The aberrant expression of B7 costimulatory molecules is involved in the pa
thogenesis of autoimmune diseases and overexpression of B7-1 was found in i
nflammatory multiple sclerosis (MS) lesions. We here report that costimulat
ory molecules B7-1 and B7-2 are expressed on cerebrospinal fluid (CSF) mono
cytes and B-lymphocytes from patients with MS, optic neuritis (ON) and othe
r inflammatory central nervous system (CNS) diseases. In patients with ON b
ut not MS, increased expression of B7-2 was detected as compared to non-inf
lammatory controls. The expression of B7-1 in MS and ON patients correlates
with disease duration but not with relapses in patients with MS indicating
a role in early disease but not as a reliable marker of disease activity a
t later stages of MS. (C) 1999 Elsevier Science B.V. All rights reserved.