多发性硬化症的体液标志物以及与非典型脱髓鞘疾病的鉴别诊断。

IF 3.9 3区 医学 Q1 PATHOLOGY Expert Review of Molecular Diagnostics Pub Date : 2024-04-01 Epub Date: 2024-03-27 DOI:10.1080/14737159.2024.2334849
Angelika Bauer, Harald Hegen, Markus Reindl
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引用次数: 0

摘要

导言体液标志物有助于预测中枢神经系统(CNS)首次出现脱髓鞘症状的患者是否会转变为临床明确的多发性硬化症(MS)。因此,已纳入现行多发性硬化症诊断标准的寡克隆带等生物标志物有助于早期诊断多发性硬化症:本综述研究了首次中枢神经系统脱髓鞘事件患者体液标志物的现有知识,探讨了这些标志物在预测多发性硬化症转归、评估多发性硬化症疾病活动性方面的潜力,以及它们在区分多发性硬化症与非典型脱髓鞘疾病(如神经性脊髓炎视网膜谱系障碍和髓鞘少突胶质细胞糖蛋白相关疾病)方面的效用:这一研究领域的证据急剧增加,尤其是在过去十年中。一些生物标志物已在临床常规中确立(如少克隆带),而另一些生物标志物目前正在实施(如 kappa 游离轻链)或被视为突破性成果(如神经丝光)。生物标记物的确定给持续监测带来了挑战,特别是如果只能在脑脊液中检测到生物标记物。少数几种生物标志物可在血液中测量,具有很大的潜力。
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Body fluid markers for multiple sclerosis and differential diagnosis from atypical demyelinating disorders.

Introduction: Body fluid markers could be helpful to predict the conversion into clinically definite multiple sclerosis (MS) in people with a first demyelinating event of the central nervous system (CNS). Consequently, biomarkers such as oligoclonal bands, which are integrated in the current MS diagnostic criteria, could assist early MS diagnosis.

Areas covered: This review examines existing knowledge on a broad spectrum of body fluid markers in people with a first CNS demyelinating event, explores their potential to predict conversion to MS, to assess MS disease activity, as well as their utility to differentiate MS from atypical demyelinating disorders such as neuromyelitis optica spectrum disorder and myelin oligodendrocyte glycoprotein associated disease.

Expert opinion: This field of research has shown a dramatic increase of evidence, especially in the last decade. Some biomarkers are already established in clinical routine (e.g. oligoclonal bands) while others are currently implemented (e.g. kappa free light chains) or considered as breakthroughs (e.g. neurofilament light). Determination of biomarkers poses challenges for continuous monitoring, especially if exclusively detectable in cerebrospinal fluid. A handful of biomarkers are measurable in blood which holds a significant potential.

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来源期刊
CiteScore
6.60
自引率
0.00%
发文量
71
审稿时长
1 months
期刊介绍: Expert Review of Molecular Diagnostics (ISSN 1473-7159) publishes expert reviews of the latest advancements in the field of molecular diagnostics including the detection and monitoring of the molecular causes of disease that are being translated into groundbreaking diagnostic and prognostic technologies to be used in the clinical diagnostic setting. Each issue of Expert Review of Molecular Diagnostics contains leading reviews on current and emerging topics relating to molecular diagnostics, subject to a rigorous peer review process; editorials discussing contentious issues in the field; diagnostic profiles featuring independent, expert evaluations of diagnostic tests; meeting reports of recent molecular diagnostics conferences and key paper evaluations featuring assessments of significant, recently published articles from specialists in molecular diagnostic therapy. Expert Review of Molecular Diagnostics provides the forum for reporting the critical advances being made in this ever-expanding field, as well as the major challenges ahead in their clinical implementation. The journal delivers this information in concise, at-a-glance article formats: invaluable to a time-constrained community.
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