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Immune Cell Profiling of the Cerebrospinal Fluid Provides Pathogenetic Insights Into Inflammatory Neuropathies
- Source :
- Frontiers in Immunology, Frontiers in Immunology, Vol 10 (2019)
- Publication Year :
- 2019
- Publisher :
- Frontiers Media SA, 2019.
-
Abstract
- Objective: Utilize immune cell profiles in the cerebrospinal fluid (CSF) to advance the understanding and potentially support the diagnosis of inflammatory neuropathies. Methods: We analyzed CSF cell flow cytometry data of patients with definite Guillain-Barré syndrome (GBS, n = 26) and chronic inflammatory demyelinating polyneuropathy (CIDP, n = 32) based on established diagnostic criteria in comparison to controls with relapsing-remitting multiple sclerosis (RRMS, n = 49) and idiopathic intracranial hypertension (IIH, n = 63). Results: Flow cytometry revealed disease-specific changes of CSF cell composition with a significant increase of NKT cells and CD8+ T cells in CIDP, NK cells in GBS, and B cells and plasma cells in MS in comparison to IIH controls. Principal component analysis demonstrated distinct CSF immune cells pattern in inflammatory neuropathies vs. RRMS. Systematic receiver operator curve (ROC) analysis identified NKT cells as the best parameter to distinguish GBS from CIDP. Composite scores combing several of the CSF parameters differentiated inflammatory neuropathies from IIH and GBS from CIDP with high confidence. Applying a novel dimension reduction technique, we observed an intra-disease heterogeneity of inflammatory neuropathies. Conclusion: Inflammatory neuropathies display disease- and subtype-specific alterations of CSF cell composition. The increase of NKT cells and CD8+ T cells in CIDP and NK cells in GBS, suggests a central role of cytotoxic cell types in inflammatory neuropathies varying between acute and chronic subtypes. Composite scores constructed from multi-dimensional CSF parameters establish potential novel diagnostic tools. Intra-disease heterogeneity suggests distinct disease mechanisms in subgroups of inflammatory neuropathies.
- Subjects :
- lcsh:Immunologic diseases. Allergy
Adult
Male
0301 basic medicine
Adolescent
T-Lymphocytes
Immunology
Chronic inflammatory demyelinating polyneuropathy
Guillain-Barre Syndrome
inflammatory neuropathies
cerebrospinal fluid
Young Adult
chronic inflammatory demyelinating polyneuropathy
03 medical and health sciences
Multiple Sclerosis, Relapsing-Remitting
0302 clinical medicine
Cerebrospinal fluid
Immune system
medicine
Humans
Immunology and Allergy
Cytotoxic T cell
Aged
Original Research
Aged, 80 and over
Inflammation
Pseudotumor Cerebri
Guillain-Barre syndrome
business.industry
flow cytometry
Multiple sclerosis
Middle Aged
Guillain-Barré syndrome
Natural killer T cell
medicine.disease
Killer Cells, Natural
030104 developmental biology
Polyradiculoneuropathy, Chronic Inflammatory Demyelinating
Female
lcsh:RC581-607
business
immune cell profile
CD8
030215 immunology
Subjects
Details
- ISSN :
- 16643224
- Volume :
- 10
- Database :
- OpenAIRE
- Journal :
- Frontiers in Immunology
- Accession number :
- edsair.doi.dedup.....9dfff3c3ef74436cda51825537e83d5d