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NK acty and OCD

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1: Psychoneuroendocrinology. 2004 Aug;29(7):945-52. Related Articles,

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Decreased TNF-alpha and NK activity in obsessive-compulsive disorder.

Denys D, Fluitman S, Kavelaars A, Heijnen C, Westenberg H.

Rudolf Magnus Institute of Neuroscience, Department of Psychiatry,

University Medical Center Utrecht, Utrecht, The Netherlands.

d.a.j.p.denys@...

BACKGROUND: Accumulating evidence points towards the involvement of

autoimmune mechanisms in the pathophysiology of some subgroups of

obsessive-compulsive disorder (OCD). This study was carried out to

investigate whether obsessive-compulsive disorder is associated with

altered activity of the immune system, and whether these changes are

related to particular clinical characteristics. METHODS: Ex vivo

production of TNF-alpha, IL-4, IL-6, IL-10, and IFN-gamma in whole

blood cultures, and NK-cell activity and peripheral blood NK cell-,

monocytes-, T-cell-, and B-cell- percentages were measured in 50

medication-free outpatients with OCD and 25 controls. RESULTS: In OCD

patients, we found a significant decrease in production of TNF-alpha

(p < 0.0001) and NK-activity (p = 0.002) in comparison with controls.

No significant differences were observed in the other immune

variables. Patients with first-degree relatives with OCD had

significant lower NK-activity than patients who had no relatives with

OCD (p = 0.02), and patients with a childhood onset of OCD had

significantly lower number of NK-cells than patients with a late

onset (p= 0.003). CONCLUSIONS: Changes in TNF-alpha and NK activity

suggest a potential role of altered immune function in the

pathophysiology of obsessive-compulsive disorder.

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