Ayla Pauwels, Jeroen Van Schependom, Lindsay Devolder, Ann Van Remoortel, Guy Nagels, Maria Bjerke, Marie B D'hooghe
{"title":"Plasma glial fibrillary acidic protein and neurofilament light chain in relation to disability worsening in multiple sclerosis.","authors":"Ayla Pauwels, Jeroen Van Schependom, Lindsay Devolder, Ann Van Remoortel, Guy Nagels, Maria Bjerke, Marie B D'hooghe","doi":"10.1177/13524585221094224","DOIUrl":"https://doi.org/10.1177/13524585221094224","url":null,"abstract":"<p><strong>Background: </strong>Predicting disability worsening in multiple sclerosis (MS) remains an important challenge. Glial fibrillary acidic protein (GFAP) and neurofilament light chain (NfL) seem promising biomarkers. Studies investigating blood GFAP in relation to longitudinal outcome measures in MS are scarce.</p><p><strong>Objective: </strong>To compare plasma-GFAP (p-GFAP) and plasma-NfL (p-NfL) levels in relation to sustained disability worsening.</p><p><strong>Methods: </strong>We measured baseline p-GFAP and p-NfL in a prospective cohort of 115 individuals with MS and 30 matched controls, using Single Molecule Array (Simoa). Disability worsening was defined as an increase in at least one of three measures (Expanded Disability Status Scale, Timed 25-foot walk, 9-Hole Peg test), confirmed after 6 months and persistent upon data closure.</p><p><strong>Results: </strong>In a multivariable Cox proportional-hazards model, p-GFAP was not significantly associated with sustained disability worsening after 4.40 ± 0.82 years, while p-NfL (HR = 1.046, <i>p</i> = 0.001), EDSS (HR = 1.24, <i>p</i> = 0.039), and disease duration (HR = 1.048, <i>p</i> = 0.017) were. Area under the curve of ROC curves in relation to worsening was 0.61 for p-GFAP (<i>p</i> = 0.031) and 0.63 for p-NfL (<i>p</i> = 0.015). Kaplan-Meier curves showed similar patterns for both proteins.</p><p><strong>Conclusion: </strong>p-NfL emerged as a significant explanatory variable for worsening in Cox regression analysis, and p-GFAP did not. Both p-GFAP and p-NfL were related to worsening based on ROC curves.</p>","PeriodicalId":520714,"journal":{"name":"Multiple sclerosis (Houndmills, Basingstoke, England)","volume":" ","pages":"1685-1696"},"PeriodicalIF":5.8,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40348729","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"All anti-CD20 monoclonal antibodies have similar efficacy and risks: Commentary.","authors":"Ian Dimaandal, Jaime Imitola","doi":"10.1177/13524585221122219","DOIUrl":"https://doi.org/10.1177/13524585221122219","url":null,"abstract":"The progress in understanding the pathophysiology of multiple sclerosis (MS) by recognizing the role of B-cells has led to a paradigm shift in managing MS. The role of B-cells is supported by the detection of intrathecal immunoglobulins, brain-specific antibodies, B-cells in the meninges, and the cerebrospinal fluid in MS patients.1 In addition to the results of prospective trials targeting CD20, a non-glycosylated transmembrane protein is predominantly found on the surface of B-cells2 and recently identified in about 3%–5% of T-cells.3","PeriodicalId":520714,"journal":{"name":"Multiple sclerosis (Houndmills, Basingstoke, England)","volume":" ","pages":"1847-1848"},"PeriodicalIF":5.8,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40371107","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Adil Maarouf, Bertrand Audoin, Soraya Gherib, Mohamed Mounir El Mendili, Patrick Viout, Fanelly Pariollaud, Clémence Boutière, Audrey Rico, Maxime Guye, Jean-Philippe Ranjeva, Wafaa Zaaraoui, Jean Pelletier
{"title":"Grey-matter sodium concentration as an individual marker of multiple sclerosis severity.","authors":"Adil Maarouf, Bertrand Audoin, Soraya Gherib, Mohamed Mounir El Mendili, Patrick Viout, Fanelly Pariollaud, Clémence Boutière, Audrey Rico, Maxime Guye, Jean-Philippe Ranjeva, Wafaa Zaaraoui, Jean Pelletier","doi":"10.1177/13524585221102587","DOIUrl":"https://doi.org/10.1177/13524585221102587","url":null,"abstract":"Objective: Quantification of brain injury in patients with variable disability despite similar disease duration may be relevant to identify the mechanisms underlying disability in multiple sclerosis (MS). We aimed to compare grey-matter sodium abnormalities (GMSAs), a parameter reflecting neuronal and astrocyte dysfunction, in MS patients with benign multiple sclerosis (BMS) and non-benign multiple sclerosis (NBMS). Methods: We identified never-treated BMS patients in our local MS database of 1352 patients. A group with NBMS was identified with same disease duration. All participants underwent 23Na magnetic resonance imaging (MRI). The existence of GMSA was detected by statistical analysis. Results: In total, 102 individuals were included (21 BMS, 25 NBMS and 56 controls). GMSA was detected in 10 BMS and 19 NBMS (11/16 relapsing-remitting multiple sclerosis (RRMS) and 8/9 secondary progressive multiple sclerosis (SPMS) patients) (p = 0.05). On logistic regression including the presence or absence of GMSA, thalamic volume, cortical grey-matter volume and T2-weighted lesion load, thalamic volume was independently associated with BMS status (odds ratio (OR) = 0.64 for each unit). Nonetheless, the absence of GMSA was independently associated when excluding patients with significant cognitive alteration (n = 7) from the BMS group (OR = 4.6). Conclusion: Detection of GMSA in individuals and thalamic volume are promising to differentiate BMS from NBMS as compared with cortical or whole grey-matter atrophy and T2-weighted lesions.","PeriodicalId":520714,"journal":{"name":"Multiple sclerosis (Houndmills, Basingstoke, England)","volume":" ","pages":"1903-1912"},"PeriodicalIF":5.8,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40058299","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The value of patient-reported outcome measures for multiple sclerosis.","authors":"Marisa P McGinley, Brittany Lapin","doi":"10.1177/13524585221111675","DOIUrl":"https://doi.org/10.1177/13524585221111675","url":null,"abstract":"Clinical trials and regulatory agencies historically have focused on clinical outcomes including clinicianrated disability measures, biomarkers, and imaging. These outcomes often incompletely measure the experience of patients with their disease. To address these gaps, patient-reported outcome measures (PROMs) were developed to quantify the patient perspective. Although the unique benefit of PROMs has been appreciated there remains uncertainty regarding the interpretation and clinical impact of these measures.1","PeriodicalId":520714,"journal":{"name":"Multiple sclerosis (Houndmills, Basingstoke, England)","volume":" ","pages":"1489-1490"},"PeriodicalIF":5.8,"publicationDate":"2022-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9326853/pdf/nihms-1817851.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40632500","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Simon Thebault, Gauruv Bose, Ronald Booth, Mark S Freedman
{"title":"Serum neurofilament light in MS: The first true blood-based biomarker?","authors":"Simon Thebault, Gauruv Bose, Ronald Booth, Mark S Freedman","doi":"10.1177/1352458521993066","DOIUrl":"https://doi.org/10.1177/1352458521993066","url":null,"abstract":"<p><p>A simple blood-derived biomarker is desirable in the routine management of multiple sclerosis (MS) patients and serum neurofilament light chain (sNfL) is the most promising candidate. Although its utility was first shown in cerebrospinal fluid (CSF), technological advancements have enabled reliable detection in serum and less frequently plasma, obviating the need for repeated lumbar punctures. In this review, after defining the knowledge gap in MS management that many hope sNfL could fill, we summarize salient studies demonstrating associations of sNfL levels with outcomes of interest. We group these outcomes into inflammatory activity, progression, treatment response, and prediction/prognosis. Where possible we focus on data from real-world perspective observational cohorts. While acknowledging the limitations of sNfL and highlighting key areas for ongoing work, we conclude with our opinion of the role for sNfL as an objective, convenient, and cost-effective adjunct to clinical assessment. Paving the way for other promising biomarkers both blood-derived and otherwise, sNfL is an incremental step toward precision medicine for MS patients.</p>","PeriodicalId":520714,"journal":{"name":"Multiple sclerosis (Houndmills, Basingstoke, England)","volume":" ","pages":"1491-1497"},"PeriodicalIF":5.8,"publicationDate":"2022-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/1352458521993066","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25355177","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Eva Mm Strijbis, Pavle Repovic, Jop Mostert, James D Bowen, Bernard Mj Uitdehaag, Gary Cutter, Marcus W Koch
{"title":"The MSIS-29 and SF-36 as outcomes in secondary progressive MS trials.","authors":"Eva Mm Strijbis, Pavle Repovic, Jop Mostert, James D Bowen, Bernard Mj Uitdehaag, Gary Cutter, Marcus W Koch","doi":"10.1177/13524585221105465","DOIUrl":"https://doi.org/10.1177/13524585221105465","url":null,"abstract":"<p><strong>Background: </strong>Patient-reported outcome measures (PROMs) are often used in clinical research, but little is known about their performance as longitudinal outcomes.</p><p><strong>Methods: </strong>We used data from ASCEND, a large SPMS trial (<i>n</i> = 889), to investigate changes on the Short Form Health Survey 36 (SF-36 v2) and the Multiple Sclerosis Impact Scale (MSIS-29) over 2 years of follow-up.</p><p><strong>Results: </strong>PROM scores changed little over the 2 years of follow-up. In contrast to physical disability measures, there was no consistent trend in PROM change: significant worsening occurred about as often as improvement. Using a 6-month confirmation reduced the number of both worsening and improvement events without altering their relative balance. There was no clear difference in worsening events in groups based on population characteristics, nor was there a noticeable effect using different thresholds for clinically significant change.</p><p><strong>Conclusion: </strong>We found little consistent change in MSIS-29 and SF-36 over 2 years of follow-up in people with SPMS. Our findings show a disconnect between disability worsening and PROM change in this population. Our findings raise caution about the use of these PROMs as primary outcome measures in SPMS trials and call for a critical reappraisal of the longitudinal use of these measures in SPMS trials.</p>","PeriodicalId":520714,"journal":{"name":"Multiple sclerosis (Houndmills, Basingstoke, England)","volume":" ","pages":"1606-1619"},"PeriodicalIF":5.8,"publicationDate":"2022-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9315187/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40551907","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"It is imperative to reconsider the concept of seronegative NMOSD.","authors":"Romain Marignier","doi":"10.1177/13524585221111057","DOIUrl":"https://doi.org/10.1177/13524585221111057","url":null,"abstract":"","PeriodicalId":520714,"journal":{"name":"Multiple sclerosis (Houndmills, Basingstoke, England)","volume":" ","pages":"1654-1655"},"PeriodicalIF":5.8,"publicationDate":"2022-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40632499","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Therapy with mesenchymal stem cell transplantation in multiple sclerosis ready for prime time: Commentary.","authors":"Luca Peruzzotti-Jametti, Stefano Pluchino","doi":"10.1177/13524585221097958","DOIUrl":"https://doi.org/10.1177/13524585221097958","url":null,"abstract":"7. Petrou P, Kassis I, Levin N, et al. Beneficial effects of autologous mesenchymal stem cell transplantation in active progressive multiple sclerosis. Brain 2020; 143(12): 3574–3588. 8. Uccelli A, Laroni A, Ali R, et al. Safety, tolerability, and activity of mesenchymal stem cells versus placebo in multiple sclerosis (MESEMS): A phase 2, randomised, double-blind crossover trial. Lancet Neurol 2021; 20(11): 917–929.","PeriodicalId":520714,"journal":{"name":"Multiple sclerosis (Houndmills, Basingstoke, England)","volume":" ","pages":"1328-1329"},"PeriodicalIF":5.8,"publicationDate":"2022-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40470270","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Dimitrios Karussis, Ibrahim Kassis, Panayiota Petrou
{"title":"Therapy with mesenchymal stem cell transplantation in multiple sclerosis is ready for prime time: YES.","authors":"Dimitrios Karussis, Ibrahim Kassis, Panayiota Petrou","doi":"10.1177/13524585211062173","DOIUrl":"https://doi.org/10.1177/13524585211062173","url":null,"abstract":"Despite the development of highly efficient and more targeted immunotherapies for multiple sclerosis (MS), two major unmet needs still exist: (1) the need for treatment to suppress compartmentalized and meningeal inflammation in the central nervous system (CNS), which seems to drive the progression of disability1 and is less responsive to the majority of immunomodulatory drugs, and (2) the need for a treatment that may substantially promote regeneration-remyelination.","PeriodicalId":520714,"journal":{"name":"Multiple sclerosis (Houndmills, Basingstoke, England)","volume":" ","pages":"1324-1326"},"PeriodicalIF":5.8,"publicationDate":"2022-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40470269","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Emily Gibbons, Daniel Whittam, Kariem Elhadd, Maneesh Bhojak, Nitika Rathi, Shivaram Avula, Anu Jacob, Michael Griffiths, Saif Huda
{"title":"Progressive myelin oligodendrocyte glycoprotein-associated demyelination mimicking leukodystrophy.","authors":"Emily Gibbons, Daniel Whittam, Kariem Elhadd, Maneesh Bhojak, Nitika Rathi, Shivaram Avula, Anu Jacob, Michael Griffiths, Saif Huda","doi":"10.1177/13524585221090737","DOIUrl":"https://doi.org/10.1177/13524585221090737","url":null,"abstract":"<p><strong>Background: </strong>Myelin oligodendrocyte glycoprotein antibody-associated disease (MOGAD) may be associated with relapsing disease, but clinical progression independent of relapse activity is rare.</p><p><strong>Objectives: </strong>To report progressive disease in a patient with MOGAD.</p><p><strong>Methods: </strong>A single retrospective case report.</p><p><strong>Results: </strong>At 4 years of age, the patient had a single episode of acute disseminated encephalomyelitis. She remained well until age 17 years but over the next 9 years developed progressive spastic quadriparesis, cognitive and bulbar dysfunction. Brain imaging showed a leukodystrophy-like pattern of white matter abnormality with contrast enhancement at different time points. Myelin oligodendrocyte glycoprotein (MOG)-IgG was repeatedly positive by live cell-based assay.</p><p><strong>Conclusion: </strong>Secondary progression may be a rare presentation of MOG-IgG-associated disease.</p>","PeriodicalId":520714,"journal":{"name":"Multiple sclerosis (Houndmills, Basingstoke, England)","volume":" ","pages":"1481-1484"},"PeriodicalIF":5.8,"publicationDate":"2022-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40240576","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}