Neurologijos seminarai,
Год журнала:
2023,
Номер
27(95), С. 34 - 40
Опубликована: Ноя. 8, 2023
Multiple
sclerosis
(MS)
is
a
chronic
disease
of
the
central
nervous
system
(CNS)
most
commonly
diagnosed
in
young
adults.
In
recent
decades,
new
treatments
have
emerged
that
radically
changed
prognosis
and
quality
life
these
patients.
However,
this
has
also
raised
challenges
predicting
course
activity
before
development
neurological
deficits
aggravate
disability
prescribing
appropriate
disease-modifying
therapy
for
individual
patient
timely
manner.
One
possible
solutions
could
help
answer
questions
use
laboratory
biomarkers
MS.
addition
to
oligoclonal
bands
(OGB)
immunoglobulin
G
index,
which
are
already
well
known
clinically
useful
tests,
other
been
discovered
can
assess
inflammatory
neurodegenerative
processes
occurring
CNS.
Kappa
free
light
chains
K-index
identified
as
potential
diagnostic
MS,
with
similar
sensitivity
specificity
OGB.
Some
shown
ability
differentiate
isolated
syndrome
from
MS
identify
clinical
The
concentration
chitinase-3-like
protein
cerebrospinal
fluid
currently
only
biomarker
distinguish
syndrome.
Levels
glial
fibrillary
acidic
blood
serum
primary
progressive
relapsing-remitting
disease.
Serum
neurofilament
chain
levels
considered
monitoring
treatment
efficiency.
This
article
discusses
promising
diagnosis,
activity,
response.
International Journal of Molecular Sciences,
Год журнала:
2022,
Номер
23(13), С. 6991 - 6991
Опубликована: Июнь 23, 2022
This
Special
Issue
has
focused
on
dissecting
the
neuroprotective
and
neurodegenerative
components
of
neurological
neuropsychiatric
diseases,
highlighting
latest
advance
in
understanding
etiology,
pathomechanism,
biomarkers,
imaging
techniques,
novel
therapeutic
targets
diseases
(NDDs)
[...].
Journal of Neuroinflammation,
Год журнала:
2024,
Номер
21(1)
Опубликована: Янв. 17, 2024
Abstract
Background
Multiple
sclerosis
(MS)
is
a
chronic
autoimmune
disease
of
the
central
nervous
system
(CNS),
characterized
by
neuroinflammation,
demyelination,
and
neurodegeneration.
Considering
increasing
prevalence
among
young
adults
worldwide
disabling
phenotype
disease,
deeper
understanding
complexity
pathogenesis
needed
to
ultimately
improve
diagnosis
personalize
treatment
opportunities.
Recent
findings
suggest
that
bioactive
lipid
mediators
(LM)
derived
from
ω-3/-6
polyunsaturated
fatty
acids
(PUFA),
also
termed
eicosanoids,
may
contribute
MS
pathogenesis.
For
example,
disturbances
in
LM
profiles
especially
those
ω-6
PUFA
arachidonic
acid
(AA)
have
been
reported
people
with
(PwMS),
where
they
chronicity
neuroinflammatory
processes.
Moreover,
we
previously
shown
certain
AA-derived
LMs
associated
neurodegenerative
processes
PwMS,
suggesting
are
involved
more
pathological
events
than
solely
neuroinflammation.
Yet,
date,
comprehensive
overview
contribution
these
MS-associated
remains
elusive.
Main
body
This
review
summarizes
critically
evaluates
current
literature
on
eicosanoid
biosynthetic
pathway
its
key
hallmarks
during
different
stages.
Various
parts
highlighted,
namely,
prostanoid,
leukotriene,
hydroxyeicosatetraenoic
(HETEs)
biochemical
routes
include
specific
enzymes
cyclooxygenases
(COXs)
lipoxygenases
(LOX)
families.
In
addition,
cellular
sources
their
potential
target
cells
based
receptor
expression
will
be
discussed
context
MS.
Finally,
propose
novel
therapeutic
approaches
and/or
modulation
demyelination
neurodegeneration
Short
conclusion
The
intrinsically
linked
aspects
Therefore,
intervention
strategies,
aim
accurately
modulating
towards
biosynthesis
beneficial
LMs,
can
potentially
patient-
subtype-specific
opportunities
combat
Graphical
Journal of Research in Medical Sciences,
Год журнала:
2025,
Номер
30(1)
Опубликована: Фев. 1, 2025
Inflammatory
demyelinating
pseudotumor
(IDP)
mimics
intracranial
neoplasms
in
terms
of
both
clinical
presentation
and
imaging
features.
IDP
with
Marburg-like
features
represents
a
severe
form
inflammatory
encephalomyelitis,
marked
by
dramatic
onset,
aggressive
course,
absence
remission,
the
presence
tumor-like
central
nervous
system
lesions.
Key
brain
magnetic
resonance
include
open
or
incomplete
ring
enhancement,
low
T2
rim,
peripheral
diffusion
restriction,
absent
mild
mass
effect,
perilesional
edema.
In
spectroscopy
(MRS),
elevated
glutamate,
choline,
lactate
peaks
are
observed;
however,
MRS
findings
can
be
nonspecific
nondifferentiating.
Pathologic
show
prominent
perivascular
lymphoid
infiltrates
consisting
predominantly
leukocyte
common
antigen
(LCA)+
PAX5+
B
lymphocytes
immunohistochemistry
staining,
parenchymal
macrophages
(CD68+),
some
visible
myelin
globules
on
Luxol
Fast
Blue
preferential
loss
relative
axonal
preservation
formation
spheroids
(swellings),
reactive
astrocytosis
(GFAP+
ATRX−),
remyelination
thinner
sheaths
than
background
axons
at
periphery
plaque.
A
review
previous
case
reports
revealed
that
prompt
immunosuppression
therapy
may
lead
to
favorable
response.
Initiating
treatment
cycle
high-dose
corticosteroids
followed
rescue
immunosuppressive
using
cyclophosphamide,
mitoxantrone,
rituximab,
alemtuzumab
demonstrated
positive
outcomes.
addition,
maintenance
B-cell-depleting
agents,
such
as
rituximab
ocrelizumab,
showed
potential
for
controlling
disease
activity
improving
long-term
prognosis.
Frontiers in Endocrinology,
Год журнала:
2023,
Номер
14
Опубликована: Март 15, 2023
Background
Many
clinical
studies
have
shown
a
correlation
between
plasma
cortisol
and
neurological
disorders.
This
study
explored
the
causal
relationship
dementia,
epilepsy
multiple
sclerosis
based
on
Mendelian
randomization
(MR)
method.
Methods
Data
were
taken
from
summary
statistics
of
genome-wide
association
study,
FinnGen
consortium
United
Kingdom
Biobank.
Dementia,
epilepsy,
used
as
outcomes,
genetic
variants
associated
with
instrumental
variables.
The
main
analysis
was
performed
using
inverse
variance
weighted
method,
results
assessed
according
to
odds
ratio
(OR)
95%
confidence
interval.
Heterogeneity
tests,
pleiotropy
leave-one-out
method
conducted
evaluate
stability
accuracy
results.
Results
In
two-sample
MR
analysis,
showed
that
Alzheimer’s
disease
(AD)
[odds
(95%
interval)
=
0.99
(0.98-1.00),
P
0.025],
vascular
dementia
(VaD)
2.02
(1.00-4.05),
0.049)],
Parkinson’s
(PDD)
0.24
(0.07-0.82),
0.023]
2.00
(1.03-3.91),
0.042].
There
no
statistically
significant
associations
Lewy
bodies
(DLB),
frontotemporal
(FTD)
sclerosis.
Conclusion
demonstrates
increase
incidence
rates
VaD
decrease
AD
PDD.
Monitoring
concentrations
in
practice
can
help
prevent
diseases,
such
AD,
PDD,
epilepsy.
Frontiers in Microbiology,
Год журнала:
2024,
Номер
15
Опубликована: Апрель 29, 2024
Multiple
Sclerosis
(MS)
is
a
neurologic
autoimmune
disease
whose
exact
pathophysiologic
mechanisms
remain
to
be
elucidated.
Recent
studies
have
shown
that
the
onset
and
progression
of
MS
are
associated
with
dysbiosis
gut
microbiota.
Similarly,
large
body
evidence
suggests
mitochondrial
dysfunction
may
also
significant
impact
on
development
MS.
Endosymbiotic
theory
has
found
human
mitochondria
microbial
in
origin
share
similar
biological
characteristics
Therefore,
microbiota
function
crosstalk
relevant
However,
relationship
between
not
fully
understood.
by
synthesizing
previous
literature,
this
paper
focuses
changes
metabolite
composition
possible
MS,
provide
new
therapeutic
approaches
for
prevention
or
reduction
based
crosstalk.
International Journal of Molecular Sciences,
Год журнала:
2023,
Номер
24(13), С. 10787 - 10787
Опубликована: Июнь 28, 2023
Neurofilament
light
chain
(NfL),
is
a
neuron-specific
cytoskeletal
protein
detected
in
extracellular
fluid
following
axonal
damage.
Extensive
research
has
focused
on
NfL
quantification
CSF,
establishing
it
as
prognostic
biomarker
of
disability
progression
Multiple
Sclerosis
(MS).
Our
study
used
new
commercially
available
Enzyme-Linked
Immunosorbent
Assay
(ELISA)
kit
and
Single
Molecular
Array
(Simoa)
advanced
technology
to
assess
serum
levels
MS
patients
Healthy
Controls
(HC).
Verifying
the
most
accurate,
cost-effective
methodology
will
benefit
its
application
clinical
settings.
Blood
samples
were
collected
from
54
30
HC.
Protocols
accompanying
kits
followed.
The
ELISA
thershold
was
set
3
S.D.
above
mean
For
Simoa,
Z-score
calculation
created
by
Jens
Kuhle's
group
applied
(with
permission).
Samples
exceeding
threshold
or
z-score
≥1.5
indicated
subclinical
disease
activity.
To
our
knowledge,
this
first
find
strong-positive
correlation
between
Simoa
for
(r
=
0.919).
Despite
strong
correlation,
better
analytical
sensitivity
can
detect
small
changes
making
valuable
Further
required
evaluate
whether
using
could
be
utilized
predict
progression.
Therapeutic Advances in Neurological Disorders,
Год журнала:
2023,
Номер
16
Опубликована: Янв. 1, 2023
Multiple
sclerosis
(MS)
is
a
chronic,
progressive
neurological
disease
involving
neuroinflammation,
neurodegeneration,
and
demyelination.
Cladribine
tablets
are
approved
for
immune
reconstitution
therapy
in
patients
with
highly
active
relapsing–remitting
MS
based
on
favorable
efficacy
tolerability
results
from
the
CLARITY
study
that
have
been
confirmed
long-term
extension
studies.
The
4-year
dosing
regimen
foresees
cumulative
dose
of
3.5
mg/kg
administered
two
cycles
1
year
apart,
followed
by
2
years
observation.
Evidence
managing
beyond
4
scarce;
therefore,
group
10
neurologists
has
assessed
available
evidence
formulated
an
expert
opinion
management
growing
population
now
completing
regimen.
We
propose
five
patient
categories
response
to
treatment
during
first
regimen,
corresponding
pathways
envision
close
monitoring
clinical
visits,
magnetic
resonance
imaging
(MRI)
and/or
biomarkers.
At
sign
or
radiological
activity,
should
receive
effective
disease-modifying
therapy,
comprising
either
full
cladribine
as
described
regulatory
documents
(cumulative
7.0
mg/kg)
comparably
treatment.
Re-treatment
decisions
be
intensity
timing
onset
assessments,
well
eligibility
preference.
Diagnostics,
Год журнала:
2022,
Номер
12(10), С. 2554 - 2554
Опубликована: Окт. 20, 2022
Inflammation
plays
a
crucial
role
in
worsening
coronavirus
disease
(COVID-19).
Calprotectin
is
pro-inflammatory
molecule
produced
by
monocytes
and
neutrophilic
granulocytes.
The
aim
of
the
study
was
to
evaluate
both
prognostic
circulating
calprotectin
levels
neutrophil
count
toward
fatal
outcome
COVID-19
patients.
We
retrospectively
collected
analyzed
data
on
195
adult
patients,
156
hospitalized
infectious
unit
39
intensive
care
(ICU).
counts
measured
at
first
hospitalization
day
were
higher
patients
with
than
surviving
ones.
association
high
patient
death
remain
significant
logistic
regression,
independent
age.
ROC
curves
analysis
for
revealed
good
discriminatory
power
survival
(area
under
curve
0.759
0.843,
respectively)
identified
best
cut-off
(1.66
mg/L
16.39
×
103/µL,
respectively).
Kaplan-Meier
confirmed
prediction.
In
conclusion,
this
highlights
that
together
should
be
considered
as
biomarkers
mortality