Increased cerebrospinal fluid albumin and immunoglobulin A fractions forecast cortical atrophy and longitudinal functional deterioration in relapsing-remitting multiple sclerosis
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KROTH, Julia, CIOLAC, Dumitru, FLEISCHER, Vinzenz, KOIRALA, Nabin, KRAMER, Julia, MUTHURAMAN, Muthuraman, LUESSI, Felix, BITTNER, Stefan, GONZALEZ-ESCAMILLA, Gabriel, ZIPP, Frauke, MEUTH, Sven G., GROPPA, Sergiu. Increased cerebrospinal fluid albumin and immunoglobulin A fractions forecast cortical atrophy and longitudinal functional deterioration in relapsing-remitting multiple sclerosis. In: Multiple Sclerosis Journal, 2019, nr. 3(25), pp. 338-343. ISSN 1352-4585. DOI: https://doi.org/10.1177/1352458517748474
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Multiple Sclerosis Journal
Numărul 3(25) / 2019 / ISSN 1352-4585

Increased cerebrospinal fluid albumin and immunoglobulin A fractions forecast cortical atrophy and longitudinal functional deterioration in relapsing-remitting multiple sclerosis

DOI:https://doi.org/10.1177/1352458517748474

Pag. 338-343

Kroth Julia1, Ciolac Dumitru12, Fleischer Vinzenz1, Koirala Nabin1, Kramer Julia3, Muthuraman Muthuraman1, Luessi Felix1, Bittner Stefan1, Gonzalez-Escamilla Gabriel1, Zipp Frauke1, Meuth Sven G.3, Groppa Sergiu1
 
1 Johannes Gutenberg University Mainz,
2 ”Nicolae Testemițanu” State University of Medicine and Pharmacy,
3 University of Munster
 
 
Disponibil în IBN: 23 aprilie 2019


Rezumat

Background: Currently, no unequivocal predictors of disease evolution exist in patients with multiple sclerosis (MS). Cortical atrophy measurements are, however, closely associated with cumulative disability. Objective: Here, we aim to forecast longitudinal magnetic resonance imaging (MRI)-driven cortical atrophy and clinical disability from cerebrospinal fluid (CSF) markers. Methods: We analyzed CSF fractions of albumin and immunoglobulins (Ig) A, G, and M and their CSF to serum quotients. Results: Widespread atrophy was highly associated with increased baseline CSF concentrations and quotients of albumin and IgA. Patients with increased CSF IgA and CSF IgM showed higher functional disability at follow-up. Conclusion: CSF markers of blood–brain barrier integrity and specific immune response forecast emerging gray matter pathology and disease progression in MS.

Cuvinte-cheie
atrophy rate, cerebrospinal fluid albumin, cerebrospinal fluid immunoglobulins, cortical gray matter, multiple sclerosis