Highlights
- •Patients with NMOSD had significantly higher CSF YKL-40 levels.
- •CSF YKL-40 positively correlated with the expanded disability status scale scores.
- •YKL-40 could be a severity biomarker and a potential target for NMOSD treatment.
Abstract
Background
Neuromyelitis optica spectrum disorders (NMOSD) is a severe immune-mediated inflammatory
central nervous system (CNS) syndrome. YKL-40, as a new inflammatory marker, has been
studied in many autoimmunity and CNS diseases. Our aim of this study was to investigate
cerebrospinal fluid (CSF) and serum YKL-40 levels in patients with NMOSD and their
association with disease severity.
Methods
We measured CSF and serum YKL-40 levels in 29 patients with NMOSD and 21 age- and
sex-matched controls. We analyzed the associations between CSF YKL-40 levels and the
clinical variables of NMOSD.
Results
Compared to controls, patients with NMOSD had significantly higher CSF YKL-40 levels.
Moreover, CSF YKL-40 levels were positively correlated with the Expanded Disability
Status Scale scores.
Conclusions
YKL-40 could be a NMOSD severity biomarker and a potential target for NMOSD treatment.
Keywords
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Article info
Publication history
Published online: July 11, 2020
Accepted:
July 11,
2020
Received in revised form:
July 5,
2020
Received:
April 11,
2020
Identification
Copyright
© 2020 Elsevier B.V. All rights reserved.