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From the University of Medicine and Dentistry of New Jersey, New Jersey Medical School, Newark, NJ.
Address correspondence and reprint requests to Dr. Andrew R. Pachner, Department of Neurology and Neurosciences, University of Medicine and Dentistry of New Jersey, New Jersey Medical School, 185 South Orange Avenue, Newark, NJ 07103; e-mail: pachner{at}umdnj.edu
Some interferon beta (IFNß)treated patients with multiple sclerosis develop antibody-mediated decreased bioactivity with resultant loss of therapeutic effect. The authors developed real-time multiplex reverse transcriptase PCR to measure expression of three IFNß-inducible genes to directly assess IFNß bioactivity in patients with neutralizing antibodies (NAbs). The three genes responded in tandem. Correlation of NAb level with bioactivity at low/moderate NAb levels was poor, indicating that for such patients, direct measurement of IFNß bioactivity is most reliable.
The study was funded by grants from the National Multiple Sclerosis Society (RG3402), Biogen Idec, Pfizer/Serono, and Berlex.
Disclosure: Dr. Pachner has received honoraria from Berlex, Serono, Biogen, and Teva and has received grant support for research from Berlex, Serono, and Biogen. Ms. Narayan and Ms. Pak report no conflicts of interest.
Received July 26, 2005. Accepted in final form October 19, 2005.
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