Decreases in T-cell tumor necrosis factor alpha binding with interferon beta treatment in patients with multiple sclerosis

Objective: To investigate the effects of interferon beta treatment on T-cel l tumor necrosis factor alpha (TNF-alpha) binding (which is a possible mark er for T-cell-dependent immune function) in patients with multiple sclerosi s. Design: The TNF-alpha binding on T lymphocytes from patients with stable re lapsing-remitting multiple sclerosis was assayed before and 3 and 6 months after the start of treatment with interferon beta. Setting: The study was performed on ambulatory patients in a tertiary care center. Patients: Eighteen patients with clinically definite stable relapsing-remit ting multiple sclerosis (13 women and 5 men; mean [+/- SD] age, 32.6 +/- 7. 1 years) were selected consecutively. Clinical status was defined according to the Expanded Disability Status Scale. All patients were treated with 8 X 10(6) U of interferon beta-1b subcutaneously every other day. Eighteen ag e- and sex-matched healthy subjects, with no family history of neuropsychia tric disorders, served as controls. Results: T lymphocytes from untreated patients with multiple sclerosis had significantly more TNF-or receptors than those from controls (mean +/- SE, 837 +/- 33 vs 135 +/- 5 receptors per cell). After 3 months of treatment wi th interferon beta-1b, they showed a significant decrease (P<.001) in TNF-a lpha binding (452 +/- 29 receptors per cell). After 6 months, T-cell TNF-al pha maximal receptor numbers were even lower (345 +/- 35 receptors per cell ). Conclusion: Given that increased TNF-alpha binding might be linked to lymph ocyte activation, our data demonstrate that a major effect of interferon be ta-1b treatment is to decrease T-cell activation.