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Selegiline as immunostimulant -
a novel mechanism of action?
Muller T, Kuhn W, Kruger R, Przuntek H
Department of Neurology,
St. Josef-Hospital, University of Bochum,
Federal Republic of Germany.
Nature, 1996 Feb, 379: 6567, 733-6
ABSTRACT
In clinical studies the MAO-B inhibitor
selegiline appears to slow the progression of neurological deficits in
Parkinson's disease (PD) and the cognitive decline in Alzheimer's disease
(AD). The mechanisms of action remain unclear. Several lines of evidence
indicate an immune-mediated pathophysiology of PD and AD. According to
animal trials, selegiline increases the survival rate of immune suppressed
mice. Stimulation of the immune response to bacterial or viral infection or
in chronic inflammatory processes in managed by an increased synthesis of
the cytokines interleukin-1 beta (IL-1 beta) and subsequent interleukin-6
(IL-6). Outcome of viral or bacterial infections in the brain highly
correlates with levels of the cytotoxic cytokine tumor-necrosis-factor-alpha
(TNF). The aim of our study was to characterize the influence of selegiline
on the biosynthesis of IL-1 beta, IL-6 and TNF in human peripheral blood
mononuclear cells (PBMC) from healthy blood donors. After isolation and
washing PBMC were cultured without and with selegiline in three different
concentrations (0.01 mumol/l, 0.001 mumol/l, 0.0001 mumol/l) in a humidified
atmosphere (7% CO2). Then cultures were centrifuged and supernatants were
collected for IL-1 beta, IL-6 and TNF ELISA-assays. Treatment of cultured
PBMC with various concentrations induced an increased synthesis of IL-1 beta
(ANOVA F = 9.703, p = 0.0007), IL-6 (ANOVA F = 20.648, p = 0.0001) and a
reduced production of TNF (ANOVA F = 3.770, p = 0.040). These results
indicate, that the influence of selegiline on the cytokine biosynthesis may
also contribute to its putative neuroprotective properties.
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