Summary
Thirtecn patients with subacute sclerosing panencephalitis (S.S.P.E.) at different stages of the disease were admitted for transfer factor treatment. The transfer factor was prepared from non-selected blood bank donors. The activity of the transfer factor was tested in patients with diseases other than S.S.P.E. and was found to be either clinically or immunologically active.
Regardless of the number of transfer factor units applied a significant influence on the course of the disease was not appearant. The observed intermittant improvement of 3 patients was considered as spontaneous remission which is known to occur occasionally in S.S.P.E. The humoral and cellular immune response before and after transfer factor therapy did not reveal significant changes which could be correlated with transfer factor therapy.
Zusammenfassung
13 S.S.P.E.-Patienten in verschiedenen Krankheitsstadien wurden einer Transfer-Faktor-Therapie unterzogen. Der Transfer-Faktor wurde aus Lymphocyten von nichtselektionierten Blutspendern hergestellt und seine biologische Aktivität in Nicht-S.S.P.E.-Patienten mit immunologischem Defekt getestet. Die Aktivität des Transfer-Faktors wurde klinisch und immunologisch dokumentiert.
Unabhängig von der Anzahl der eingesetzten Transfer-Faktor-Einheiten konnte bei den S.S.P.E.-Patienten eine signifikante Beeinflussung des Krankheitsbildes nicht beobachtet werden, obwohl intermittierend bei 3 Kindern Remissionen auftraten. Diese Zustandsveränderungen werden als spontane Remissionen angesehen, wie sie gelegentlich bei S.S.P.E.-Patienten auftreten. Die humoralen und cellulären Immunreaktionen nach Transfer-Faktor-Applikation zeigten keine signifikanten Veränderungen, die zur Transfer-Faktor-Therapie korrelierbar gewesen wären.
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References
Meulen, V. ter, Katz, M., Müller, D.: Subacute sclerosing panencephalitis. Curr. Top. Microbiol. Immunol. 1, 57 (1972)
Payne, F. E., Baublis, J. V., Itabashi, H. H.: Isolation of measles virus from cell cultures of brain from a patient with subacute sclerosing panencephalitis. New Engl. J. Med. 281, 585–589 (1969)
Horta-Barbosa, L., Fuccillo, D. A., Sever, J. L., Zeman, W.: Subacute sclerosing panencephalitis: isolation of measles virus from a brain biopsy. Nature (Lond.) 221, 974 (1969)
Barbanti-Brodano, G., Oyanagi, S., Katz, M., Koprowski, H.: Presence of two different viral agents in brain cells of patients with subacute sclerosing panencephalitis. Proc. Soc. exp. Biol. (N.Y.) 134, 230–236 (1970)
Horta-Barbosa, L., Hamilton, R., Wittig, B., Fuccillo, D. A., Sever, J. L.: Subacute sclerosing panencephalitis: isolation of suppressed measles virus from lymphnode biopsies. Science 173, 840 (1971)
Lennette, E. H., Magoffin, R. L., Freeman, J. M.: Immunologic evidence of measles virus as an etiologic agent in subacute sclerosing panencephalitis. Neurology 18, 21–27 (1968)
Gerson, K. L., Haslam, R. H. A.: Subtle immunologic abnormalities in four boys with subacute sclerosing panencephalitis. New Engl. J. Med. 285, 78–82 (1971)
Kolar, O.: Measles and subacute sclerosing panencephalitis. Lancet 1968 II, 1242
Jabbour, J. T., Roane, J. A., Sever, J. L.: Studies of delayed dermal hypersensitivity in patients with subacute sclerosing panencephalitis. Neurology 19, 929–931 (1969)
Reinert, Ph., Moulias, R., Goust, J.-M., Hors, J., Bussel, A.: Mise en evidence d'un deficit de l'immunite cellulaire limite au virus de la rougeole. Arch. franç.Pédiat. 29, 655–665 (1972)
Klajman, A., Sternbach, M., Ranon, L., Drucker, M., Geminder, D., Sadan, N.: Impaired delayed hypersensitivity in subacute sclerosing panencephalitis. Acta paediat. scand. 62, 523–526 (1973)
Mizutani, H., Mizutani, H., Saito, S., Nihei, K., Izuchi, T.: Cellular hypersensitivity in subacute sclerosing panencephalitis. J. Amer. med. Ass. 216, 1201–1202 (1971)
Burnet, F. M.: Measles as an index of immunological function. Lancet 1968 II, 610–613
Lawrence, H. S.: The transfer in humans of delayed skin sensitivity to streptococcal M substance and to tuberculin with disrupted leukocytes. J. clin. Invest. 34, 219 (1955)
Lawrence, H. S., Rapaport, F. T., Converse, J. M., Tillett, W. S.: Transfer of delayed hypersensitivity to skin homografts with leukocyte extracts in man. J. clin. Invest. 39, 185 (1960)
Lawrence, H. S., Valentine, F. T.: Transfer factor and other mediators of cellular immunity. Amer. J. Path. 60, 437 (1970)
Editorial: Transfer factor. Brit. med. J. 1974 II, 397–398
Bläker, F., Grob, P. J., Hellwege, H. H., Schulz, K. H.: Immunabwehr und Transfer-Faktor-Therapie bei chronischer granulomatöser Candidiasis. Dtsch. med. Wschr. 98, 415–420 (1973)
Schulkind, M. L., Adler, W. H., Altemeier, W. A., Ayoub, E. M.: Transfer factor in the treatment of a case of chronic mucocutaneous candidiasis. Cell. Immunol. 3, 606 (1972)
Griscelli, C., Revillard, J. P., Betuel, H., Herzog, C., Touraine, J. L.: Transfer factor therapy in immunodeficiencies. Biomed. 18, 220–227 (1973)
Jersild, C., Platz, P., Thomsen, M., Hansen, G. S., Svejgaard, A., Dupont, B., Fog, T., Ciongoli, A. K., Grob, P.: Transfer-factor therapy in multiple sclerosis. Lancet 1973 II, 1381–1382
Bullock, W. E., Fields, J. P., Brandrisse, M. W.: An evaluation of transfer factor as immunotherapy for patients with lepromatous leprosy. New Engl. J. Med. 287, 1053–1059 (1972)
Grob, P. J., Francke, Ch., Reymond, J. F., Frei-Wettstein, M.: Therapeutical use of transfer factor. Europ. J. clin. Invest. (in press, 1974)
Hitzig, W. H., Fontanellaz, H. P., Müntener, U., Paul, S., Spitler, L. E., Fudenberg, H. H.: Transfer factor. Schweiz. med. Wschr. 102, 1237–1244 (1972)
Rich, R. R., Kirkpatrick, Ch. H., Smith, T. K.: Pathogenetic and therapeutic correlations in chronic mucocutaneous candidiasis. J. clin. Invest. 51, 78a-79a (1972)
Valdimarsson, H., Wood, C. B. S., Hobbs, J. R., Holt, P. J. J.: Immunological features in a case of chronic granulomatous candidiasis and its treatment with transfer factor. Clin. exp. Immunol. 11, 151–163 (1972)
Vandvik, B., Frøland, S. S., Høyeraal, H. M., Stien, R., Degre, M.: Immunological features in a case of subacute sclerosing panencephalitis treated with transfer factor. Scand. J. Immunol. 2, 367–374 (1973)
Kalm, H.: Über die Stellung der Panencephalitis (Pette-Döring) zur Leucoencéphalite sclérosante subaigue (van Bogaert). Dtsch. Z. Nervenheilk. 168, 322 (1952)
Kibler, R., ter Meulen, V.: Antibody mediated cytotoxicity after measles virus infection. J. Immunol. (in press, 1975)
Meulen, V. ter, Katz, M., Leonard, L. L., Lennette, E. H., Koprowski, H.: Ein neuer serologischer Test zur Diagnostik der subakuten sklerosierenden Panencephalitis. Mschr. Kinderheilk. 119, 322–324 (1971)
Lawrence, H. S.: The cellular transfer of cutaneous hypersensitivity to tuberculin in man. Proc. exp. Biol. 71, 516–522 (1949)
Grob, P. J., Wüthrich, B.: Transfer factor therapy in a patient with chronic vaginae candidiasis. J. Obstet. Gynaec. Brit. Cwlth (in press, 1974)
Barandun, S., Bütler, R., Carmann, H., Cruchaud, A., de Haller, R., de Weck, A., Frei, Ph. C., Girard, J. P., Grob, P. J., Hess, M., Hitzig, W., Jeannet, M., Keller, H. U., Krech, U., Löffler, H., Mach, J. P., Miescher, P., Nagel, G. A., Sorkin, E., Spengler, G. A., Vischer, Th., Wüthrich, B.: Klinisch-immunologische Teste. Schweiz. med. Wschr. 103, 1195–1204 (1973)
WHO/OMS: Primary immuno deficiencies. Bull. Wld Hlth Org. 45, 125–142 (1971)
Freeman, J. M.: The clinical spectrum and early diagnosis of Dawson's encephalitis. J. Pediat. 75, 590–603 (1969)
Donner, M., Waltimo, O., Porras, J., Forsius, H., Saukkonen, A. L.: Subacute sclerosing panencephalitis as a cause of chronic dementia and relapsing brain disorder. J. Neurol. Neurosurg. Psychiat. 35, 180–185 (1972)
Helms, S., Helms, P.: Tuberculin sensitivity during measles. Acta tuberc. scand. 35, 166–171 (1956)
Starr, S., Berkovich, S.: Effects of measles, gamma-globulin-modified measles and vaccine measles on the tuberculin test. New Engl. J. Med. 270, 386–391 (1964)
Fireman, P., Friday, G., Kumate, J.: Effect of measles vaccine on immunology responsiveness. Pediatrics 43, 264–272 (1969)
Saunders, M., Knowles, M., Chambers, M. E., Caspary, E. A., Gardner-Medwin, D., Walker, P.: Cellular and humoral responses to measles in subacute sclerosing panencephalitis. Lancet 1969 I, 72–74
Sell, K. W., Thurman, G. B., Ahmed, A., Strong, D. M.: Plasma and spinal fluid blocking factor in SSPE. New Engl. J. Med. 288, 215 (1973)
Thurman, G. B., Ahmed, A., Strong, D. M., Knudsen, R. C., Grace, W. R., Sell, K. W.: Lymphocyte activation in subacute sclerosing panencephalitis virus and cytomegalovirus infections. J. exp. Med. 138, 839–846 (1973)
Kreth, H. W., Käckell, Y. M., Meulen, V., ter: Cellular immunity in SSPE patients. Med. Microbiol. Immunol. (in press, 1974)
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Supported by the Deutsche Forschungsgemeinschaft, Schwerpunktprogramm “Multiple Sklerose und verwandte Entmarkungskrankheiten”, and the Central Laboratory of the Swiss Red Cross Blood Transfusion Centers, Berne, Switzerland.
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Käckell, Y.M., Grob, P.J., Kreth, W.H. et al. Transfer factor therapy in patients with subacute sclerosing panencephalitis. J. Neurol 211, 39–49 (1975). https://doi.org/10.1007/BF00312462
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DOI: https://doi.org/10.1007/BF00312462