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Published in: Neurological Sciences 10/2020

01-10-2020 | Amyotrophic Lateral Sclerosis | Original Article

Cerebrospinal fluid MFG-E8 as a promising biomarker of amyotrophic lateral sclerosis

Authors: Biying Yang, Yongshun Wu, Yihao Wang, Huili Yang, Baoxin Du, Wei Di, Xiaotian Xu, Xiaolei Shi

Published in: Neurological Sciences | Issue 10/2020

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Abstract

Introduction

Amyotrophic lateral sclerosis (ALS) is a fatal progressive neurodegenerative disease resulting in the dysfunction of upper and lower motor neurons. Biomarkers in fluid have been used to monitor the disease and its progression. Milk fat globule-EGF factor 8 (MFG-E8) is an inflammation modulator, which is involved in the pathogenesis of neurodegenerative diseases. We here took this study to evaluate the predictive value of MFG-E8 in ALS.

Methods

This study consisted of 19 patients with ALS and 15 healthy controls. Cerebrospinal fluid (CSF) were collected from all participants and tested for the levels of MFG-E8, neurofilament light (NFL), and heavy chain (NFH). The correlations between MFG-E8 and NFL, NFH, ALS severity, cognitive status, and forced vital capacity (FVC) were analyzed.

Results

We found that MFG-E8 performs well in distinguishing ALS from controls, with relatively higher level of MFG-E8 in ALS subjects, than controls. Moreover, MFG-E8 negatively correlated with the revised ALS function rating scale (ALS-FRS), but not with the levels of NFL and NFH, disease duration, progression rate, mini-mental state examination (MMSE), and FVC.

Conclusions

The study proved that CSF MFG-E8 helps distinguish ALS from controls. However, the protein in CSF negatively predicted disease severity.
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Metadata
Title
Cerebrospinal fluid MFG-E8 as a promising biomarker of amyotrophic lateral sclerosis
Authors
Biying Yang
Yongshun Wu
Yihao Wang
Huili Yang
Baoxin Du
Wei Di
Xiaotian Xu
Xiaolei Shi
Publication date
01-10-2020
Publisher
Springer International Publishing
Published in
Neurological Sciences / Issue 10/2020
Print ISSN: 1590-1874
Electronic ISSN: 1590-3478
DOI
https://doi.org/10.1007/s10072-020-04416-3

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