Title |
Decreased microglial activation in MS patients treated with glatiramer acetate
|
---|---|
Published in |
Journal of Neurology, December 2011
|
DOI | 10.1007/s00415-011-6337-x |
Pubmed ID | |
Authors |
John N. Ratchford, Christopher J. Endres, Dima A. Hammoud, Martin G. Pomper, Navid Shiee, John McGready, Dzung L. Pham, Peter A. Calabresi |
Abstract |
Activated microglia are thought to be an important contributor to tissue damage in multiple sclerosis (MS). The level of microglial activation can be measured non-invasively using [(11)C]-R-PK11195, a radiopharmaceutical for positron emission tomography (PET). Prior studies have identified abnormalities in the level of [(11)C]-R-PK11195 uptake in patients with MS, but treatment effects have not been evaluated. Nine previously untreated relapsing-remitting MS patients underwent PET and magnetic resonance imaging of the brain at baseline and after 1 year of treatment with glatiramer acetate. Parametric maps of [(11)C]-R-PK11195 uptake were obtained for baseline and post-treatment PET scans, and the change in [(11)C]-R-PK11195 uptake pre- to post-treatment was evaluated across the whole brain. Region-of-interest analysis was also applied to selected subregions. Whole brain [(11)C]-R-PK11195 binding potential per unit volume decreased 3.17% (95% CI: -0.74, -5.53%) between baseline and 1 year (p = 0.018). A significant decrease was noted in cortical gray matter and cerebral white matter, and a trend towards decreased uptake was seen in the putamen and thalamus. The results are consistent with a reduction in inflammation due to treatment with glatiramer acetate, though a larger controlled study would be required to prove that association. Future research will focus on whether the level of baseline microglial activation predicts future tissue damage in MS and whether [(11)C]-R-PK11195 uptake in cortical gray matter correlates with cortical lesion load. |
Mendeley readers
Geographical breakdown
Country | Count | As % |
---|---|---|
United Kingdom | 1 | 1% |
United States | 1 | 1% |
Unknown | 81 | 98% |
Demographic breakdown
Readers by professional status | Count | As % |
---|---|---|
Researcher | 17 | 20% |
Student > Ph. D. Student | 13 | 16% |
Student > Master | 10 | 12% |
Student > Bachelor | 6 | 7% |
Other | 6 | 7% |
Other | 15 | 18% |
Unknown | 16 | 19% |
Readers by discipline | Count | As % |
---|---|---|
Medicine and Dentistry | 21 | 25% |
Neuroscience | 16 | 19% |
Agricultural and Biological Sciences | 6 | 7% |
Psychology | 4 | 5% |
Biochemistry, Genetics and Molecular Biology | 3 | 4% |
Other | 10 | 12% |
Unknown | 23 | 28% |