The demonstration of intermittent interferonaemia in patients with mul
tiple sclerosis prompted a molecular analysis of brain tissue for expr
ession of interferon-alpha genes. A sensitive method was developed bas
ed on the polymerase chain reaction. Primer sets were used that could
amplify all interferons-alpha or two particular subtypes, interferon-a
lpha2 and interferon-alpha4. The procedure was successful in detecting
expression of interferons-alpha in brain and non-brain tissues in mos
t patients with multiple sclerosis. However, expression was demonstrab
le also in a similar proportion of patients with other neural diseases
, and patients with other illnesses. The data indicate that there can
be constitutive expression of interferons-alpha in brain tissue, but t
he possibility that this becomes amplified in multiple sclerosis was n
ot revealed by this study.