Longitudinal analyses of anti-JCV antibody index for risk assessment of progressive multifocal leukoencephalopathy

Risk assessment for natalizumab-associated progressive multifocal leukoencephalopathy (Nat-PML) comprises the anti-JC virus (JCV) antibody index (AI). The anti-JCV AI was longitudinally determined in a natalizumab-treated MS cohort (Nat-MS, n = 468) and samples of Nat-PML patients (n = 15). In Nat-M...

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Veröffentlicht in:Multiple sclerosis journal - experimental, translational and clinical translational and clinical, 2016-01, Vol.2, p.2055217316630008-2055217316630008
Hauptverfasser: Salmen, A., von Ahsen, N., Trampe, A.K., Hoepner, R., Plavina, T., Subramanyam, M., Kuesters, G., Gold, R., Chan, A.
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container_title Multiple sclerosis journal - experimental, translational and clinical
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creator Salmen, A.
von Ahsen, N.
Trampe, A.K.
Hoepner, R.
Plavina, T.
Subramanyam, M.
Kuesters, G.
Gold, R.
Chan, A.
description Risk assessment for natalizumab-associated progressive multifocal leukoencephalopathy (Nat-PML) comprises the anti-JC virus (JCV) antibody index (AI). The anti-JCV AI was longitudinally determined in a natalizumab-treated MS cohort (Nat-MS, n = 468) and samples of Nat-PML patients (n = 15). In Nat-MS, the median AI was 0.8 (25th to 75th percentile, 0.2–2.8) with an intra-individual coefficient of variation (CV) of 9.8% (4.8–17.6). Patients with an AI ≤ 0.9 exhibited higher CV. The AI was higher (3.4 (3.1–3.6)) in samples before Nat-PML diagnosis than in seropositive Nat-MS (2.4 (1.0–3.4), n = 298, p = 0.010). AIs ≥ 3.0 were associated with a 14.5-fold (95% CI 2.3–90.4) increased PML risk (p = 0.002). Groups with an AI below 1.5 exhibit higher variability or even serostatus fluctuation. AI dynamics require further investigation.
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subjects Encephalitis
Immunotherapy
Monoclonal antibodies
Risk assessment
Short Report
Viral infections
title Longitudinal analyses of anti-JCV antibody index for risk assessment of progressive multifocal leukoencephalopathy
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