Cerebrospinal fluid biomarkers in multiple sclerosis

Hayrettin Tumani, Hans Peter Hartung, Bernhard Hemmer, Charlotte Teunissen, Florian Deisenhammer, Gavin Giovannoni, Uwe K. Zettl

Research output: Contribution to journalReview articlepeer-review

95 Scopus citations

Abstract

In patients with multiple sclerosis (MS) intensive efforts are directed at identifying biomarkers in bodily fluids related to underlying disease mechanisms, disease activity and progression, and therapeutic response. Besides MR imaging parameters cerebrospinal fluid (CSF) biomarkers provide important and specific information since changes in the CSF composition may reflect disease mechanisms inherent to MS. The different cellular and protein-analytical methods of the CSF and the recommended standard of the diagnostic CSF profile in MS are described. A brief update on possible CSF biomarkers that might reflect key pathological processes of MS such as inflammation, demyelination, neuroaxonal loss, gliosis and regeneration is provided.

Original languageEnglish
Pages (from-to)117-127
Number of pages11
JournalNeurobiology of Disease
Volume35
Issue number2
DOIs
StatePublished - Aug 2009

Keywords

  • Axonal damage
  • Biomarker
  • Blood-CSF barrier
  • Blood-brain barrier
  • Cerebrospinal fluid
  • Clinically isolated syndrome
  • Demyelination
  • Glial activation
  • Multiple sclerosis
  • Remyelination

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