[3-year results of clinical and immunological monitoring of patients with multiple sclerosis treated by copaxone]

Zh Nevrol Psikhiatr Im S S Korsakova. 2005;105(5):23-7.
[Article in Russian]

Abstract

Tipe 1 T-helper cells are of importance in development of multiple sclerosis (MS). Copaxone (TEVA, Israel) is one of the preventive drugs, which modifies T-helpers activity. Thirty-three patients with MS were treated by copaxone for 2 years and 13 patients--for 3 years. Clinical and immunological parameters were examined: amount of CD3+, CD4+, CD8+, CD16+, CD22+, CD95+, CD25+ lymphocytes, HLA-D+ cells, IgG, IgA, IgM and phagocytosis. During the treatment course, mean rate of relapses decreased from the pretreatment value from 1.26 +/- 0.11 to 0.59 +/- 0.11 in the first year and 0.28 +/- 0.07 in the second one. After 3 years no relapses were observed in 13 patients. Relapse rate was the highest in the first 3-6 months. But after 3 months there was an increase of CD22+ cells that persisted for all the period of the study. After a year of the treatment, a level of IgM, IgG, IgA and CD95+ cells has raised significantly, with decreasing of a number of CD4+ and CD8+ cells. The authors suggest that immunological shift is related to mechanism of copaxone action determining its positive effect i.e. reducing of frequency of MS relapses.

Publication types

  • English Abstract

MeSH terms

  • Adolescent
  • Adult
  • Antigens, CD / immunology*
  • Child
  • Female
  • Glatiramer Acetate
  • Humans
  • Immunoglobulin A / immunology
  • Immunoglobulin G / immunology
  • Immunoglobulin M / immunology
  • Immunosuppressive Agents / therapeutic use*
  • Male
  • Middle Aged
  • Monitoring, Immunologic*
  • Multiple Sclerosis / drug therapy*
  • Multiple Sclerosis / immunology*
  • Peptides / therapeutic use*

Substances

  • Antigens, CD
  • Immunoglobulin A
  • Immunoglobulin G
  • Immunoglobulin M
  • Immunosuppressive Agents
  • Peptides
  • Glatiramer Acetate