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Interferon Beta-1b may reverse axonal dysfunction in multiple sclerosis
C Takeuchi1, K Ota, Y Ono
1Support Center for Female Medical Scientists; Department of Neurology, Tokyo Women's Medical University, School of Medicine; Tokyo, Japan. - chisentakeuchi@gmail.com.
Abstract:
Progression of the disability of multiple sclerosis (MS) is thought to be related to axonal damage that is seen even in normal appearing white matter (NAWM) of patients' brains. Interferon beta (IFNβ) treatment for MS reduces the frequency of clinical exacerbations and the appearance of new inflammatory demyelinating lesions on magnetic resonance imaging (MRI). However, the effect of IFNβ treatment on axonal damage in MS is not known. The present study aimed to assess the effect of IFNβ on axonal function by comparing the data from localised single voxel proton MR spectroscopy (MRS) performed on eight MS patients given IFNβ-1b treatment and 11 untreated patients. Brain MRI and MRS were performed before the initiation of IFNβ-1b treatment and 24 months after treatment initiation. Levels of N-acetylaspartate (NAA), choline-containing compounds (Cho) and creatine (Cr) were calculated as the areas under their peaks shown on MRS and the ratios of NAA/Cr and Cho/Cr were calculated. In the patients treated with IFNβ-1b there was a significant increase in the ratio of NAA/Cr in NAWM (p=0.028) at 24 months after the initiation of treatment. In contrast, there was no significant change in the NAA/Cr ratio in the untreated patients. These results suggest that IFNβ-1b treatment might recover axonal function in NAWM of MS patients.
Insights
Interferon beta-1b (IFNβ-1b) treatment may improve axonal function in multiple sclerosis (MS) patients. A study found increased N-acetylaspartate (NAA) to creatine (Cr) ratios in normal-appearing white matter (NAWM) after 24 months of IFNβ-1b treatment.
Area of Science:
- Neuroscience
- Immunology
- Radiology
Background:
- Multiple sclerosis (MS) disability progression is linked to axonal damage in normal-appearing white matter (NAWM).
- Interferon beta (IFNβ) treatment reduces MS exacerbations and new inflammatory lesions.
- The impact of IFNβ on axonal damage in MS remains unclear.
Purpose of the Study:
- To investigate the effect of IFNβ-1b treatment on axonal function in MS patients.
- To compare axonal function between treated and untreated MS patients using MR spectroscopy (MRS).
Main Methods:
- Localized single-voxel proton MR spectroscopy (MRS) was used.
- MRS was performed on 8 MS patients receiving IFNβ-1b and 11 untreated MS patients.
- Measurements were taken before treatment and at 24 months post-treatment initiation, analyzing N-acetylaspartate (NAA), choline-containing compounds (Cho), and creatine (Cr) ratios.
Main Results:
- A significant increase in the NAA/Cr ratio was observed in the NAWM of IFNβ-1b treated patients (p=0.028) at 24 months.
- No significant change in the NAA/Cr ratio was found in the untreated MS patient group.
- These findings suggest a potential recovery of axonal function with IFNβ-1b treatment.
Conclusions:
- IFNβ-1b treatment may positively influence axonal function in the NAWM of MS patients.
- This study provides evidence for a neuroprotective effect of IFNβ-1b beyond its anti-inflammatory actions.
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