“…Some proteins, such as transthyretin, apolipoprotein A-IV, vitamin D-binding protein, and haptoglobin, which were differentially regulated in the CSF of our GBS patients vs. controls, have been reported to be expressed in the CSF of patients with very different diseases, which range from neuromyelitis optica, a severe inflammatory CNS disease (transthyretin and vitamin D-binding protein [3]), and viral meningitis or multiple sclerosis (vitamin Dbinding protein [21]), to non-overtly-inflammatory CNS diseases, such as temporal lobe epilepsy (vitamin D-binding protein [32]), lumbar disk herniation (apolipoprotein A-IV and vitamin D-binding protein [23]), Alzheimer disease (transthyretin [26,11]), and amyotrophic lateral sclerosis (transthyretin [25]). As a result, it is likely that the relative-to-total-protein CSF concentration of these proteins is non-specifically influenced by very different neurological pathologies, and therefore it is very unlikely that they can be used as biomarkers in GBS.…”