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Interferon β-1a and Atorvastatin in the Treatment of Multiple Sclerosis | ||
Iranian Journal of Immunology | ||
مقاله 3، دوره 13، شماره 1، خرداد 2016، صفحه 16-26 اصل مقاله (343.87 K) | ||
نوع مقاله: Original Article | ||
نویسندگان | ||
Keyvan Ghasami1؛ Fardin Faraji1؛ Masoud Fazeli2؛ Ali Ghazavi3؛ Ghasem Mosayebi* 4 | ||
1Department of Neurology, School of Medicine, Arak University of Medical Sciences, Arak, Iran | ||
2Department of Radiology, School of Medicine, Arak University of Medical Sciences, Arak, Iran | ||
3Department of Immunology, Infectious Diseases Research Center (IDRC), School of Medicine, Arak University of Medical Sciences, Arak, Iran | ||
4Department of Immunology, School of Medicine, Arak University of Medical Sciences, Arak, Iran | ||
چکیده | ||
Background: Statins, widely used cholesterol-lowering agents, have also been demonstrated to have anti-inflammatory and immunomdulatory effects. Objective: To evaluate the effects of atorvastatin in combination with Interferon-β in the treatment of multiple sclerosis (MS) in a randomized controlled clinical trial. Methods: Multiple sclerosis patients were randomized independently, in a double blind design, into one of two treatment groups. Control group (n=45) received 30 μg/week interferon β-1a via intra-muscular injection. Atorvastatin-treated group (n=50) received interferon β-1a similar to control group in addition to atorvastatin (40 mg/day) for 18-months. All clinical and immunological variables were measured at the baseline and at the end of the study. Results: There was no significant difference between the two groups in the expanded disability status scale scores and the number of gadolinium-enhancing lesions during the 18-month treatment period. After 18 months, the levels of interleukin (IL)-4, IL-10, transforming growth factor-β and serum ferric reducing antioxidant power in the atorvastatin treatment group were significantly higher than the control group. Levels of IL-17, TNF-α and lymphocyte proliferation in the atorvastatin treatment group were significantly lower than the control group. Conclusion: Although combined atorvastatin and interferon-β do not change the clinical course of MS, atorvastatin might have beneficial effects in MS treatment possibly through inducing anti-inflammatory responses. | ||
کلیدواژهها | ||
Atorvastatin؛ Cytokines؛ Expanded Disability Status Scale Scores (EDSS)؛ Interferon β-1a؛ Multiple Sclerosis؛ Nitric oxide | ||
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