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Reduction of angiotensin II in the cerebrospinal fluid of patients with multiple sclerosisDepartment of Geriatric Medicine, Ehime University, Graduate School of Medicine, Ehime, Japan, kawajiri{at}m.ehime-u.ac.jp
Department of Molecular Cardiovascular Biology and Pharmacology, Ehime University, Graduate School of Medicine, Ehime, Japan
Department of Neurology, Neurological Institute, Graduate School of Medical Sciences, Kyushu University, Kyushu, Japan
Department of Neurology, Neurological Institute, Graduate School of Medical Sciences, Kyushu University, Kyushu, Japan
Department of Molecular Cardiovascular Biology and Pharmacology, Ehime University, Graduate School of Medicine, Ehime, Japan
Department of Geriatric Medicine, Ehime University, Graduate School of Medicine, Ehime, Japan
Department of Molecular Cardiovascular Biology and Pharmacology, Ehime University, Graduate School of Medicine, Ehime, Japan
Department of Geriatric Medicine, Ehime University, Graduate School of Medicine, Ehime, Japan
Department of Neurology, Neurological Institute, Graduate School of Medical Sciences, Kyushu University, Kyushu, Japan We previously demonstrated that angiotensin II acts as a crucial neuroprotective factor after neural injury through angiotensin II type-2 (AT2) receptor signaling. Although the pathway is known to play an important role in the development of experimental autoimmune encephalomyelitis, cerebrospinal fluid (CSF) angiotensin II levels in patients with multiple sclerosis (MS) have never been studied. To clarify the significance of angiotensin II in MS, we assayed angiotensin II concentrations using an established enzyme-linked immunoabsorbent assay in CSF samples from patients with MS (n = 21), patients with inflammatory neuropathies (IN) (n = 23) and control individuals who did not have either of the neurological diseases or any other disease that might affect the angiotensin II levels in the CSF (control) (n = 24). Angiotensin II levels in the CSF were 3.79 ± 1.54 pg/ml in the MS group, 5.13 ± 2.27 pg/ml in the IN group and 6.71 ± 2.65 pg/ml in the control group. The angiotensin II levels in the CSF of the MS group were significantly lower than in the control group (p = 0.00057). Angiotensin II concentration in the CSF tended to have a negative correlation with the Kurtzkes Expanded Disability Status Scale scores during MS relapse (p = 0.0847). These findings suggest that reduced levels of intrathecal angiotensin II may be related to the abnormal neural damage and repair processes in MS.
Key Words: angiotensin II multiple sclerosis cerebrospinal fluid
Multiple Sclerosis, Vol. 14, No. 4,
557-560 (2008) This article has been cited by other articles:
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