INCREASED LYMPHOCYTE BETA-ADRENERGIC-RECEPTOR DENSITY IN PROGRESSIVE MULTIPLE-SCLEROSIS IS SPECIFIC FOR THE CD8+, CD28- SUPPRESSOR-CELL

被引:59
作者
KARASZEWSKI, JW
REDER, AT
ANLAR, B
KIM, WC
ARNASON, BGW
机构
[1] UNIV CHICAGO,DEPT NEUROL,5841 S MARYLAND AVE,BH BOX 425,CHICAGO,IL 60637
[2] UNIV CHICAGO,BRAIN RES INST,CHICAGO,IL 60637
关键词
D O I
10.1002/ana.410300109
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
Beta-adrenergic receptor density on T cells from healthy humans is greatest on suppressor cells (CD8+, CD28-) and the effect of catecholamines, secreted by the sympathetic nervous system, predominates on this subset. The sympathetic skin response, a measure of sympathetic nervous system function, is absent in most patients with chronic progressive multiple sclerosis (MS). We measured beta-adrenergic receptor density on suppressor cells, cytotoxic cells, and monocytes from patients with chronic progressive MS and healthy control subjects. Control receptor density on suppressor cells was 2.8 +/- 0.3 fmol/10(6) cells versus a density of 5.1 +/- 0.7 fmol/10(6) cells for patients. Cytotoxic cell (CD8+, CD28+) receptor density was 1.4 +/- 0.4 fmol/10(6) cells in control subjects and 0.9 +/- 0.3 fmol/10(6) cells in the patients. Monocytes displayed beta-adrenergic receptor densities of 2.6 +/- 0.4 fmol/10(6) cells in normal individuals and 2.7 +/- 0.4 fmol/106 cells in the patient group. CD8 lymphocyte beta-adrenergic receptor densities in patients with relapsing-remitting and those with stable MS were not different from control values, yet were significantly less than the values for patients with chronic progressive MS. We find that mononuclear cells from healthy control subjects and patients with chronic progressive MS proliferate in response to 200 units/ml of recombinant human interleukin-2 (IL-2) similarly. However, IL-2 treatment increased beta-adrenergic receptor density on normal mononuclear cells, but failed to increase it on mononuclear cells from patients with chronic progressive MS. We conclude that decreased sympathetic skin responses, increased CD8+, CD28- cell beta-adrenergic receptor density, impaired suppressor cell function, and increased IL-2 production may be interrelated, and that increased beta-adrenergic receptor density is confined to the chronic progressive form of MS.
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页码:42 / 47
页数:6
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