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Molecular Biomarkers in Multiple Sclerosis

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Publisher Biomed Central
Date 2019 Dec 25
PMID 31870389
Citations 89
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Abstract

Multiple sclerosis (MS) is an inflammatory-neurodegenerative disease of the central nervous system presenting with significant inter- and intraindividual heterogeneity. However, the application of clinical and imaging biomarkers is currently not able to allow individual characterization and prediction. Complementary, molecular biomarkers which are easily quantifiable come from the areas of immunology and neurobiology due to the causal pathomechanisms and can excellently complement other disease characteristics. Only a few molecular biomarkers have so far been routinely used in clinical practice as their validation and transfer take a long time. This review describes the characteristics that an ideal MS biomarker should have and the challenges of establishing new biomarkers. In addition, clinically relevant and promising biomarkers from the blood and cerebrospinal fluid are presented which are useful for MS diagnosis and prognosis as well as for the assessment of therapy response and side effects.

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References
1.
Jones J, Phuah C, Cox A, Thompson S, Ban M, Shawcross J . IL-21 drives secondary autoimmunity in patients with multiple sclerosis, following therapeutic lymphocyte depletion with alemtuzumab (Campath-1H). J Clin Invest. 2009; 119(7):2052-61. PMC: 2701868. DOI: 10.1172/JCI37878. View

2.
Novakova L, Axelsson M, Khademi M, Zetterberg H, Blennow K, Malmestrom C . Cerebrospinal fluid biomarkers as a measure of disease activity and treatment efficacy in relapsing-remitting multiple sclerosis. J Neurochem. 2016; 141(2):296-304. DOI: 10.1111/jnc.13881. View

3.
Coghe G, Fenu G, Lorefice L, Zucca E, Porta M, Pilloni G . Association between brain atrophy and cognitive motor interference in multiple sclerosis. Mult Scler Relat Disord. 2018; 25:208-211. DOI: 10.1016/j.msard.2018.07.045. View

4.
McCreary M, Mealy M, Wingerchuk D, Levy M, DeSena A, Greenberg B . Updated diagnostic criteria for neuromyelitis optica spectrum disorder: Similar outcomes of previously separate cohorts. Mult Scler J Exp Transl Clin. 2018; 4(4):2055217318815925. PMC: 6293372. DOI: 10.1177/2055217318815925. View

5.
Schwab N, Schneider-Hohendorf T, Pignolet B, Spadaro M, Gorlich D, Meinl I . PML risk stratification using anti-JCV antibody index and L-selectin. Mult Scler. 2015; 22(8):1048-60. DOI: 10.1177/1352458515607651. View