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High tumor necrosis factor-α in levels in cerebrospinal fluid of cobalamin-deficient patients

✍ Scribed by Giuseppe Scalabrino; Marinella Carpo; Fabrizia Bamonti; Simona Pizzinelli; Carla D'Avino; Nereo Bresolin; Giuseppe Meucci; Vittorio Martinelli; Gian Carlo Comi; Maddalena Peracchi


Publisher
John Wiley and Sons
Year
2004
Tongue
English
Weight
117 KB
Volume
56
Category
Article
ISSN
0364-5134

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✦ Synopsis


Abstract

We studied 14 patients with neurological manifestations of subacute combined degeneration (SCD) and 40 control patients not cobalamin (Cbl)‐deficient. The cerebrospinal fluid (CSF) markers of Cbl deficiency (Cbl and total homocysteine [tHCYS] levels) and the CSF levels of tumor necrosis factor (TNF)‐α and epidermal growth factor (EGF) were measured. Significantly higher levels of tHCYS and TNF‐α, and significantly lower levels of Cbl and EGF were found in the SCD patients. In human CSF, as in human serum and the rat central nervous system, decreased Cbl concentrations are concomitant with an increase in TNF‐α and a decrease in EGF‐levels. Ann Neurol 2004;56:886–890

An Erratum has been published for this article in Ann Neurol 57: 304, 2005.


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