“…In addition, NMO-IgG, which is frequently present in NMO or OSMS [11], was detected in none of the AM patients, suggesting that AM is a different entity from NMO. Immunologically, AM appears to be different from other myelitis diseases associated with MS or HTLV-1-associated myelopathy/tropical spastic paraparesis in that type 2 helper T (Th2) cell response is predominant in the former whereas Th1 cell response is predominant in the latter [21][22][23]. More recently, CSF cytokine/chemokine analysis showing upregulation of chemokine-ligand-11/interleukin-9, which is important for eosinophil recruitment and maturation, has lent further supported the allergic nature of AM [24].…”