Evidence map›Paper›PMID 38880880›Full record

ArticleClinical proteomics2024

Identification of brain-enriched proteins in CSF as biomarkers of relapsing remitting multiple sclerosis.

Lincoln I Wurtz, Evdokiya Knyazhanskaya, Dorsa Sohaei, Ioannis Prassas, Sean Pittock, Maria Alice V Willrich, Ruba Saadeh, Ruchi Gupta, Hunter J Atkinson, Diane Grill and 5 more

Abstract read
In one paragraph

Article in Clinical proteomics, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

15 authors.

Lincoln I WurtzMedical Scientist Training Program, Mayo Clinic, Rochester, MN, USA.
Evdokiya KnyazhanskayaMayo Clinic Alix School of Medicine, Mayo Clinic, Rochester, MN, USA.
Dorsa SohaeiDepartment of Laboratory Medicine and Pathobiology, University of Toronto, Toronto, Canada.
Ioannis PrassasMount Sinai Hospital, Toronto, Canada.
Sean PittockDepartment of Neurology, Mayo Clinic, Rochester, MN, USA.
Maria Alice V WillrichDepartment of Laboratory Medicine and Pathology, Mayo Clinic, Rochester, MN, USA.
Ruba SaadehDepartment of Laboratory Medicine and Pathology, Mayo Clinic, Rochester, MN, USA.
Ruchi GuptaDepartment of Quantitative Health Sciences, Mayo Clinic, Rochester, MN, USA.
Hunter J AtkinsonDepartment of Quantitative Health Sciences, Mayo Clinic, Rochester, MN, USA.
Diane GrillDepartment of Quantitative Health Sciences, Mayo Clinic, Rochester, MN, USA.
Martin StengelinMeso Scale Diagnostics, LLC. (MSD), Rockville, MD, USA.
Simon ThebaultDepartment of Medicine and The Ottawa Research Institute, Ottawa, Canada.
Mark S FreedmanDepartment of Medicine and The Ottawa Research Institute, Ottawa, Canada.
Eleftherios P DiamandisLunenfeld-Tanenbaum Research Institute (LTRI), Sinai Health System, Toronto, Canada.
Isobel A ScarisbrickCenter for Multiple Sclerosis and Autoimmune Neurology, Mayo Clinic, Rochester, MN, USA. Scarisbrick.Isobel@mayo.edu.

Funding

MSTP at Mayo Clinic RochesterT32GM145408 · NIGMS · MAYO CLINIC ROCHESTER · PI SCOTT H KAUFMANN, LISA A SCHIMMENTI · 2023 to 2026
$4.7M
National Institute of Health T32GM145408National Multiple Sclerosis Society RG-1901-332090NIGMS NIH HHS T32 GM145408
6 · The paper itself

Abstract

backgroundMultiple sclerosis (MS) is a clinically and biologically heterogenous disease with currently unpredictable progression and relapse. After the development and success of neurofilament as a cerebrospinal fluid (CSF) biomarker, there is reinvigorated interest in identifying other markers of or contributors to disease. The objective of this study is to probe the predictive potential of a panel of brain-enriched proteins on MS disease progression and subtype.

methodsThis study includes 40 individuals with MS and 14 headache controls. The MS cohort consists of 20 relapsing remitting (RR) and 20 primary progressive (PP) patients. The CSF of all individuals was analyzed for 63 brain enriched proteins using a method of liquid-chromatography tandem mass spectrometry. Wilcoxon rank sum test, Kruskal-Wallis one-way ANOVA, logistic regression, and Pearson correlation were used to refine the list of candidates by comparing relative protein concentrations as well as relation to known imaging and molecular biomarkers.

resultsWe report 30 proteins with some relevance to disease, clinical subtype, or severity. Strikingly, we observed widespread protein depletion in the disease CSF as compared to control. We identified numerous markers of relapsing disease, including KLK6 (kallikrein 6, OR = 0.367, p < 0.05), which may be driven by active disease as defined by MRI enhancing lesions. Other oligodendrocyte-enriched proteins also appeared at reduced levels in relapsing disease, namely CNDP1 (carnosine dipeptidase 1), LINGO1 (leucine rich repeat and Immunoglobin-like domain-containing protein 1), MAG (myelin associated glycoprotein), and MOG (myelin oligodendrocyte glycoprotein). Finally, we identified three proteins-CNDP1, APLP1 (amyloid beta precursor like protein 1), and OLFM1 (olfactomedin 1)-that were statistically different in relapsing vs. progressive disease raising the potential for use as an early biomarker to discriminate clinical subtype.

conclusionsWe illustrate the utility of targeted mass spectrometry in generating potential targets for future biomarker studies and highlight reductions in brain-enriched proteins as markers of the relapsing remitting disease stage.

Indexed as

BiomarkersCSFMultiple sclerosisProteomics

Identifiers

PMID38880880
PMCPMC11181608

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.