Protein biomarkers in multiple sclerosis

This review aimed to elucidate protein biomarkers in body fluids, such as blood and cerebrospinal fluid (CSF), to identify those that may be used for early diagnosis of multiple sclerosis (MS), prediction of disease activity, and monitoring of treatment response among MS patients. The potential biom...

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Main Author: Jun-Soon Kim
Format: Article
Language:English
Published: Korean Encephalitis and Neuroinflammation Society 2023-04-01
Series:Encephalitis
Subjects:
Online Access:http://www.encephalitisjournal.org/upload/pdf/encephalitis-2022-00101.pdf
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author Jun-Soon Kim
author_facet Jun-Soon Kim
author_sort Jun-Soon Kim
collection DOAJ
description This review aimed to elucidate protein biomarkers in body fluids, such as blood and cerebrospinal fluid (CSF), to identify those that may be used for early diagnosis of multiple sclerosis (MS), prediction of disease activity, and monitoring of treatment response among MS patients. The potential biomarkers elucidated in this review include neurofilament proteins (NFs), glial fibrillary acidic protein (GFAP), leptin, brain-derived neurotrophic factor (BDNF), chitinase-3-like protein 1 (CHI3L1), C-X-C motif chemokine 13 (CXCL13), and osteopontin (OPN), with each biomarker playing a different role in MS. GFAP, leptin, and CHI3L1 levels were increased in MS patient groups compared to the control group. NFs are the most studied proteins in the MS field, and significant correlations with disease activity, future progression, and treatment outcomes are evident. GFAP CSF level shows a different pattern by MS subtype. Increased concentration of CHI3L1 in the blood/CSF of clinically isolated syndrome (CIS) is an independent predictive factor of conversion to definite MS. BDNF may be affected by chronic progression of MS. CHI3L1 has potential as a biomarker for early diagnosis of MS and prediction of disability progression, while CXCL13 has potential as a biomarker of prognosis of CIS and reflects MS disease activity. OPN was an indicator of disease severity. A periodic detailed patient evaluation should be performed for MS patients, and broadly and easily accessible biomarkers with higher sensitivity and specificity in clinical settings should be identified.
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spelling doaj.art-829949612bcb4abbbcbb7f8da3f26c7d2023-04-27T06:41:47ZengKorean Encephalitis and Neuroinflammation SocietyEncephalitis2765-45592734-14612023-04-0132546310.47936/encephalitis.2022.0010149Protein biomarkers in multiple sclerosisJun-Soon Kim0 Department of Neurology, Seoul National University Bundang Hospital, Seongnam, KoreaThis review aimed to elucidate protein biomarkers in body fluids, such as blood and cerebrospinal fluid (CSF), to identify those that may be used for early diagnosis of multiple sclerosis (MS), prediction of disease activity, and monitoring of treatment response among MS patients. The potential biomarkers elucidated in this review include neurofilament proteins (NFs), glial fibrillary acidic protein (GFAP), leptin, brain-derived neurotrophic factor (BDNF), chitinase-3-like protein 1 (CHI3L1), C-X-C motif chemokine 13 (CXCL13), and osteopontin (OPN), with each biomarker playing a different role in MS. GFAP, leptin, and CHI3L1 levels were increased in MS patient groups compared to the control group. NFs are the most studied proteins in the MS field, and significant correlations with disease activity, future progression, and treatment outcomes are evident. GFAP CSF level shows a different pattern by MS subtype. Increased concentration of CHI3L1 in the blood/CSF of clinically isolated syndrome (CIS) is an independent predictive factor of conversion to definite MS. BDNF may be affected by chronic progression of MS. CHI3L1 has potential as a biomarker for early diagnosis of MS and prediction of disability progression, while CXCL13 has potential as a biomarker of prognosis of CIS and reflects MS disease activity. OPN was an indicator of disease severity. A periodic detailed patient evaluation should be performed for MS patients, and broadly and easily accessible biomarkers with higher sensitivity and specificity in clinical settings should be identified.http://www.encephalitisjournal.org/upload/pdf/encephalitis-2022-00101.pdfbiomarkerscerebrospinal fluidintermediate filamentsmultiple sclerosis
spellingShingle Jun-Soon Kim
Protein biomarkers in multiple sclerosis
Encephalitis
biomarkers
cerebrospinal fluid
intermediate filaments
multiple sclerosis
title Protein biomarkers in multiple sclerosis
title_full Protein biomarkers in multiple sclerosis
title_fullStr Protein biomarkers in multiple sclerosis
title_full_unstemmed Protein biomarkers in multiple sclerosis
title_short Protein biomarkers in multiple sclerosis
title_sort protein biomarkers in multiple sclerosis
topic biomarkers
cerebrospinal fluid
intermediate filaments
multiple sclerosis
url http://www.encephalitisjournal.org/upload/pdf/encephalitis-2022-00101.pdf
work_keys_str_mv AT junsoonkim proteinbiomarkersinmultiplesclerosis