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PMID 9562310  (  )
Title Cerebrospinal fluid interleukin 6 in amyotrophic lateral sclerosis: immunological parameter and comparison with inflammatory and non-inflammatory central nervous system diseases.
Abstract We assayed IL-6 in 105 cerebrospinal fluid (CSF) samples from patients with ALS, MS, HTLV-1 associated myelopathy (HAM), and controls. There was considerable overlap in IL-6 levels in all patient groups. The mean IL-6 in 27 patients with ALS was significantly higher than in 21 patients in the other neurological disease (OND) group (P=0.0075). There were no significant differences in MS or HAM and the OND control group. Overall, CSF IL-6 correlated with protein concentration but not with percentage IgG or IgG-albumin index. Patients with CSF oligoclonal bands were no more likely to have detectable IL-6 than patients without oligoclonal bands. Similarly, IL-6 did not correlate with clinical disease activity in MS when subgroups of patients were compared or when an individual patient was followed over time. The elevated IL-6 in ALS may reflect an ongoing humoral immune response, or IL-6 may be non-specifically expressed in these patients as a putative neurotrophic factor in response to nerve cell degeneration. Japan.

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Targets by SciMiner Summary

HUGO ID Symbol Target Name #Occur ActualStr
6018IL6interleukin 6 (interferon, beta 2)129IL-6 | il 6 | interleukin 6 |
399ALBalbumin4albumin | serum albumin |
6001IL2interleukin 22il 2 | IL-2 |
11892TNFtumor necrosis factor (TNF superfamily, member 2)2TNF- |
5992IL1Binterleukin 1, beta2IL-1 | il 1 |
727ARTNartemin1neurotrophic factor |

 


Targets by SciMiner Full list

HUGO ID Symbol Name ActualStr Score FlankingText
6018IL6interleukin 6 (interferon, beta 2)IL-61.3We assayed IL-6 in 105 cerebrospinal fluid (CSF) CSF samples from patients with
6018IL6interleukin 6 (interferon, beta 2)IL-61.3There was considerable overlap in IL-6 levels in all patient groups
6018IL6interleukin 6 (interferon, beta 2)IL-61.3The mean IL-6 in 27 patients with ALS was significantly higher than in
6018IL6interleukin 6 (interferon, beta 2)IL-61.3Overall CSF IL-6 correlated with protein concentration but not with percentage IgG or
6018IL6interleukin 6 (interferon, beta 2)IL-61.3CSF oligoclonal bands were no more likely to have detectable IL-6 than patients without oligoclonal bands
6018IL6interleukin 6 (interferon, beta 2)IL-61.3Similarly IL-6 did not correlate with clinical disease activity in MS when
6018IL6interleukin 6 (interferon, beta 2)IL-61.3The elevated IL-6 in ALS may reflect an ongoing humoral immune response or
6018IL6interleukin 6 (interferon, beta 2)IL-61.3in ALS may reflect an ongoing humoral immune response or IL-6 may be non-specifically expressed in these patients as a putative
6018IL6interleukin 6 (interferon, beta 2)IL-61.3IL-6 is a B cell differentiation factor that was first described
6018IL6interleukin 6 (interferon, beta 2)IL-61.3Cerebrospinal fluid (CSF) CSF levels of IL-6 are consistently elevated in herpes simplex virus encephalitis and other
6018IL6interleukin 6 (interferon, beta 2)IL-61.3IL-6 was detected in experimental allergic encephalomyelitis CSF ( Gijbels et
6018IL6interleukin 6 (interferon, beta 2)IL-61.3central nervous system involvement ( Hirohata and Miyamoto 1990 but IL-6 was not detected in multiple sclerosis (MS) MS ( Houssiau
6018IL6interleukin 6 (interferon, beta 2)IL-61.3Reports of IL-6 in non-inflammatory CNS disease prompted the present study of CSF
6018IL6interleukin 6 (interferon, beta 2)IL-61.3found a higher frequency of detection and higher levels of IL-6 in ALS than in the other neurological disease control group
6018IL6interleukin 6 (interferon, beta 2)IL-61.3In contrast there was no significant difference in CSF IL-6 in either MS or HAM patients compared to other neurological
6018IL6interleukin 6 (interferon, beta 2)IL-61.3and there was no correlation of CSF immune parameters and IL-6 levels
6018IL6interleukin 6 (interferon, beta 2)IL-61.3These results are consistent with the hypothesis that CSF IL-6 in ALS has an non-immune origin occurring as a neurotrophic
6018IL6interleukin 6 (interferon, beta 2)IL-61.3The IL-6 dependent hybridoma cell line MH6OBSF2 ( Matsuda et al. 1988
6018IL6interleukin 6 (interferon, beta 2)IL-61.3Without IL-6 in the media no viable cells remained in this subclone
6018IL6interleukin 6 (interferon, beta 2)IL-61.3IL-6 was quantitated by reference to a dose calibration curve of
6018IL6interleukin 6 (interferon, beta 2)IL-61.3by reference to a dose calibration curve of recombinant human IL-6 (kindly kindly supplied by Drs Hirano and Kishimoto assayed with
6018IL6interleukin 6 (interferon, beta 2)IL-61.3CSF IL-6 values were expressed as log 1 0 pg/ml pg ml
6018IL6interleukin 6 (interferon, beta 2)IL-61.3The sensitivity of IL-6 detection was determined to be 1.6 pg/ml pg ml
5992IL1Binterleukin 1, betaIL-11.3showing no mitogenic response with other recombinant human cytokines (IL-1 IL-1 IL-1_amp_#x3b2 IL-2 TNF and abrogating the IL-6 effect by anti-IL-6
6001IL2interleukin 2IL-21.3mitogenic response with other recombinant human cytokines (IL-1 IL-1 IL-1_amp_#x3b2 IL-2 TNF and abrogating the IL-6 effect by anti-IL-6 polyclonal antibody
6018IL6interleukin 6 (interferon, beta 2)IL-61.3human cytokines (IL-1 IL-1 IL-1_amp_#x3b2 IL-2 TNF and abrogating the IL-6 effect by anti-IL-6 polyclonal antibody (Genzyme, Genzyme Boston MA
11892TNFtumor necrosis factor (TNF superfamily, member 2)TNF0.2response with other recombinant human cytokines (IL-1 IL-1 IL-1_amp_#x3b2 IL-2 TNF and abrogating the IL-6 effect by anti-IL-6 polyclonal antibody (Genzyme,
6018IL6interleukin 6 (interferon, beta 2)IL-61.3boundary of detectability of 1.6 pg/ml pg ml for the IL-6 assay (or or log 1 0 IL-6 of 0.2 non-parametric
6018IL6interleukin 6 (interferon, beta 2)IL-61.3ml for the IL-6 assay (or or log 1 0 IL-6 of 0.2 non-parametric techniques were used
6018IL6interleukin 6 (interferon, beta 2)IL-61.3As shown in Fig 1 there was considerable overlap in IL-6 levels in all patient groups
6018IL6interleukin 6 (interferon, beta 2)IL-61.3Table 2 shows IL-6 detection in 78% of 27 patients with ALS (median median
6018IL6interleukin 6 (interferon, beta 2)IL-61.3of 27 patients with ALS (median median log 1 0 IL-6 of 1.01 55% of 20 patients with MS (median median
6018IL6interleukin 6 (interferon, beta 2)IL-61.3non-parametric Wilcoxon rank-sum test showed a significant difference in CSF IL-6 between the ALS and OND group ( P =0.0075 but
6018IL6interleukin 6 (interferon, beta 2)IL-61.3MS and HAM groups all had statistically significant higher mean IL-6 levels than the non-neurological disease control P _amp_#x3c 0.0001 for
6018IL6interleukin 6 (interferon, beta 2)IL-61.3The greatest CSF IL-6 level in the ALS group (log log 1 0 IL-6
6018IL6interleukin 6 (interferon, beta 2)IL-61.3IL-6 level in the ALS group (log log 1 0 IL-6 of 2.55 was a sample from the National Neurological Research
6018IL6interleukin 6 (interferon, beta 2)IL-61.3Although these results failed to show a higher mean IL-6 level in patients with recognized immune-mediated CNS disease (MS MS
6018IL6interleukin 6 (interferon, beta 2)IL-61.3To determine if IL-6 varies with the activity of immune-mediated disease data from the
6018IL6interleukin 6 (interferon, beta 2)IL-61.3results in Fig 2 show no significant difference in CSF IL-6 levels with 7 of 12 patients in relapse having detectable
6018IL6interleukin 6 (interferon, beta 2)IL-61.3levels with 7 of 12 patients in relapse having detectable IL-6 compared to 4 of 8 patients with MS in remission
6018IL6interleukin 6 (interferon, beta 2)IL-61.3consistent with fluctuating immune-mediated activity in the CNS the CSF IL-6 levels remained at undetectable levels in all four spinal taps
6018IL6interleukin 6 (interferon, beta 2)IL-61.3To evaluate further any correlation of CSF IL-6 with the extent of immune-mediated activity in the CNS CSF
6018IL6interleukin 6 (interferon, beta 2)IL-61.3CSF parameters were compared in patients with and without detectable IL-6
6018IL6interleukin 6 (interferon, beta 2)IL-61.3a significantly higher total IgG in MS patients with detectable IL-6 levels (not not shown but this correlation was not seen
6018IL6interleukin 6 (interferon, beta 2)IL-61.3percent IgG was higher in the ALS group with detectable IL-6 but not in the combined patient group (not not shown
6018IL6interleukin 6 (interferon, beta 2)IL-61.3total CSF protein was significantly higher in patients with detectable IL-6
6018IL6interleukin 6 (interferon, beta 2)IL-61.3in Table 3 mean CSF protein in patients with detectable IL-6 was 49.0_amp_#xb1 3.8 compared to 33.2_amp_#xb1 3.0 in patients with
6018IL6interleukin 6 (interferon, beta 2)IL-61.349.0_amp_#xb1 3.8 compared to 33.2_amp_#xb1 3.0 in patients with undetectable IL-6 ( P _amp_#x3c 0.01
6018IL6interleukin 6 (interferon, beta 2)IL-61.3Fig 4 shows CSF IL-6 levels in 35 patients with MS or HAM who had
6018IL6interleukin 6 (interferon, beta 2)IL-61.3Although the IL-6 level was slightly higher in patients without oligoclonal bands and
6018IL6interleukin 6 (interferon, beta 2)IL-61.3in patients without oligoclonal bands and the percentage of detectable IL-6 was higher (67% 67% versus 43% these differences were not
6018IL6interleukin 6 (interferon, beta 2)IL-61.3We found a modest but statistically significant elevation of CSF IL-6 in ALS patients ( Fig 1
6018IL6interleukin 6 (interferon, beta 2)IL-61.3studies a similar percentage of ALS patients had undetectable CSF IL-6 (6/27 6 27 versus 2/15); 2 15 but 37% of
6018IL6interleukin 6 (interferon, beta 2)IL-61.3versus 2/15); 2 15 but 37% of our patients had IL-6 levels greater than 10 pg/ml pg ml compared to only
6018IL6interleukin 6 (interferon, beta 2)IL-61.3The IL-6 levels in ALS CSF (less less than 0.96 log 10
6018IL6interleukin 6 (interferon, beta 2)IL-61.3Nevertheless the modest IL-6 elevation noted here may be related to an ongoing humoral
6018IL6interleukin 6 (interferon, beta 2)IL-61.3Serum IL-6 was not measured in ALS but prior studies have shown
6018IL6interleukin 6 (interferon, beta 2)IL-61.3not measured in ALS but prior studies have shown that IL-6 can concentrate in the CSF compartment (e.g e.g during active
6018IL6interleukin 6 (interferon, beta 2)IL-61.3IL-6 along with TNF- has been reported to be highly expressed
11892TNFtumor necrosis factor (TNF superfamily, member 2)TNF-0.0IL-6 along with TNF- has been reported to be highly expressed in perivascular inflammatory
6018IL6interleukin 6 (interferon, beta 2)IL-61.3expression we did not find a statistically significant elevation of IL-6 in MS CSF
6018IL6interleukin 6 (interferon, beta 2)IL-61.3Moreover we were unable to document an increase in IL-6 during active disease both within a group of MS patients
6018IL6interleukin 6 (interferon, beta 2)IL-61.3et al. 1990 and Maimone et al. 1991 to correlate IL-6 and CSF parameters of immune mediated disease including percentage IgG
6018IL6interleukin 6 (interferon, beta 2)IL-61.3in the MS and HAM patients suggests either (I) I IL-6 does not play a major role in these disease or
6018IL6interleukin 6 (interferon, beta 2)IL-61.3major role in these disease or (II) II detection of IL-6 is unreliable in the CSF of immune-mediated CNS parenchymal disease
6018IL6interleukin 6 (interferon, beta 2)IL-61.3immune-mediated CNS parenchymal disease (because because of instability or because IL-6 from brain in these disease does not enter the CSF
6018IL6interleukin 6 (interferon, beta 2)IL-61.3It is possible that the IL-6 elevation in ALS is of non-immune origin
6018IL6interleukin 6 (interferon, beta 2)IL-61.3IL-6 has been shown to induce neuronal differentiation ( Satoh et
6018IL6interleukin 6 (interferon, beta 2)IL-61.3Moreover IL-6 has been shown to increase in brain in response to
6018IL6interleukin 6 (interferon, beta 2)IL-61.3We speculate that IL-6 may be produced by astrocytes or microglial cells in ALS
6018IL6interleukin 6 (interferon, beta 2)IL-61.3This non-specific effect may explain the slightly higher levels of IL-6 in OND controls compared to non-neurological disease controls
6018IL6interleukin 6 (interferon, beta 2)IL-61.3helpful to distinguish an immune versus a non-immune origin of IL-6
6018IL6interleukin 6 (interferon, beta 2)IL-61.3CSF IL-6 levels in ALS MS (including including relapsing remitting and stable
6018IL6interleukin 6 (interferon, beta 2)IL-61.3CSF IL-6 levels in MS patients with either relapsing or remitting/stable remitting
6018IL6interleukin 6 (interferon, beta 2)IL-61.3CSF IL-6 levels in MS or HAM patients that either have (OCB+)
6018IL6interleukin 6 (interferon, beta 2)il 61.0we assayed il 6 in 105 cerebrospinal fluid csf samples from patients with als ms htlv 1 associated myelopathy ham and controls.
6018IL6interleukin 6 (interferon, beta 2)il 61.0there was considerable overlap in il 6 levels in all patient groups.
6018IL6interleukin 6 (interferon, beta 2)il 61.0the mean il 6 in 27 patients with als was significantly higher than in 21 patients in the other neurological disease ond group p=0.0075 .
399ALBalbuminalbumin1.0overall csf il 6 correlated with protein concentration but not with percentage igg or igg albumin index.
6018IL6interleukin 6 (interferon, beta 2)il 61.0overall csf il 6 correlated with protein concentration but not with percentage igg or igg albumin index.
6018IL6interleukin 6 (interferon, beta 2)il 61.0patients with csf oligoclonal bands were no more likely to have detectable il 6 than patients without oligoclonal bands.
6018IL6interleukin 6 (interferon, beta 2)il 61.0similarly il 6 did not correlate with clinical disease activity in ms when subgroups of patients were compared or when an individual patient was followed over time.
727ARTNarteminneurotrophic factor1.0the elevated il 6 in als may reflect an ongoing humoral immune response or il 6 may be non specifically expressed in these patients as a putative neurotrophic factor in response to nerve cell degeneration.
6018IL6interleukin 6 (interferon, beta 2)il 61.0the elevated il 6 in als may reflect an ongoing humoral immune response or il 6 may be non specifically expressed in these patients as a putative neurotrophic factor in response to nerve cell degeneration.
6018IL6interleukin 6 (interferon, beta 2)il 61.0il 6 is a b cell differentiation factor that was first described by hirano et al.
6018IL6interleukin 6 (interferon, beta 2)il 61.0cerebrospinal fluid csf levels of il 6 are consistently elevated in herpes simplex virus encephalitis and other bacterial and viral cns infections houssiau et al. 1988 and frei et al. 1988 .
6018IL6interleukin 6 (interferon, beta 2)il 61.0il 6 was detected in experimental allergic encephalomyelitis csf gijbels et al. 1990 and systemic lupus erythematosus with central nervous system involvement hirohata and miyamoto 1990 but il 6 was not detected in multiple sclerosis ms houssiau et al. 1988 ; frei et al. 1988 and araga et al. 1991 or detected no more frequently than in neurological disease controls hauser et al. 1990 .
6018IL6interleukin 6 (interferon, beta 2)il 61.0reports of il 6 in non inflammatory cns disease prompted the present study of csf in patients with amyotrophic lateral sclerosis als .
6018IL6interleukin 6 (interferon, beta 2)il 61.0we found a higher frequency of detection and higher levels of il 6 in als than in the other neurological disease control group.
6018IL6interleukin 6 (interferon, beta 2)il 61.0in contrast there was no significant difference in csf il 6 in either ms or ham patients compared to other neurological disease controls and there was no correlation of csf immune parameters and il 6 levels.
6018IL6interleukin 6 (interferon, beta 2)il 61.0these results are consistent with the hypothesis that csf il 6 in als has an non immune origin occurring as a neurotrophic response to nerve cell damage.
6018IL6interleukin 6 (interferon, beta 2)il 61.0the il 6 dependent hybridoma cell line mh6obsf2 matsuda et al. 1988 was cloned four times.
6018IL6interleukin 6 (interferon, beta 2)il 61.0without il 6 in the media no viable cells remained in this subclone by 72 h of culture.
6018IL6interleukin 6 (interferon, beta 2)il 61.0il 6 was quantitated by reference to a dose calibration curve of recombinant human il 6 kindly supplied by drs hirano and kishimoto assayed with mh6obsf2 cells under the same conditions as the csf samples.
6018IL6interleukin 6 (interferon, beta 2)il 61.0csf il 6 values were expressed as log 1 0 pg/ml.
6018IL6interleukin 6 (interferon, beta 2)il 61.0the sensitivity of il 6 detection was determined to be 1.6 pg/ml.
5992IL1Binterleukin 1, betail 11.0specificity of the assay was confirmed by showing no mitogenic response with other recombinant human cytokines il 1 il 1_amp_#x3b2; il 2 tnf and abrogating the il 6 effect by anti il 6 polyclonal antibody genzyme boston ma .
6001IL2interleukin 2il 21.0specificity of the assay was confirmed by showing no mitogenic response with other recombinant human cytokines il 1 il 1_amp_#x3b2; il 2 tnf and abrogating the il 6 effect by anti il 6 polyclonal antibody genzyme boston ma .
6018IL6interleukin 6 (interferon, beta 2)il 61.0specificity of the assay was confirmed by showing no mitogenic response with other recombinant human cytokines il 1 il 1_amp_#x3b2; il 2 tnf and abrogating the il 6 effect by anti il 6 polyclonal antibody genzyme boston ma .
399ALBalbuminalbumin1.0igg and albumin in sera and csf were measured by electro immunoassay tibbling et al. 1977 .
399ALBalbuminserum albumin1.0igg index was determined by the quotient csf igg/serum igg divided by the quotient csf albumin/serum albumin.
6018IL6interleukin 6 (interferon, beta 2)il 61.0because of the lower boundary of detectability of 1.6 pg/ml for the il 6 assay or log 1 0 il 6 of 0.2 non parametric techniques were used.
6018IL6interleukin 6 (interferon, beta 2)il 61.0as shown in fig. 1 there was considerable overlap in il 6 levels in all patient groups.
6018IL6interleukin 6 (interferon, beta 2)il 61.0table 2 shows il 6 detection in 78% of 27 patients with als median log 1 0 il 6 of 1.01 55% of 20 patients with ms median 0.94 59% of 17 patients with ham median 0.905 48% of 21 patients with other neurological diseases median 0.825 and 25% of the non neurological disease contro
6018IL6interleukin 6 (interferon, beta 2)il 61.0analysis by the non parametric wilcoxon rank sum test showed a significant difference in csf il 6 between the als and ond group p =0.0075 but no significant difference between ms and ond p =0.55 or ham and the ond group p =0.47 .
6018IL6interleukin 6 (interferon, beta 2)il 61.0the als ms and ham groups all had statistically significant higher mean il 6 levels than the non neurological disease control: p _amp_#x3c;0.0001 for the als group p =0.03 for the ms group and p =0.03 for the ham group.
6018IL6interleukin 6 (interferon, beta 2)il 61.0the greatest csf il 6 level in the als group log 1 0 il 6 of 2.55 was a sample from the national neurological research bank.
6018IL6interleukin 6 (interferon, beta 2)il 61.0although these results failed to show a higher mean il 6 level in patients with recognized immune mediated cns disease ms and ham groups this failure may be because of the relatively small number of patients in these groups.
6018IL6interleukin 6 (interferon, beta 2)il 61.0to determine if il 6 varies with the activity of immune mediated disease data from the ms patients were analyzed depending on whether the disease was in clinical relapse or was stable or in remission.
6018IL6interleukin 6 (interferon, beta 2)il 61.0the results in fig. 2 show no significant difference in csf il 6 levels with 7 of 12 patients in relapse having detectable il 6 compared to 4 of 8 patients with ms in remission or with stable disease.
6018IL6interleukin 6 (interferon, beta 2)il 61.0despite these csf changes consistent with fluctuating immune mediated activity in the cns the csf il 6 levels remained at undetectable levels in all four spinal taps.
6018IL6interleukin 6 (interferon, beta 2)il 61.0to evaluate further any correlation of csf il 6 with the extent of immune mediated activity in the cns csf parameters were compared in patients with and without detectable il 6.
6018IL6interleukin 6 (interferon, beta 2)il 61.0there was a significantly higher total igg in ms patients with detectable il 6 levels not shown but this correlation was not seen in any of the other patient groups and did not hold when data were combined for all four groups.
6018IL6interleukin 6 (interferon, beta 2)il 61.0similarly the percent igg was higher in the als group with detectable il 6 but not in the combined patient group not shown .
6018IL6interleukin 6 (interferon, beta 2)il 61.0only total csf protein was significantly higher in patients with detectable il 6.
6018IL6interleukin 6 (interferon, beta 2)il 61.0as shown in table 3 ; mean csf protein in patients with detectable il 6 was 49.0_amp_#xb1;3.8 compared to 33.2_amp_#xb1;3.0 in patients with undetectable il 6 p _amp_#x3c;0.01 .
6018IL6interleukin 6 (interferon, beta 2)il 61.0fig. 4 shows csf il 6 levels in 35 patients with ms or ham who had either oligoclonal bands in the csf 14 patients or did not have oligoclonal bands 21 patients .
6018IL6interleukin 6 (interferon, beta 2)il 61.0although the il 6 level was slightly higher in patients without oligoclonal bands and the percentage of detectable il 6 was higher 67% versus 43% these differences were not statistically significant.
6018IL6interleukin 6 (interferon, beta 2)il 61.0we found a modest but statistically significant elevation of csf il 6 in als patients fig 1 .
6018IL6interleukin 6 (interferon, beta 2)il 61.0in comparing these studies a similar percentage of als patients had undetectable csf il 6 6/27 versus 2/15 ; but 37% of our patients had il 6 levels greater than 10 pg/ml compared to only 7% in the published study.
6018IL6interleukin 6 (interferon, beta 2)il 61.0the il 6 levels in als csf less than 0.96 log 10 pg/ml were considerably lower than levels we detected in 8 patients with herpes simplex encephalitis 1.76 log 1 0 pg/ml sekizawa unpublished .
6018IL6interleukin 6 (interferon, beta 2)il 61.0nevertheless the modest il 6 elevation noted here may be related to an ongoing humoral immune response in some patients with als.
6018IL6interleukin 6 (interferon, beta 2)il 61.0serum il 6 was not measured in als but prior studies have shown that il 6 can concentrate in the csf compartment e.g during active cns systemic lupus erythematosus hirohata and miyamoto 1990 .
6018IL6interleukin 6 (interferon, beta 2)il 61.0il 6 along with tnf has been reported to be highly expressed in perivascular inflammatory cells around ms demyelinating plaques woodroofe and cuzner 1993 .
6018IL6interleukin 6 (interferon, beta 2)il 61.0in spite of this expression we did not find a statistically significant elevation of il 6 in ms csf.
6018IL6interleukin 6 (interferon, beta 2)il 61.0moreover we were unable to document an increase in il 6 during active disease both within a group of ms patients fig 2 and in a single patient followed over time fig 3 .
399ALBalbuminalbumin1.0 and the inability of others araga et al. 1991 ; laurenzi et al. 1990 and maimone et al. 1991 to correlate il 6 and csf parameters of immune mediated disease including percentage igg and elevated igg albumin index table 3 .
6018IL6interleukin 6 (interferon, beta 2)il 61.0however inaccuracies in detecting active disease do not explain our inability and the inability of others araga et al. 1991 ; laurenzi et al. 1990 and maimone et al. 1991 to correlate il 6 and csf parameters of immune mediated disease including percentage igg and elevated igg albumin index table 3 .
6018IL6interleukin 6 (interferon, beta 2)il 61.0the overall results in the ms and ham patients suggests either: i il 6 does not play a major role in these disease; or ii detection of il 6 is unreliable in the csf of immune mediated cns parenchymal disease because of instability or because il 6 from brain in these disease does not enter the csf compartment .
6018IL6interleukin 6 (interferon, beta 2)il 61.0 is unreliable in the csf of immune mediated cns parenchymal disease because of instability or because il 6 from brain in these disease does not enter the csf compartment .
6018IL6interleukin 6 (interferon, beta 2)il 61.0it is possible that the il 6 elevation in als is of non immune origin.
6018IL6interleukin 6 (interferon, beta 2)il 61.0il 6 has been shown to induce neuronal differentiation satoh et al. 1988 and play a neurotrophic role hama et al. 1989 in tissue culture systems.
6018IL6interleukin 6 (interferon, beta 2)il 61.0moreover il 6 has been shown to increase in brain in response to injury woodroofe et al. 1991 .
6018IL6interleukin 6 (interferon, beta 2)il 61.0we speculate that il 6 may be produced by astrocytes or microglial cells in als as a non specific response to degeneration of motor neurons or other cns cells.
6018IL6interleukin 6 (interferon, beta 2)il 61.0this non specific effect may explain the slightly higher levels of il 6 in ond controls compared to non neurological disease controls.
6018IL6interleukin 6 (interferon, beta 2)il 61.0future studies of multiple cytokine expression in als and other neurological disease would be helpful to distinguish an immune versus a non immune origin of il 6.
6018IL6interleukin 6 (interferon, beta 2)il 61.0csf il 6 levels in als ms including relapsing remitting and stable disease ham ond and non neurological disease control control groups with bars indicating the mean_amp_#xb1;standard error of the mean in each
6018IL6interleukin 6 (interferon, beta 2)il 61.0csf il 6 levels in ms patients with either relapsing or remitting/stable disease with bars indicating the mean_amp_#xb1;standard error of the mean in the two patient groups.
6018IL6interleukin 6 (interferon, beta 2)il 61.0csf il 6 levels in ms or ham patients that either have ocb+ or do not have ocb_amp_#x2212; oligoclonal bands in the csf.
6018IL6interleukin 6 (interferon, beta 2)interleukin 61.0interleukin 6|