MS patients 24 h after injection. At the IFN-beta but not at the contralateral placebo injection sites, we observed strong IP-10/CXCL10 and moderate MCP-1/CCL2 expression associated with extensive perivascular, highly CXCR3-positive T cell and macrophage infiltrates. Primary human skin cells displayed a comparable pattern of chemokine induction after stimulation with IFN-beta in vitro. IFN-beta may therefore trigger inflammatory skin reactions through local chemokine induction followed by rapid immune cell extravasation. (C) 2005 Elsevier B.V. All rights reserved.
引用
收藏
页码:175 / 182
页数:8
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