Sphingomyelin as a myelin biomarker in CSF of acquired demyelinating neuropathies

Abstract Fast, accurate and reliable methods to quantify the amount of myelin still lack, both in humans and experimental models. The overall objective of the present study was to demonstrate that sphingomyelin (SM) in the cerebrospinal fluid (CSF) of patients affected by demyelinating neuropathies...

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Autores principales: Giovanna Capodivento, Davide Visigalli, Martina Garnero, Roberto Fancellu, Michela Demetra Ferrara, Abdul Basit, Zeeshan Hamid, Vito Paolo Pastore, Silvano Garibaldi, Andrea Armirotti, Gianluigi Mancardi, Carlo Serrati, Elisabetta Capello, Angelo Schenone, Lucilla Nobbio
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Publicado: Nature Portfolio 2017
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Acceso en línea:https://doaj.org/article/9565e9d63f784317a3a29b6d115273b5
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spelling oai:doaj.org-article:9565e9d63f784317a3a29b6d115273b52021-12-02T16:07:44ZSphingomyelin as a myelin biomarker in CSF of acquired demyelinating neuropathies10.1038/s41598-017-08314-12045-2322https://doaj.org/article/9565e9d63f784317a3a29b6d115273b52017-08-01T00:00:00Zhttps://doi.org/10.1038/s41598-017-08314-1https://doaj.org/toc/2045-2322Abstract Fast, accurate and reliable methods to quantify the amount of myelin still lack, both in humans and experimental models. The overall objective of the present study was to demonstrate that sphingomyelin (SM) in the cerebrospinal fluid (CSF) of patients affected by demyelinating neuropathies is a myelin biomarker. We found that SM levels mirror both peripheral myelination during development and small myelin rearrangements in experimental models. As in acquired demyelinating peripheral neuropathies myelin breakdown occurs, SM amount in the CSF of these patients might detect the myelin loss. Indeed, quantification of SM in 262 neurological patients showed a significant increase in patients with peripheral demyelination (p = 3.81 * 10 − 8) compared to subjects affected by non-demyelinating disorders. Interestingly, SM alone was able to distinguish demyelinating from axonal neuropathies and differs from the principal CSF indexes, confirming the novelty of this potential CSF index. In conclusion, SM is a specific and sensitive biomarker to monitor myelin pathology in the CSF of peripheral neuropathies. Most importantly, SM assay is simple, fast, inexpensive, and promising to be used in clinical practice and drug development.Giovanna CapodiventoDavide VisigalliMartina GarneroRoberto FancelluMichela Demetra FerraraAbdul BasitZeeshan HamidVito Paolo PastoreSilvano GaribaldiAndrea ArmirottiGianluigi MancardiCarlo SerratiElisabetta CapelloAngelo SchenoneLucilla NobbioNature PortfolioarticleMedicineRScienceQENScientific Reports, Vol 7, Iss 1, Pp 1-9 (2017)
institution DOAJ
collection DOAJ
language EN
topic Medicine
R
Science
Q
spellingShingle Medicine
R
Science
Q
Giovanna Capodivento
Davide Visigalli
Martina Garnero
Roberto Fancellu
Michela Demetra Ferrara
Abdul Basit
Zeeshan Hamid
Vito Paolo Pastore
Silvano Garibaldi
Andrea Armirotti
Gianluigi Mancardi
Carlo Serrati
Elisabetta Capello
Angelo Schenone
Lucilla Nobbio
Sphingomyelin as a myelin biomarker in CSF of acquired demyelinating neuropathies
description Abstract Fast, accurate and reliable methods to quantify the amount of myelin still lack, both in humans and experimental models. The overall objective of the present study was to demonstrate that sphingomyelin (SM) in the cerebrospinal fluid (CSF) of patients affected by demyelinating neuropathies is a myelin biomarker. We found that SM levels mirror both peripheral myelination during development and small myelin rearrangements in experimental models. As in acquired demyelinating peripheral neuropathies myelin breakdown occurs, SM amount in the CSF of these patients might detect the myelin loss. Indeed, quantification of SM in 262 neurological patients showed a significant increase in patients with peripheral demyelination (p = 3.81 * 10 − 8) compared to subjects affected by non-demyelinating disorders. Interestingly, SM alone was able to distinguish demyelinating from axonal neuropathies and differs from the principal CSF indexes, confirming the novelty of this potential CSF index. In conclusion, SM is a specific and sensitive biomarker to monitor myelin pathology in the CSF of peripheral neuropathies. Most importantly, SM assay is simple, fast, inexpensive, and promising to be used in clinical practice and drug development.
format article
author Giovanna Capodivento
Davide Visigalli
Martina Garnero
Roberto Fancellu
Michela Demetra Ferrara
Abdul Basit
Zeeshan Hamid
Vito Paolo Pastore
Silvano Garibaldi
Andrea Armirotti
Gianluigi Mancardi
Carlo Serrati
Elisabetta Capello
Angelo Schenone
Lucilla Nobbio
author_facet Giovanna Capodivento
Davide Visigalli
Martina Garnero
Roberto Fancellu
Michela Demetra Ferrara
Abdul Basit
Zeeshan Hamid
Vito Paolo Pastore
Silvano Garibaldi
Andrea Armirotti
Gianluigi Mancardi
Carlo Serrati
Elisabetta Capello
Angelo Schenone
Lucilla Nobbio
author_sort Giovanna Capodivento
title Sphingomyelin as a myelin biomarker in CSF of acquired demyelinating neuropathies
title_short Sphingomyelin as a myelin biomarker in CSF of acquired demyelinating neuropathies
title_full Sphingomyelin as a myelin biomarker in CSF of acquired demyelinating neuropathies
title_fullStr Sphingomyelin as a myelin biomarker in CSF of acquired demyelinating neuropathies
title_full_unstemmed Sphingomyelin as a myelin biomarker in CSF of acquired demyelinating neuropathies
title_sort sphingomyelin as a myelin biomarker in csf of acquired demyelinating neuropathies
publisher Nature Portfolio
publishDate 2017
url https://doaj.org/article/9565e9d63f784317a3a29b6d115273b5
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