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Identifying Biomarkers for Remyelination and Recovery in Multiple Sclerosis: A Measure of Progress

Vito A G Ricigliano,Silvia Marenna, Serena Borrelli,Valentina Camera, Edgar Carnero Contentti, Natalia Szejko,Christos Bakirtzis,Sanja Gluscevic,Sara Samadzadeh,Hans-Peter Hartung,Krzysztof Selmaj,Bruno Stankoff,Giancarlo Comi, Ecf Young InvestigatorsFellows Initiative

Biomedicines(2025)

Neurology Department | Nuffield Departement of Clinical Neuroscience | Neuroimmunology Unit | Department of Clinical Neurosciences | Neurology Clinic | Brain and Mind Center | Department of Neurology | Department of Neurorehabilitation Sciences

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Abstract
Background: Multiple sclerosis (MS) pathology is characterized by acute and chronic inflammation, demyelination, axonal injury, and neurodegeneration. After decades of research into MS-related degeneration, recent efforts have shifted toward recovery and the prevention of further damage. A key area of focus is the remyelination process, where researchers are studying the effects of pharmacotherapy on myelin repair mechanisms. Multiple compounds are being tested for their potential to foster remyelination in different clinical settings through the application of less or more complex techniques to assess their efficacy. Objective: To review current methods and biomarkers to track myelin regeneration and recovery over time in people with MS (PwMS), with potential implications for promyelinating drug testing. Methods: Narrative review, based on a selection of PubMed articles discussing techniques to measure in vivo myelin repair and functional recovery in PwMS. Results: Non-invasive tools, such as structural Magnetic Resonance Imaging (MRI) and Positron Emission Tomography (PET), are being implemented to track myelin repair, while other techniques like evoked potentials, functional MRI, and digital markers allow the assessment of functional recovery. These methods, alone or in combination, have been employed to obtain precise biomarkers of remyelination and recovery in various clinical trials on MS. Conclusions: Combining different techniques to identify myelin restoration in MS could yield novel biomarkers, enhancing the accuracy of clinical trial outcomes for remyelinating therapies in PwMS.
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multiple sclerosis,remyelination,recovery,biomarkers
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要点】:本文综述了目前跟踪多发性硬化症(MS)患者髓鞘再生和恢复的方法及生物标志物,旨在提高促进髓鞘再生药物测试的准确性。

方法】:采用叙事性回顾的方式,基于PubMed上讨论在MS患者中测量活体髓鞘修复和功能恢复技术的文章。

实验】:文章未具体描述实验,但提到了多种技术在临床试验中的应用,如结构磁共振成像(MRI)、正电子发射断层扫描(PET)、诱发电位、功能性MRI和数字标记等,未提及具体的数据集名称。结果指出,这些方法单独或联合使用,已被用于获取MS中髓鞘再生和恢复的精确生物标志物。