Movement Disorders (revue)

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CSF B-cell expansion in opsoclonus-myoclonus syndrome: a biomarker of disease activity.

Identifieur interne : 000E66 ( Ncbi/Merge ); précédent : 000E65; suivant : 000E67

CSF B-cell expansion in opsoclonus-myoclonus syndrome: a biomarker of disease activity.

Auteurs : Michael R. Pranzatelli [États-Unis] ; Anna L. Travelstead ; Elizabeth D. Tate ; Tyler J. Allison ; Steven J. Verhulst

Source :

RBID : pubmed:15254934

English descriptors

Abstract

Lack of a biomarker of disease activity has hindered the therapy of childhood opsoclonus-myoclonus syndrome (OMS), which is purported to be mediated humorally. To determine if the cerebrospinal fluid (CSF) B lymphocyte, which may traffic into the central nervous system (CNS) to produce antibody locally, is one such biomarker, B lymphocytes were immunophenotyped in the CSF and blood of 56 children with OMS and 26 pediatric controls by dual-laser flow cytometry. Neurological severity was rated blindly from videotapes using a validated 12-item motor evaluation scale. Children with OMS manifested a 4- to 7-fold higher percentage of total B-cells in CSF (P < 0.0001), including CD5(+) (P = 0.001) and CD5(-) (P = 0.0004) B-cell subsets, compared with controls, in whom the percentages were negligible and unchanging with age. CSF expansion of both B-cell subsets increased with disease severity and decreased with disease duration (P
DOI: 10.1002/mds.20125
PubMed: 15254934

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pubmed:15254934

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<term>Antigens, CD5 (immunology)</term>
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<term>Child</term>
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<term>Flow Cytometry</term>
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<term>Immunophenotyping</term>
<term>Infant</term>
<term>Lymphocyte Subsets</term>
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<term>Neuroblastoma (complications)</term>
<term>Paraneoplastic Syndromes, Nervous System (cerebrospinal fluid)</term>
<term>Paraneoplastic Syndromes, Nervous System (complications)</term>
<term>Paraneoplastic Syndromes, Nervous System (immunology)</term>
<term>Severity of Illness Index</term>
<term>Videotape Recording</term>
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<div type="abstract" xml:lang="en">Lack of a biomarker of disease activity has hindered the therapy of childhood opsoclonus-myoclonus syndrome (OMS), which is purported to be mediated humorally. To determine if the cerebrospinal fluid (CSF) B lymphocyte, which may traffic into the central nervous system (CNS) to produce antibody locally, is one such biomarker, B lymphocytes were immunophenotyped in the CSF and blood of 56 children with OMS and 26 pediatric controls by dual-laser flow cytometry. Neurological severity was rated blindly from videotapes using a validated 12-item motor evaluation scale. Children with OMS manifested a 4- to 7-fold higher percentage of total B-cells in CSF (P < 0.0001), including CD5(+) (P = 0.001) and CD5(-) (P = 0.0004) B-cell subsets, compared with controls, in whom the percentages were negligible and unchanging with age. CSF expansion of both B-cell subsets increased with disease severity and decreased with disease duration (P </div>
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