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001-es BibID:BIBFORM121044
035-os BibID:(Scopus)85144324386 (WoS)001080360700004
Első szerző:Patzkó Ágnes
Cím:Investigation of oxidative stress in patients with multifocal motor neuropathy / Ágnes Patzkó,Gabriella Deli, Tamás Cseh, Zsuzsanna Beleznay, Lajos Nagy, Sándor Kéki,Andrea Mike, Endre Pál, Sámuel Komoly, Zsolt Illes, Alexandra Csongor, Zoltán Pfund
Dátum:2022
ISSN:0019-1442
Megjegyzések:Background and purpose - Multifocal motor neuropathy (MMN) is a rare, immune-mediated illness attacking exclusively motor nerves. It is known that oxidative stress is present in peripheral neuropathies, but it has not been investigated MMN. Methods - We measured in our prospective study the L-arginine, symmetric and asymmetric dimethylarginine (SDMA, ADMA) serum concentrations of 10 patients and 10 controls before and after intravenous immunoglobulin treatment (IVIG), as markers of the L-arginine/NO pathway involved in chronic inflammation and oxidative stress. The functions of motor nerves were tested in all patients and the serum antiganglioside antibody levels were detected, as well. Results - MMN patients showed significantly higher ADMA (p = 0.0048; 0.98 and 0.63, respectively) and SDMA levels (p = 0.001; 0.88 and 0.51, respectively) than healthy controls, while L-arginine was not different. Controlling for the covariant age, ADMA (B = -0.474; p = 0.041) or SDMA (B = -0.896; p < 0.0005) serum levels proved to be the significant predictors of the presence of MMN. IVIG therapy decreased significantly ADMA concentrations (p = 0.025; 0.98 and 0.84, respectively) and showed a trend to reduce SDMA levels (p = 0.1; 0.88 and 0.74, respectively). The dimethylamine levels did not correlate with the number of affected nerves, disease duration, or the presence of ganglioside antibodies. The conduction block-related peripheral motor dysfunction improved right after the IVIG treatment. Conclusion - Dimethylamine levels are elevated in the serum and are responsive to IVIG therapy in MMN. These findings support the presence of oxidative stress in MMN.
Tárgyszavak:Természettudományok Kémiai tudományok idegen nyelvű folyóiratközlemény hazai lapban
folyóiratcikk
ADMA
biomarkers
immune pathogenesis
IVIG treatment
L-arginine/NO pathway
multifocal motor neuropathy
oxidative stress
SDMA
Megjelenés:Ideggyógyászati Szemle. - 75 : 11-12 (2022), p. 385-393. -
További szerzők:Deli Gabriella Cseh Tamás Beleznay Zsuzsanna Nagy Lajos (1979-) (vegyész) Kéki Sándor (1964-) (polimer kémikus) Mike Andrea (neurológus, Pécs) Pál Endre Komoly Sámuel Illés Zsolt (neurológus, Pécs) Csongor Alexandra Pfund Zoltán
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