Pulse Brain · Growing Health Evidence Index
Tier 4 — Narrative / commentaryPeer-reviewed

Fluid biomarkers in multiple sclerosis: from current to future applications

Massimiliano Di Filippo, Lorenzo Gaetani, Diego Centonze, Harald Hegen, Jens Kühle, Charlotte E. Teunissen, Mar Tintoré, Luisa María Villar, Eline Willemse, Henrik Zetterberg, Lucilla Parnetti

The Lancet Regional Health - Europe · 2024

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Summary

This Series article synthesises current knowledge on fluid biomarkers (CSF and blood) in multiple sclerosis, examining their role in disease diagnosis, prognosis prediction, and treatment monitoring. The authors highlight recent advances in detecting brain-derived proteins in blood as enablers of efficient longitudinal monitoring, whilst identifying practical challenges and offering recommendations for optimising their clinical utility and enabling personalised patient management.

Regional applicability

This is a clinical neurochemistry review with international scope; whilst not UK-specific, the recommendations on biomarker implementation would be applicable to UK clinical practice and NHS MS services seeking to adopt these paraclinical tools.

Key measures

CSF biomarkers; blood biomarkers; brain-derived proteins; MRI findings; disease relapse risk; disability accrual

Outcomes reported

The article reviews cerebrospinal fluid and blood biomarkers for MS diagnosis, prognosis, disease monitoring and treatment guidance. It discusses advances in detecting brain-derived proteins in blood and identifies challenges in real-world clinical application.

Theme
Measurement & metrics
Subject
Out of scope / non-food
Study type
Narrative Review
Study design
Narrative review
Source type
Peer-reviewed study
Status
Published
System type
Human clinical
DOI
10.1016/j.lanepe.2024.101009
Catalogue ID
SNmq64dfff-blpouu

Topic tags

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