2019
DOI: 10.3390/ijms20112759
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Are Circulating Cytokines Reliable Biomarkers for Amyotrophic Lateral Sclerosis?

Abstract: Amyotrophic lateral sclerosis (ALS) is a fatal neurodegenerative disease that has no effective treatment. The lack of any specific biomarker that can help in the diagnosis or prognosis of ALS has made the identification of biomarkers an urgent challenge. Multiple panels have shown alterations in levels of numerous cytokines in ALS, supporting the contribution of neuroinflammation to the progressive motor neuron loss. However, none of them is fully sensitive and specific enough to become a universal biomarker f… Show more

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Cited by 36 publications
(36 citation statements)
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“…24 While plasma MCP-1, IL-18, and sTREM2 are higher in the fast-progression groups, IL-15 in plasma shows the opposite trend, likely reflecting the complexity of adaptive immune system regulation depending on disease stage. 6,32,36 This report is the first to analyze a comprehensive panel of cytokines in longitudinal PALS CSF samples. We demonstrate the general stability of MCP-1 and IL-18 levels in both CSF and plasma over the course of disease.…”
Section: Discussionmentioning
confidence: 99%
“…24 While plasma MCP-1, IL-18, and sTREM2 are higher in the fast-progression groups, IL-15 in plasma shows the opposite trend, likely reflecting the complexity of adaptive immune system regulation depending on disease stage. 6,32,36 This report is the first to analyze a comprehensive panel of cytokines in longitudinal PALS CSF samples. We demonstrate the general stability of MCP-1 and IL-18 levels in both CSF and plasma over the course of disease.…”
Section: Discussionmentioning
confidence: 99%
“…Among the mechanisms involved in neuronal death, neuroinflammation is one of the most established factors. ALS patients present alterations in levels of a range of pro-inflammatory cytokines in the cerebrospinal fluid (Mitchell et al, 2009;Moreno-Martinez et al, 2019), as well as increased rates of reactive cerebral microglial cells (Turner et al, 2004). Depending on the stage of the disease, reactive microglia with protective or cytotoxic properties is found, demonstrating the complexity of neuroinflammation in this disorder (Evans et al, 2013).…”
Section: Amyotrophic Lateral Sclerosismentioning
confidence: 99%
“…However, only a small number of microglial factors have been directly shown to confer neuroprotection in models of ALS. Several microglia-related cytokines associated with neuroprotection including IL-4, IL-10 and G-CSF have been reported to be altered in ALS patients and models ( Jeyachandran et al , 2015 ; Lu et al , 2016 ; Moreno-Martinez et al , 2019 a , b ). Lentiviral delivery of IL-4 before the onset of disease in mSOD1 mice increased expression of other reportedly neuroprotective genes including Arg1 , Retnla (Fizz1) and Chil3 (Ym1) and decreased genes associated with neurotoxicity including Tnfa , Ifng and Il1b ( Rossi et al , 2018 ).…”
Section: Microglial Molecular Changes In Alsmentioning
confidence: 99%