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Content archived on 2024-05-07

Inflammatory neuropathy cause and treatment

Objective

To standardise assays for antibodies to glycolipids in human sera.
To identify antibodies to glycolipids which are diagnostically useful in inflammatory neuropathy.
To improve the management of inflammatory neuropathy with carefully co-ordinated controlled trials of promising new treatments.

Inflammatory neuropathies are acute or chronic paralysing disorders which affect more than 40,000 European citizens at any one time. INCAT participants lead international research into their cause and treatment.
We have shown that:
increased concentrations of inflammatory mediators and,
antibodies to nerve glycolipids are present in the blood of patients with inflammatory neuropathy.
These antibodies cross-react with antigens in bacteria which triggered the inflammation.
The antibodies block nerve conduction or nerve-muscle transmission.
Further our treatment trials, the largest undertaken in the world, have shown that:
5. blocking these antibodies by intravenous infusion of large amounts of normal human immunoglobulin is an effective treatment of acute inflammatory neuropathy.
6. According to our preliminary evidence intravenous immunoglobulin may also be effective in chronic inflammatory neuropathy.

INCAT will combine the resources of the leading European laboratories which have pioneered these advances with the leading glycolipid purification laboratory (CHU-NANTES) to explain in detail the cause and pathogenesis of inflammatory neuropathy. INCAT also unites the leading European neuropathy clinical trial centres to undertake trials of intravenous immunoblobulin in three types of chronic inflammatory neuropathy which would be impossible at a National level. Both interlinked components of this project thus fulfil the BIOMED 2 subsidiarity principle. The project involves the transfer of glycolipid technology between European laboratories, and development of uniform trial techniques across European clinical centres. INCAT has recruited the leading European Health Economic Assessment centre (IOP) to help demonstrate the health benefits and reduced economic costs to European community of treatment with intravenous immunoblobulin. The improved health of 40,000 citizens and reduced costs of disability from these diseases, which are currently neglected at a National level, are expected to offer significant Community Added Value.

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Coordinator

United Medical and Dental Schools of Guy's and St Thomas's Hospitals
EU contribution
No data
Address
St Thomas's Street London Bridge
SE1 9RT London
United Kingdom

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Total cost

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Participants (8)

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