eprintid: 10051550 rev_number: 37 eprint_status: archive userid: 608 dir: disk0/10/05/15/50 datestamp: 2018-11-22 17:45:59 lastmod: 2021-10-04 00:52:14 status_changed: 2018-11-22 17:45:59 type: article metadata_visibility: show creators_name: Novakova, L creators_name: Singh, AK creators_name: Axelsson, M creators_name: Ståhlman, M creators_name: Adiels, M creators_name: Malmeström, C creators_name: Zetterberg, H creators_name: Borén, J creators_name: Lycke, J creators_name: Cardell, SL creators_name: Blomqvist, M title: Sulfatide isoform pattern in cerebrospinal fluid discriminates progressive MS from relapsing‐remitting MS ispublished: pub divisions: UCL divisions: B02 divisions: C07 divisions: D07 divisions: F86 keywords: axonal loss, biomarkers, cerebrospinal fluid, demyelination, inflammation, mass spectrometry, multiple sclerosis, sulfatide note: This version is the author accepted manuscript. For information on re-use, please refer to the publisher’s terms and conditions. abstract: Multiple sclerosis (MS) is an inflammatory demyelinating disease of the central nervous system (CNS). Several biomarkers including proteins and lipids have been reported in MS cerebrospinal fluid (CSF), reflecting different aspects of the pathophysiology particularly of relapsing‐remitting MS (RRMS). Sulfatide, abundant in the myelin sheath and a proposed target for autoimmune attack in MS, has been reported altered in MS CSF. Here, we investigated the potential of CSF sulfatide and its isoforms as biomarkers in MS. A highly sensitive and quantitative mass spectrometry method was employed to determine levels of sulfatide isoforms in CSF from RRMS and progressive MS (PMS) patients, and healthy donors (HD). We demonstrate that levels of total CSF sulfatide and C24:1, C26:1, and C26:1‐OH isoforms were significantly increased in PMS compared with RRMS patients and HD, while C23:0‐OH was significantly decreased in CSF from PMS patients compared to the other two groups. Multivariate discriminant analysis showed that CSF sulfatide isoform pattern in PMS patients was distinct and non‐overlapping with that of RRMS patients and HD. Sulfatide levels did not correlate with tested biomarkers or clinical parameters. The results suggest that CSF sulfatide isoform levels may be used to discriminate the phenotype of MS and might play a role in the progression of the disease. date: 2018-08 date_type: published publisher: WILEY official_url: https://doi.org/10.1111/jnc.14452 oa_status: green full_text_type: other language: eng primo: open primo_central: open_green verified: verified_manual elements_id: 1553519 doi: 10.1111/jnc.14452 lyricists_name: Zetterberg, Henrik lyricists_id: HZETT94 actors_name: Allington-Smith, Dominic actors_id: DAALL44 actors_role: owner full_text_status: public publication: Journal of Neurochemistry volume: 146 number: 3 pagerange: 322-332 pages: 11 issn: 1471-4159 citation: Novakova, L; Singh, AK; Axelsson, M; Ståhlman, M; Adiels, M; Malmeström, C; Zetterberg, H; ... Blomqvist, M; + view all <#> Novakova, L; Singh, AK; Axelsson, M; Ståhlman, M; Adiels, M; Malmeström, C; Zetterberg, H; Borén, J; Lycke, J; Cardell, SL; Blomqvist, M; - view fewer <#> (2018) Sulfatide isoform pattern in cerebrospinal fluid discriminates progressive MS from relapsing‐remitting MS. Journal of Neurochemistry , 146 (3) pp. 322-332. 10.1111/jnc.14452 <https://doi.org/10.1111/jnc.14452>. Green open access document_url: https://discovery.ucl.ac.uk/id/eprint/10051550/1/Zetterberg_171222e%20Sulf%20CSF_HZ.pdf