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  4. B Cell–Activating Factor Is Associated with Testosterone and Smoking Status in Non-Ambulatory Men with Chronic Spinal Cord Injury

B Cell–Activating Factor Is Associated with Testosterone and Smoking Status in Non-Ambulatory Men with Chronic Spinal Cord Injury

JOURNAL OF NEUROTRAUMA, 2019 · DOI: 10.1089/neu.2018.6221 · Published: December 15, 2019

Spinal Cord InjuryImmunologyEndocrinology

Simple Explanation

This study investigated the relationship between B cell-activating factor (BAFF), testosterone, and smoking in men with chronic spinal cord injury (SCI). BAFF is a cytokine involved in B cell development and elevated in men with chronic SCI. The study found that active smokers had significantly higher BAFF levels compared to non-smokers. Additionally, there was a negative association between testosterone levels and BAFF levels, suggesting a link between androgen deficiency and autoimmunity. The findings suggest that modifiable health habits, such as smoking, and hormone levels may influence BAFF levels in men with chronic SCI. BAFF may serve as a potential biomarker and therapeutic target for reducing neuroinflammation and improving neurological outcomes after SCI.

Study Duration
June 2011 and June 2013
Participants
43 non-ambulatory men with chronic spinal cord injury
Evidence Level
Not specified

Key Findings

  • 1
    Active smokers had significantly greater BAFF levels than former/nonsmokers (871 pg/mL vs. 665 pg/ml, p = 0.002).
  • 2
    BAFF decreased 36– 11.1pg/mL for every 1 ng/mL increase in total testosterone ( p = 0.002).
  • 3
    This model explained 41% of the variation in circulating BAFF levels (model p < 0.0001).

Research Summary

The study assessed factors associated with circulating BAFF in non-ambulatory males with chronic SCI, finding that active smokers had significantly greater BAFF levels than former/nonsmokers. The research also showed a significant and independent negative association between testosterone levels and BAFF, suggesting a link between androgen deficiency and autoimmunity observed in SCI. These findings suggest that modifiable health habits and testosterone levels may be associated with elevated BAFF levels in men with non-ambulatory chronic SCI, pointing toward BAFF as a potential biomarker and therapeutic target.

Practical Implications

Biomarker Potential

BAFF could be used as a biomarker for injury severity and spontaneous recovery after SCI.

Therapeutic Target

BAFF may be a target for therapies designed to reduce neuroinflammation and improve neurological outcomes after SCI, potentially through the use of BAFF-neutralizing antibodies.

Modifiable Risk Factors

Smoking cessation may help to lower BAFF levels and reduce autoimmunity in individuals with SCI.

Study Limitations

  • 1
    Small sample size of non-ambulatory men with chronic SCI.
  • 2
    The sample did not include individuals with less severe injury or uninjured controls.
  • 3
    Longitudinal studies are required to assess the relationship between circulating BAFF and spontaneous recovery.

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