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Elevated fibrinogen levels in neuromyelitis optica is associated with severity of disease

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Abstract

Multiple sclerosis (MS) and neuromyelitis optica (NMO) are inflammatory demyelinating diseases of the central nervous system. In this study, the important role of fibrinogen in demyelination diseases was investigated. Plasma prothrombin time (PT), activated partial thrombin time (APTT), thrombin time (TT), fibrinogen, were measured among 189 patients with MS/NMO and 80 non-inflammatory neurological disease subjects as a control group. The Expanded Disability Status Scale (EDSS) was used to measure neurological impairment and disability of MS/NMO group. Fibrinogen levels were elevated in NMO and MS groups comparing with control ones, which was statistically associated with the severity of disease. Our results may lead to a better understanding of the etiopathogenesis of MS/NMO and contribute to prospects for preventions and treatments.

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References

  1. Kira J, Kanai T, Nishimura Y, Yamasaki K, Matsushita S, Kawano Y, Hasuo K, Tobimatsu S, Kobayashi T (1996) Western versus Asian types of multiple sclerosis: immunogenetically and clinically distinct disorders. Ann Neurol 40:569–574

    Article  CAS  PubMed  Google Scholar 

  2. Kira JI (2011) Autoimmunity in neuromyelitis optica and opticospinal multiple sclerosis: astrocytopathy as a common denominator in demyelinating disorders. J Neurol Sci 311:69–77

    Article  CAS  PubMed  Google Scholar 

  3. Davalos D, Akassoglou K (2012) Fibrinogen as a key regulator of inflammation in disease. Semin Immunopathol 1:43–62

    Article  Google Scholar 

  4. Furie B, Furie BC (1988) The molecular basis of blood coagulation. Cell 53:505–518

    Article  CAS  PubMed  Google Scholar 

  5. Davalos D, Ryu JK, Merlini M, Baeten KM, Le Moan N et al (2012) Fibrinogen-induced perivascular microglial clustering is required for the development of axonal damage in neuroinflammation. Nat Commun 3:1227

    Article  PubMed  PubMed Central  Google Scholar 

  6. Tennent GA, Brennan SO, Stangou AJ, O’Grady J, Hawkins PN, Pepys MB (2007) Human plasma fibrinogen is synthesized in the liver. Blood 5:1971–1974

    Article  Google Scholar 

  7. Adams RA, Passino M, Sachs BD, Nuriel T, Akassoglou K (2004) Fibrin mechanisms and functions in nervous system pathology. Mol Interv 3:163–176

    Google Scholar 

  8. Perez RL, Ritzenthaler JD, Roman J (1999) Transcriptional regulation of the interleukin-1beta promoter via fibrinogen engagement of the CD18 integrin receptor. Am J Respir Cell Mol Biol 20:1059–1066

    Article  CAS  PubMed  Google Scholar 

  9. Brosnan CF, Raine CS (1996) Mechanisms of immune injury in multiple sclerosis. Brain Pathol 6:243–257

    Article  CAS  PubMed  Google Scholar 

  10. Claudio L, Raine CS, Brosnan CF (1995) Evidence of persistent blood-brain barrier abnormalities in chronic-progressive multiple sclerosis. Acta Neuropathol 90:228–238

    Article  CAS  PubMed  Google Scholar 

  11. Hirsch HE, Blanco CE, Parks ME (1981) Fibrinolytic activity of plaques and white matter in multiple sclerosis. J Neuropathol Exp Neurol 40(27):1–280

    Google Scholar 

  12. Akassoglou K, Kombrinck KW, Degen JL, Strickland S (2000) Tissue plasminogen activator-mediated fibrinolysis protects against axonal degeneration and demyelination after sciatic nerve injury. J Cell Biol 5:1157–1166

    Article  Google Scholar 

  13. Ryu JK, Petersen MA, Murray SG, Baeten KM, Meyer-Franke A et al (2015) Blood coagulation protein fibrinogen promotes autoimmunity and demyelination via chemokine release and antigen presentation. Nat Commun 6:8164

    Article  PubMed  PubMed Central  Google Scholar 

  14. Polman CH, Reingold SC, Banwell B et al (2011) Diagnostic criteria for multiple sclerosis: 2010 revisions to the McDonald criteria. Ann Neurol 2:292–302

    Article  Google Scholar 

  15. Wingerchuk DM, Lennon VA, Pittock SJ, Lucchinetti CF, Weinshenker BG (2006) Revised diagnostic criteria for neuromyelitis optica. Neurology 10:1485–1489

    Article  Google Scholar 

  16. Kurtzke JF (1983) Rating neurologic impairment in multiple sclerosis. An expanded disability status scale (EDSS). Neurology 33:1444–1452

    Article  CAS  PubMed  Google Scholar 

  17. Adams RA, Bauer J, Flick MJ, Sikorski SL, Nuriel T, Lassmann H, Degen JL, Akassoglou K (2007) The fibrin-derived gamma377–395 peptide inhibits microglia activation and suppresses relapsing paralysis in central nervous system autoimmune disease. J Exp Med 3:571–582

    Article  Google Scholar 

  18. Ugarova TP, Solovjov DA, Zhang L, Loukinov DI, Yee VC, Medved LV, Plow EF (1998) Identification of a novel recognition sequence for integrin alphaM beta2 within the gamma-chain of fibrinogen. J Biol Chem 273:22519–22527

    Article  CAS  PubMed  Google Scholar 

  19. Perez RL, Roman J (1995) Fibrin enhances the expression of IL-1 beta by human peripheral blood mononuclear cells. Implications in pulmonary inflammation. J Immunol 4:1879–1887

    Google Scholar 

  20. Perez RL, Ritzenthaler JD, Roman J (1999) Transcriptional regulation of the interleukin-1beta promoter via fibrinogen engagement of the CD18 integrin receptor. Am J Respir Cell Mol Biol 5:1059–1066

    Article  Google Scholar 

  21. Ransohoff RM, Perry VH (2009) Microglial physiology: unique stimuli, specialized responses. Annu Rev Immunol 27:119–145

    Article  CAS  PubMed  Google Scholar 

  22. Prod’homme T, Zamvil SS (2008) Bench to bedside: tempering antigen-presenting cells in multiple sclerosis. Nat Med 14:614–615

    Article  PubMed  Google Scholar 

  23. Marik C, Felts PA, Bauer J, Lassmann H, Smith KJ (2007) Lesion genesis in a subset of patients with multiple sclerosis: a role for innate immunity? Brain 130:2800–2815

    Article  PubMed  PubMed Central  Google Scholar 

  24. Kermode AG, Thompson AJ, Tofts P, MacManus DG, Kendall BE, Kingsley DP, Moseley IF, Rudge P, McDonald WI (1990) Breakdown of the blood-brain barrier precedes symptoms and other MRI signs of new lesions in multiple sclerosis. Pathogenetic and clinical implications. Brain 113:1477–1489

    Article  PubMed  Google Scholar 

  25. Kwon EE, Prineas JW (1994) Blood-brain barrier abnormalities in longstanding multiple sclerosis lesions. An immunohistochemical study. J Neuropathol Exp Neurol 53:625–636

    Article  CAS  PubMed  Google Scholar 

  26. Adams RA, Schachtrup C, Davalos D, Tsigelny I, Akassoglou K (2007) Fibrinogen signal transduction as a mediator and therapeutic target in inflammation: lessons from multiple sclerosis. Curr Med Chem 27:2925–2936

    Article  Google Scholar 

  27. Abbott NJ, Ronnback L, Hansson E (2006) Astrocyte–endothelial interactions at the blood–brain barrier. Nat Rev Neurosci 7(1):41–53

    Article  CAS  PubMed  Google Scholar 

  28. Davalos D, Akassoglou K (2012) Fibrinogen as a key regulator of inflammation in disease. Semin Immunopathol 34:43–62

    Article  CAS  PubMed  Google Scholar 

  29. Flick MJ et al (2007) Fibrin(ogen) exacerbates inflammatory joint disease through a mechanism linked to the integrin alphaMbeta2 binding motif. J Clin Invest 117:3224–3235

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  30. Peterson LK, Fujinami RS (2007) Inflammation, demyelination, neurodegeneration and neuroprotection in the pathogenesis of multiple sclerosis. J Neuroimmunol 184:37–44

    Article  CAS  PubMed  Google Scholar 

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Correspondence to Honghao Wang.

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Zhang, Y., Zhang, X., Liu, D. et al. Elevated fibrinogen levels in neuromyelitis optica is associated with severity of disease. Neurol Sci 37, 1823–1829 (2016). https://doi.org/10.1007/s10072-016-2628-4

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  • DOI: https://doi.org/10.1007/s10072-016-2628-4

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