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ABSTRACTS – ORAL PRESENTATIONS - AMCA, spol. s r.o.

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Acknowledgements<br />

This work was supported by a grants from the Slovak Grant Agency VEGA (No.2/0041/10),<br />

(No.2/0134/13) and Grant NFM/EEA SK0095. The authors acknowledge the physicians<br />

(Peter Švec, MD PhD., Halina Vargová, PhD.) from the Department of Pediatric Oncology<br />

of University Children’s Hospital, Bratislava, Slovakia, for submitting patient bone marrow<br />

samples and referrals.<br />

References<br />

Wood, B. Cytometry, 4th Edition New Developments. Elsevier Academic Press 2004;<br />

Methods in Cell Biology 75:559–76.<br />

Fajtova, M., et al. Leuk Lymphoma. 2013 Apr 23. [Epub ahead of print]<br />

Malcovati, L., et al. Leukemia 2005; 19:776–783.<br />

Matarraz, S., et al. Cytometry Part B. 2010; 78B:154–168.<br />

42. EFFECTS OF NATALIZUMAB ON CD4+CD25HIGH LYMPHOCYTES<br />

Helena Mareckova 1 , Zdenka Hruskova 1 , Lucia Skacikova 1 , Eva Havrdova 2<br />

1<br />

Inst. Immunology and Microbiology, 1 st Medical Faculty, Charles University, Prague<br />

2<br />

MS Centrum Neurology Clinic, 1 st Medical Faculty, Charles University, Prague<br />

Background: Natalizumab is a humanized monoclonal antibody directed against very<br />

late activation antigen 4 (VLA-4) and has a potent effect on disease activity in multiple<br />

sclerosis (MS). Blockade of VLA-4 with natalizumab may not only interfere<br />

with autoimmune mechanisms but also with central nervous system immune surveillance.<br />

Methods: Longitudinal study (follow-up between 2 and 5 years) to determine the<br />

effect of natalizumab on the frequency of CD4+CD25high regulatory T cells (Tregs) in<br />

peripheral blood (PB) and in cerebrospinal fluid (CSF). We examined 58 patients with MS<br />

treated with Tysabri (Biogen, Idec) at baseline and during therapy. Using flow cytometry<br />

with six-color imaging (Canto, BD Biosciences) following markers were assessed: CD4,<br />

CD8, CD25, CD28, CCR5 (BD) and CXCR3 (RD) in CSF and PB.<br />

Results: There was a gradual increase in circulating CD4+CD25high lymphocytes in PB<br />

during whole follow-up and marked increase in all patients in CSF between baseline and<br />

control examination. Results from CSF analysis revealed that natalizumab blocks CD4+<br />

more than CD8+ T cells from transmigration<br />

Conclusion: The evidence for the use of natalizumab in MS from clinical trials is strong,<br />

but knowledge on effects on different immune cell populations is limited, especially for<br />

CSF. Impairment of the inhibitory function of Tregs seems to play a role in MS disease<br />

pathogenesis. Direct effects of natalizumab on T cell function have been proposed to<br />

promote some of the effects in MS, and VLA-4 blockade has been reported to modulate<br />

the activation state of CD4+ T cells. Thus, natalizumab may positively influence frequency<br />

of Tregs.<br />

Supported by IGA MZ NT / 13108 – 4<br />

Analytical Cytometry VII 63

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