PMID- 29108879 OWN - NLM STAT- MEDLINE DCOM- 20171204 LR - 20171214 IS - 1096-0945 (Electronic) IS - 0014-4800 (Linking) VI - 103 IP - 3 DP - 2017 Dec TI - Remyelination modulators in multiple sclerosis patients. PG - 237-241 LID - S0014-4800(17)30311-8 [pii] LID - 10.1016/j.yexmp.2017.11.004 [doi] AB - Multiple Sclerosis (MS) is a complex autoimmune neuro-inflammatory disorder characterized by persistent MS plaques in the central nervous system. Resolution of MS plaques is dependent on the remyelination competence of surviving oligodendrocytes and surrounding environment. Here, we assessed myelination modulators in a 100 MS patients against 77 healthy controls. Plasma fractions were used for the assessment of insulin growth factor binding protein1 (IGFBP1), brain-derived neurotrophic factor (BDNF), and lipocalin2 (LCN2) using a Luminex multiplex assay, whereas neurofilament light chain (NF-L) was assessed with an enzyme-linked immunosorbent assay. Circulating levels of IGFBP1, LCN2 and NF-L were significantly higher in MS patients (p<0.01). Whereas BDNF levels were significantly lower in MS patients (p=0.014). MS Female patients had significantly higher levels of IGFBP1 compared to male MS patients (p=0.006). MS patients treated with fingolimod had higher LCN2 levels compared to those on natalizumab (r=0.25, p=0.03). Higher NF-L levels associated with clinically isolated syndrome's (CIS) conversion into MS (p=0.002). We conclude that low BDNF and high LCN2 and NF-L levels are associated with MS pathogenesis, and high IGFBP1level is a biomarker for female MS only, suggesting different MS progression pathways between the sexes. LCN2 is a candidate predictor of response to natalizumab treatment, and NF-L is a candidate predictor of CIS conversion into MS. CI - Copyright (c) 2017 Elsevier Inc. All rights reserved. FAU - Al-Temaimi, Rabeah AU - Al-Temaimi R AD - Human Genetics Unit, Department of Pathology, Faculty of Medicine, Kuwait University, Jabriya, Kuwait. Electronic address: rabeah@hsc.edu.kw. FAU - AbuBaker, Jehad AU - AbuBaker J AD - Biochemistry and Molecular Biology Unit Dasman Diabetes Institute, Kuwait City, Kuwait. Electronic address: jehad.abubakr@dasmaninstitute.org. FAU - Al-Khairi, Irina AU - Al-Khairi I AD - Biochemistry and Molecular Biology Unit Dasman Diabetes Institute, Kuwait City, Kuwait. Electronic address: irina.alkhairi@dasmaninstitute.org. FAU - Alroughani, Raed AU - Alroughani R AD - Division of Neurology, Department of Medicine, Amiri Hopsital, Sharq, Kuwait. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20171108 PL - Netherlands TA - Exp Mol Pathol JT - Experimental and molecular pathology JID - 0370711 RN - 0 (Biomarkers) RN - 0 (Brain-Derived Neurotrophic Factor) RN - 0 (IGFBP1 protein, human) RN - 0 (Insulin-Like Growth Factor Binding Protein 1) RN - 0 (LCN2 protein, human) RN - 0 (Lipocalin-2) RN - 0 (Natalizumab) RN - 0 (Neurofilament Proteins) RN - 0 (neurofilament protein L) RN - G926EC510T (Fingolimod Hydrochloride) SB - IM MH - Adult MH - Biomarkers/blood MH - Brain-Derived Neurotrophic Factor/*blood MH - Demyelinating Diseases/blood/drug therapy/physiopathology MH - Female MH - Fingolimod Hydrochloride/administration & dosage MH - Humans MH - Insulin-Like Growth Factor Binding Protein 1/*blood MH - Lipocalin-2/*blood MH - Male MH - Middle Aged MH - Multiple Sclerosis/*blood/drug therapy/physiopathology MH - Natalizumab/administration & dosage MH - Neurofilament Proteins/*blood MH - Remyelination/drug effects MH - Sex Characteristics OTO - NOTNLM OT - Brain-derived neurotrophic factor OT - Insulin growth factor binding protein 1 OT - Lipocalin 2 OT - Multiple sclerosis OT - Neurofilament light chain EDAT- 2017/11/08 06:00 MHDA- 2017/12/05 06:00 CRDT- 2017/11/08 06:00 PHST- 2017/06/01 00:00 [received] PHST- 2017/09/03 00:00 [revised] PHST- 2017/11/01 00:00 [accepted] PHST- 2017/11/08 06:00 [pubmed] PHST- 2017/12/05 06:00 [medline] PHST- 2017/11/08 06:00 [entrez] AID - S0014-4800(17)30311-8 [pii] AID - 10.1016/j.yexmp.2017.11.004 [doi] PST - ppublish SO - Exp Mol Pathol. 2017 Dec;103(3):237-241. doi: 10.1016/j.yexmp.2017.11.004. Epub 2017 Nov 8.