In:
PLOS ONE, Public Library of Science (PLoS), Vol. 17, No. 6 ( 2022-6-27), p. e0270607-
Abstract:
The possibility to better predict the severity of the disease in a patient newly diagnosed with multiple sclerosis would allow the treatment strategy to be personalized and lead to better clinical outcomes. Prognostic biomarkers are highly needed. Objective To assess the prognostic value of intrathecal IgM synthesis, cerebrospinal fluid and serum IL-2, IL-6, IL-10, chitinase 3-like 2 and neurofilament heavy chains obtained early after the onset of the disease. Methods 58 patients after the first manifestation of multiple sclerosis were included. After the initial diagnostic assessment including serum and cerebrospinal fluid biomarkers, all patients initiated therapy with either glatiramer acetate, teriflunomide, or interferon beta. To assess the evolution of the disease, we followed the patients clinically and with MRI for two years. Results The IL-2:IL-6 ratio (both in cerebrospinal fluid) 〈 0.48 (p = 0.0028), IL-2 in cerebrospinal fluid ≥1.23pg/ml (p = 0.026), and chitinase 3-like 2 in cerebrospinal fluid ≥7900pg/ml (p = 0.033), as well as baseline EDSS ≥1.5 (p = 0.0481) and age 〈 22 (p = 0.0312), proved to be independent markers associated with shorter relapse free intervals. Conclusion The IL-2:IL-6 ratio, IL-2, and chitinase 3-like 2 (all in cerebrospinal fluid) might be of value as prognostic biomarkers in early phases of multiple sclerosis.
Type of Medium:
Online Resource
ISSN:
1932-6203
DOI:
10.1371/journal.pone.0270607
DOI:
10.1371/journal.pone.0270607.g001
DOI:
10.1371/journal.pone.0270607.g002
DOI:
10.1371/journal.pone.0270607.t001
DOI:
10.1371/journal.pone.0270607.t002
DOI:
10.1371/journal.pone.0270607.t003
DOI:
10.1371/journal.pone.0270607.s001
DOI:
10.1371/journal.pone.0270607.s002
DOI:
10.1371/journal.pone.0270607.s003
DOI:
10.1371/journal.pone.0270607.s004
DOI:
10.1371/journal.pone.0270607.s005
DOI:
10.1371/journal.pone.0270607.s006
DOI:
10.1371/journal.pone.0270607.s007
DOI:
10.1371/journal.pone.0270607.r001
DOI:
10.1371/journal.pone.0270607.r002
DOI:
10.1371/journal.pone.0270607.r003
DOI:
10.1371/journal.pone.0270607.r004
Language:
English
Publisher:
Public Library of Science (PLoS)
Publication Date:
2022
detail.hit.zdb_id:
2267670-3
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