Dimethyl fumarate decreases neurofilament light chain in CSF and blood of treatment naive relapsing MS patients
Dimethyl fumarate decreases neurofilament light chain in CSF and blood of treatment naive relapsing MS patients
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DOI:
10.1136/jnnp-2019-321321
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发表时间:
2019-12-01
影响因子:
11
通讯作者:
Illes, Zsolt
中科院分区:
文献类型:
--
作者:
Sejbaek, Tobias;Nielsen, Helle Hvilsted;Illes, Zsolt
Objectives In a prospective phase IV trial of the first-line oral treatment dimethyl fumarate (DMF), we examined dynamics of neurofilament light (NFL) chain in serum, plasma and cerebrospinal fluid (CSF) samples collected over 12 months from relapsing-remitting multiple sclerosis (RRMS) patients. NFL changes were related to disease activity.Methods We examined NFL levels by single-molecule array in 88 CSF, 348 plasma and 131 sera from treatment-naive RRMS patients (n=52), healthy controls (n=23) and a placebo group matched by age, sex and NFL (n=52). Plasma/sera were collected at baseline, and 1, 3, 6 and 12 months after DMF. CSF samples were collected at baseline and 12 months after DMF.Results NFL concentration in CSF, plasma and serum correlated highly (p