{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,8]],"date-time":"2026-03-08T03:23:25Z","timestamp":1772940205204,"version":"3.50.1"},"reference-count":56,"publisher":"Oxford University Press (OUP)","issue":"1","license":[{"start":{"date-parts":[[2023,8,28]],"date-time":"2023-08-28T00:00:00Z","timestamp":1693180800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"Istanbul University Scientific Research","award":["22936"],"award-info":[{"award-number":["22936"]}]},{"name":"Istanbul University Scientific Research","award":["27045"],"award-info":[{"award-number":["27045"]}]},{"name":"Istanbul University Scientific Research","award":["28319"],"award-info":[{"award-number":["28319"]}]},{"name":"Istanbul University Scientific Research","award":["31283"],"award-info":[{"award-number":["31283"]}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2024,1,9]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:p>Chronic inflammatory demyelinating polyneuropathy (CIDP), a common and treatable autoimmune neuropathy, is frequently misdiagnosed. The aim of this study is to evaluate the relationship between immunological markers and clinical outcome measures in a mixed cohort of patients with typical CIDP and CIDP variants at different disease stages. Twenty-three typical, 16 multifocal and five distal CIDP patients were included. Twenty-five sex and age-matched healthy controls and 12 patients with Charcot\u2013Marie\u2013Tooth type 1A (CMT1A) disease served as controls. Peripheral B-cell populations were analyzed by flow cytometry. IL6, IL10, TNFA mRNA and mir-21, mir-146a, and mir-155-5p expression levels were evaluated by real-time polymerase chain reaction in peripheral blood mononuclear cells (PBMC) and\/or skin biopsy specimens. Results were then assessed for a possible association with clinical disability scores and intraepidermal nerve fiber densities (IENFD) in the distal leg. We detected a significant reduction in naive B cells (P\u2005\u2264\u20050.001), plasma cells (P\u2005\u2264\u20050.001) and regulatory B cells (P\u2005&amp;lt;\u20050.05), and an elevation in switched memory B cells (P\u2005\u2264\u20050.001) in CIDP compared to healthy controls. CMT1A and CIDP patients had comparable B-cell subset distribution. CIDP cases had significantly higher TNFA and IL10 gene expression levels in PBMC compared to healthy controls (P\u2005&amp;lt;\u20050.05 and P\u2005\u2264\u20050.01, respectively). IENFDs in the distal leg showed a moderate negative correlation with switched memory B-cell ratios (r\u2005=\u2005\u20130.51, P\u2005&amp;lt;\u20050.05) and a moderate positive correlation with plasma cell ratios (r\u2005=\u20050.46, P\u2005&amp;lt;\u20050.05). INCAT sum scores showed a moderate positive correlation with IL6 gene expression levels in PBMC (r\u2005=\u20050.54, P\u2005&amp;lt;\u20050.05). Altered B-cell homeostasis and IL10 and TNFA gene expression levels imply chronic antigen exposure and overactivity in the humoral immune system, and seem to be a common pathological pathway in both typical CIDP and CIDP variants.<\/jats:p>","DOI":"10.1093\/cei\/uxad103","type":"journal-article","created":{"date-parts":[[2023,8,28]],"date-time":"2023-08-28T13:27:26Z","timestamp":1693229246000},"page":"65-78","source":"Crossref","is-referenced-by-count":4,"title":["Disease activity in chronic inflammatory demyelinating polyneuropathy: association between circulating B-cell subsets, cytokine levels, and clinical outcomes"],"prefix":"10.1093","volume":"215","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8653-8543","authenticated-orcid":false,"given":"Ayse Nur","family":"Ozdag Acarli","sequence":"first","affiliation":[{"name":"Neuromuscular Unit, Department of Neurology, Istanbul Faculty of Medicine, Istanbul University , Istanbul , Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Erdem","family":"Tuzun","sequence":"additional","affiliation":[{"name":"Department of Neuroscience, Aziz Sancar Institute of Experimental Medicine, Istanbul University , Istanbul , Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Elif","family":"Sanli","sequence":"additional","affiliation":[{"name":"Department of Neuroscience, Aziz Sancar Institute of Experimental Medicine, Istanbul University , Istanbul , Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gizem","family":"Koral","sequence":"additional","affiliation":[{"name":"Department of Neuroscience, Aziz Sancar Institute of Experimental Medicine, Istanbul University , Istanbul , Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ece","family":"Akbayir","sequence":"additional","affiliation":[{"name":"Department of Neuroscience, Aziz Sancar Institute of Experimental Medicine, Istanbul University , Istanbul , Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Arman","family":"Cakar","sequence":"additional","affiliation":[{"name":"Neuromuscular Unit, Department of Neurology, Istanbul Faculty of Medicine, Istanbul University , Istanbul , Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nermin Gorkem","family":"Sirin","sequence":"additional","affiliation":[{"name":"Neuromuscular Unit, Department of Neurology, Istanbul Faculty of Medicine, Istanbul University , Istanbul , Turkey"},{"name":"Department of Neurology, Bakirkoy Mazhar Osman Mental Health and Neurological Diseases Education and Research Hospital , Istanbul , Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Aysun","family":"Soysal","sequence":"additional","affiliation":[{"name":"Department of Neurology, Bakirkoy Mazhar Osman Mental Health and Neurological Diseases Education and Research Hospital , Istanbul , 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