Intrathecal chitotriosidase activity as a potential biomarker of disease progression in patients with multiple sclerosis

Autor: Lapić, Ivana, Zaninović, Ljiljana, Vogrinc, Željka, Trbojević-Čepe, Milica
Přispěvatelé: Šimundić, Ana-Maria
Rok vydání: 2015
Předmět:
Popis: Introduction: Multiple sclerosis (MS), as an immune-mediated inflammatory disease, is characterized by the activation of resident macrophages in the central nervous system. Chitotriosidase activity is considered to be a biochemical marker of macrophage activation. The aim of our study was to assess the correlation of intrathecal chitotriosidase activity with the extent of disability symptoms in patients suffering from MS. Subjects and Methods: The study included 170 MS patients classified into two groups according to the severity of neurological disability. Chitotriosidase activity in cerebrospinal fluid and serum samples was determined by measuring the enzymatic hydrolysis product 4-methylumbelliferone fluorimetrically at specified excitation (365 nm) and emission (450 nm) wavelengths. Chitotriosidase ratio (CSF Chit/Serum Chit) was used as the indicator of intrathecal rather than peripheral activity. Statistical analysis was performed using MedCalc and non-parametric Mann-Whitney test was used to assess differences between groups. Results: The median of chitotriosidase activity ratio was 0.10 (95%CI 0.09-0.11) in the group of patients with minimal disability or abnormal neurological signs and 1.18 (95%CI 0.95-1.29) in patients experiencing moderate or severe disability, showing statistically significant difference (P
Databáze: OpenAIRE