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Surrogate Markers in Multiple Sclerosis
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| Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings. |
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Arecent article describing the findings by Khoury et al1
correlating T cell markers with clinical status and MRI findings in patients
with MS is interesting but the results cannot be translated into long-term
follow-up criteria since T-cell changes were transitory. It would be important
to know if the authors encountered patients with confounding results, eg,
those who had no MRI changes but had an increased percentage of cells expressing
interleukin-2 receptor (CD25), class II major histocompatability complex,
or surface dipeptidyl peptidase (CD26). This could be important since another
study2 found that the levels of sICAM-1,
a molecule of the immunoglobulin superfamily, were elevated without gadolinium
enhancement on MRI. That Khoury et al1 found that MRI results and
T-cell markers were not congruent in some patients implies that routine MRI
with gadolinium enhancement may have to be supplemented with other laboratory
tests and that, in some subtypes of MS, no radiological . . . [Full Text of this Article]
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