<> <http://www.w3.org/2000/01/rdf-schema#comment> "The repository administrator has not yet configured an RDF license."^^<http://www.w3.org/2001/XMLSchema#string> . <> <http://xmlns.com/foaf/0.1/primaryTopic> <https://discovery.ucl.ac.uk/id/eprint/10056834> . <https://discovery.ucl.ac.uk/id/eprint/10056834> <http://www.w3.org/1999/02/22-rdf-syntax-ns#type> <http://purl.org/ontology/bibo/AcademicArticle> . <https://discovery.ucl.ac.uk/id/eprint/10056834> <http://www.w3.org/1999/02/22-rdf-syntax-ns#type> <http://purl.org/ontology/bibo/Article> . <https://discovery.ucl.ac.uk/id/eprint/10056834> <http://purl.org/dc/terms/title> "Integration of magnetic resonance imaging and protein and metabolite CSF measurements to enable early diagnosis of secondary progressive multiple sclerosis"^^<http://www.w3.org/2001/XMLSchema#string> . <https://discovery.ucl.ac.uk/id/eprint/10056834> <http://purl.org/ontology/bibo/abstract> "Molecular networks in neurological diseases are complex. Despite this fact, contemporary biomarkers are in most cases interpreted in isolation, leading to a significant loss of information and power. We present an analytical approach to scrutinize and combine information from biomarkers originating from multiple sources with the aim of discovering a condensed set of biomarkers that in combination could distinguish the progressive degenerative phenotype of multiple sclerosis (SPMS) from the relapsing-remitting phenotype (RRMS). Methods: Clinical and magnetic resonance imaging (MRI) data were integrated with data from protein and metabolite measurements of cerebrospinal fluid, and a method was developed to sift through all the variables to establish a small set of highly informative measurements. This prospective study included 16 SPMS patients, 30 RRMS patients and 10 controls. Protein concentrations were quantitated with multiplexed fluorescent bead-based immunoassays and ELISA. The metabolome was recorded using liquid chromatography-mass spectrometry. Clinical follow-up data of the SPMS patients were used to assess disease progression and development of disability. Results: Eleven variables were in combination able to distinguish SPMS from RRMS patients with high confidence superior to any single measurement. The identified variables consisted of three MRI variables: the size of the spinal cord and the third ventricle and the total number of T1 hypointense lesions; six proteins: galectin-9, monocyte chemoattractant protein-1 (MCP-1), transforming growth factor alpha (TGF-α), tumor necrosis factor alpha (TNF-α), soluble CD40L (sCD40L) and platelet-derived growth factor AA (PDGF-AA); and two metabolites: 20β-dihydrocortisol (20β-DHF) and indolepyruvate. The proteins myelin basic protein (MBP) and macrophage-derived chemokine (MDC), as well as the metabolites 20β-DHF and 5,6-dihydroxyprostaglandin F1a (5,6-DH-PGF1), were identified as potential biomarkers of disability progression. Conclusion: Our study demonstrates, in a limited but well-defined and data-rich cohort, the importance and value of combining multiple biomarkers to aid diagnostics and track disease progression."^^<http://www.w3.org/2001/XMLSchema#string> . <https://discovery.ucl.ac.uk/id/eprint/10056834> <http://purl.org/dc/terms/date> "2018" . <https://discovery.ucl.ac.uk/id/document/740094> <http://www.w3.org/1999/02/22-rdf-syntax-ns#type> <http://purl.org/ontology/bibo/Document> . <https://discovery.ucl.ac.uk/id/eprint/10056834> <http://purl.org/ontology/bibo/volume> "8" . <https://discovery.ucl.ac.uk/id/eprint/10056834> <http://purl.org/ontology/bibo/issue> "16" . <https://discovery.ucl.ac.uk/id/publication/ext-18387640> <http://www.w3.org/1999/02/22-rdf-syntax-ns#type> <http://purl.org/ontology/bibo/Collection> . <https://discovery.ucl.ac.uk/id/publication/ext-18387640> <http://xmlns.com/foaf/0.1/name> "Theranostics"^^<http://www.w3.org/2001/XMLSchema#string> . 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<https://discovery.ucl.ac.uk/id/person/ext-982c0ca027712718d69e197013edfd4d> . <https://discovery.ucl.ac.uk/id/eprint/10056834> <http://purl.org/dc/terms/creator> <https://discovery.ucl.ac.uk/id/person/ext-a6d4307bbcdf245957be46eb79703a77> . <https://discovery.ucl.ac.uk/id/eprint/10056834> <http://purl.org/ontology/bibo/authorList> <https://discovery.ucl.ac.uk/id/eprint/10056834#authors> . <https://discovery.ucl.ac.uk/id/eprint/10056834#authors> <http://www.w3.org/1999/02/22-rdf-syntax-ns#_2> <https://discovery.ucl.ac.uk/id/person/ext-a6d4307bbcdf245957be46eb79703a77> . <https://discovery.ucl.ac.uk/id/eprint/10056834> <http://purl.org/dc/terms/creator> <https://discovery.ucl.ac.uk/id/person/ext-0a69eead9120f9f95926e6235ccc4700> . <https://discovery.ucl.ac.uk/id/eprint/10056834> <http://purl.org/ontology/bibo/authorList> <https://discovery.ucl.ac.uk/id/eprint/10056834#authors> . <https://discovery.ucl.ac.uk/id/eprint/10056834#authors> <http://www.w3.org/1999/02/22-rdf-syntax-ns#_3> <https://discovery.ucl.ac.uk/id/person/ext-0a69eead9120f9f95926e6235ccc4700> . <https://discovery.ucl.ac.uk/id/eprint/10056834> <http://purl.org/dc/terms/creator> <https://discovery.ucl.ac.uk/id/person/ext-88f129f6a1a5e3e69bbd2c136cda645c> . <https://discovery.ucl.ac.uk/id/eprint/10056834> <http://purl.org/ontology/bibo/authorList> <https://discovery.ucl.ac.uk/id/eprint/10056834#authors> . <https://discovery.ucl.ac.uk/id/eprint/10056834#authors> <http://www.w3.org/1999/02/22-rdf-syntax-ns#_4> <https://discovery.ucl.ac.uk/id/person/ext-88f129f6a1a5e3e69bbd2c136cda645c> . <https://discovery.ucl.ac.uk/id/eprint/10056834> <http://purl.org/dc/terms/creator> <https://discovery.ucl.ac.uk/id/person/ext-0443f8ea067dd820b6d8fd206b651130> . <https://discovery.ucl.ac.uk/id/eprint/10056834> <http://purl.org/ontology/bibo/authorList> <https://discovery.ucl.ac.uk/id/eprint/10056834#authors> . <https://discovery.ucl.ac.uk/id/eprint/10056834#authors> <http://www.w3.org/1999/02/22-rdf-syntax-ns#_5> <https://discovery.ucl.ac.uk/id/person/ext-0443f8ea067dd820b6d8fd206b651130> . <https://discovery.ucl.ac.uk/id/eprint/10056834> <http://purl.org/dc/terms/creator> <https://discovery.ucl.ac.uk/id/person/ext-5bb444e5710c43aa28db8e421e37957d> . <https://discovery.ucl.ac.uk/id/eprint/10056834> <http://purl.org/ontology/bibo/authorList> <https://discovery.ucl.ac.uk/id/eprint/10056834#authors> . <https://discovery.ucl.ac.uk/id/eprint/10056834#authors> <http://www.w3.org/1999/02/22-rdf-syntax-ns#_6> <https://discovery.ucl.ac.uk/id/person/ext-5bb444e5710c43aa28db8e421e37957d> . <https://discovery.ucl.ac.uk/id/eprint/10056834> <http://purl.org/dc/terms/creator> <https://discovery.ucl.ac.uk/id/person/ext-12e5c588a5117ef8b3c5542d7eda036c> . <https://discovery.ucl.ac.uk/id/eprint/10056834> <http://purl.org/ontology/bibo/authorList> <https://discovery.ucl.ac.uk/id/eprint/10056834#authors> . <https://discovery.ucl.ac.uk/id/eprint/10056834#authors> <http://www.w3.org/1999/02/22-rdf-syntax-ns#_7> <https://discovery.ucl.ac.uk/id/person/ext-12e5c588a5117ef8b3c5542d7eda036c> . <https://discovery.ucl.ac.uk/id/eprint/10056834> <http://purl.org/dc/terms/creator> <https://discovery.ucl.ac.uk/id/person/ext-c6a12a36540d06cd589e235b6f8f4d7d> . <https://discovery.ucl.ac.uk/id/eprint/10056834> <http://purl.org/ontology/bibo/authorList> <https://discovery.ucl.ac.uk/id/eprint/10056834#authors> . <https://discovery.ucl.ac.uk/id/eprint/10056834#authors> <http://www.w3.org/1999/02/22-rdf-syntax-ns#_8> <https://discovery.ucl.ac.uk/id/person/ext-c6a12a36540d06cd589e235b6f8f4d7d> . <https://discovery.ucl.ac.uk/id/eprint/10056834> <http://purl.org/dc/terms/creator> <https://discovery.ucl.ac.uk/id/person/ext-4b442b17b451b39149f2ab5c84671287> . <https://discovery.ucl.ac.uk/id/eprint/10056834> <http://purl.org/ontology/bibo/authorList> <https://discovery.ucl.ac.uk/id/eprint/10056834#authors> . <https://discovery.ucl.ac.uk/id/eprint/10056834#authors> <http://www.w3.org/1999/02/22-rdf-syntax-ns#_9> <https://discovery.ucl.ac.uk/id/person/ext-4b442b17b451b39149f2ab5c84671287> . <https://discovery.ucl.ac.uk/id/eprint/10056834> <http://purl.org/dc/terms/creator> <https://discovery.ucl.ac.uk/id/person/ext-17366f7668eb43d7861bbd5b44f5da23> . <https://discovery.ucl.ac.uk/id/eprint/10056834> <http://purl.org/ontology/bibo/authorList> <https://discovery.ucl.ac.uk/id/eprint/10056834#authors> . <https://discovery.ucl.ac.uk/id/eprint/10056834#authors> <http://www.w3.org/1999/02/22-rdf-syntax-ns#_10> <https://discovery.ucl.ac.uk/id/person/ext-17366f7668eb43d7861bbd5b44f5da23> . <https://discovery.ucl.ac.uk/id/eprint/10056834> <http://purl.org/dc/terms/creator> <https://discovery.ucl.ac.uk/id/person/ext-12f1af0b473f8607f0711c467fd8d35f> . <https://discovery.ucl.ac.uk/id/eprint/10056834> <http://purl.org/ontology/bibo/authorList> <https://discovery.ucl.ac.uk/id/eprint/10056834#authors> . <https://discovery.ucl.ac.uk/id/eprint/10056834#authors> <http://www.w3.org/1999/02/22-rdf-syntax-ns#_11> <https://discovery.ucl.ac.uk/id/person/ext-12f1af0b473f8607f0711c467fd8d35f> . <https://discovery.ucl.ac.uk/id/person/ext-0a69eead9120f9f95926e6235ccc4700> <http://www.w3.org/1999/02/22-rdf-syntax-ns#type> <http://xmlns.com/foaf/0.1/Person> . <https://discovery.ucl.ac.uk/id/person/ext-0a69eead9120f9f95926e6235ccc4700> <http://xmlns.com/foaf/0.1/givenName> "A"^^<http://www.w3.org/2001/XMLSchema#string> . <https://discovery.ucl.ac.uk/id/person/ext-0a69eead9120f9f95926e6235ccc4700> <http://xmlns.com/foaf/0.1/familyName> "Tolf"^^<http://www.w3.org/2001/XMLSchema#string> . <https://discovery.ucl.ac.uk/id/person/ext-0a69eead9120f9f95926e6235ccc4700> <http://xmlns.com/foaf/0.1/name> "A Tolf"^^<http://www.w3.org/2001/XMLSchema#string> . <https://discovery.ucl.ac.uk/id/person/ext-0443f8ea067dd820b6d8fd206b651130> <http://www.w3.org/1999/02/22-rdf-syntax-ns#type> <http://xmlns.com/foaf/0.1/Person> . <https://discovery.ucl.ac.uk/id/person/ext-0443f8ea067dd820b6d8fd206b651130> <http://xmlns.com/foaf/0.1/givenName> "H"^^<http://www.w3.org/2001/XMLSchema#string> . <https://discovery.ucl.ac.uk/id/person/ext-0443f8ea067dd820b6d8fd206b651130> <http://xmlns.com/foaf/0.1/familyName> "Zetterberg"^^<http://www.w3.org/2001/XMLSchema#string> . <https://discovery.ucl.ac.uk/id/person/ext-0443f8ea067dd820b6d8fd206b651130> <http://xmlns.com/foaf/0.1/name> "H Zetterberg"^^<http://www.w3.org/2001/XMLSchema#string> . <https://discovery.ucl.ac.uk/id/person/ext-12e5c588a5117ef8b3c5542d7eda036c> <http://www.w3.org/1999/02/22-rdf-syntax-ns#type> <http://xmlns.com/foaf/0.1/Person> . <https://discovery.ucl.ac.uk/id/person/ext-12e5c588a5117ef8b3c5542d7eda036c> <http://xmlns.com/foaf/0.1/givenName> "P-J"^^<http://www.w3.org/2001/XMLSchema#string> . <https://discovery.ucl.ac.uk/id/person/ext-12e5c588a5117ef8b3c5542d7eda036c> <http://xmlns.com/foaf/0.1/familyName> "Jakobsson"^^<http://www.w3.org/2001/XMLSchema#string> . <https://discovery.ucl.ac.uk/id/person/ext-12e5c588a5117ef8b3c5542d7eda036c> <http://xmlns.com/foaf/0.1/name> "P-J Jakobsson"^^<http://www.w3.org/2001/XMLSchema#string> . <https://discovery.ucl.ac.uk/id/person/ext-982c0ca027712718d69e197013edfd4d> <http://www.w3.org/1999/02/22-rdf-syntax-ns#type> <http://xmlns.com/foaf/0.1/Person> . <https://discovery.ucl.ac.uk/id/person/ext-982c0ca027712718d69e197013edfd4d> <http://xmlns.com/foaf/0.1/givenName> "S"^^<http://www.w3.org/2001/XMLSchema#string> . <https://discovery.ucl.ac.uk/id/person/ext-982c0ca027712718d69e197013edfd4d> <http://xmlns.com/foaf/0.1/familyName> "Herman"^^<http://www.w3.org/2001/XMLSchema#string> . <https://discovery.ucl.ac.uk/id/person/ext-982c0ca027712718d69e197013edfd4d> <http://xmlns.com/foaf/0.1/name> "S Herman"^^<http://www.w3.org/2001/XMLSchema#string> . <https://discovery.ucl.ac.uk/id/person/ext-c6a12a36540d06cd589e235b6f8f4d7d> <http://www.w3.org/1999/02/22-rdf-syntax-ns#type> <http://xmlns.com/foaf/0.1/Person> . <https://discovery.ucl.ac.uk/id/person/ext-c6a12a36540d06cd589e235b6f8f4d7d> <http://xmlns.com/foaf/0.1/givenName> "A"^^<http://www.w3.org/2001/XMLSchema#string> . <https://discovery.ucl.ac.uk/id/person/ext-c6a12a36540d06cd589e235b6f8f4d7d> <http://xmlns.com/foaf/0.1/familyName> "Larsson"^^<http://www.w3.org/2001/XMLSchema#string> . <https://discovery.ucl.ac.uk/id/person/ext-c6a12a36540d06cd589e235b6f8f4d7d> <http://xmlns.com/foaf/0.1/name> "A Larsson"^^<http://www.w3.org/2001/XMLSchema#string> . <https://discovery.ucl.ac.uk/id/person/ext-5bb444e5710c43aa28db8e421e37957d> <http://www.w3.org/1999/02/22-rdf-syntax-ns#type> <http://xmlns.com/foaf/0.1/Person> . <https://discovery.ucl.ac.uk/id/person/ext-5bb444e5710c43aa28db8e421e37957d> <http://xmlns.com/foaf/0.1/givenName> "T"^^<http://www.w3.org/2001/XMLSchema#string> . <https://discovery.ucl.ac.uk/id/person/ext-5bb444e5710c43aa28db8e421e37957d> <http://xmlns.com/foaf/0.1/familyName> "Åkerfeldt"^^<http://www.w3.org/2001/XMLSchema#string> . <https://discovery.ucl.ac.uk/id/person/ext-5bb444e5710c43aa28db8e421e37957d> <http://xmlns.com/foaf/0.1/name> "T Åkerfeldt"^^<http://www.w3.org/2001/XMLSchema#string> . <https://discovery.ucl.ac.uk/id/person/ext-12f1af0b473f8607f0711c467fd8d35f> <http://www.w3.org/1999/02/22-rdf-syntax-ns#type> <http://xmlns.com/foaf/0.1/Person> . <https://discovery.ucl.ac.uk/id/person/ext-12f1af0b473f8607f0711c467fd8d35f> <http://xmlns.com/foaf/0.1/givenName> "K"^^<http://www.w3.org/2001/XMLSchema#string> . <https://discovery.ucl.ac.uk/id/person/ext-12f1af0b473f8607f0711c467fd8d35f> <http://xmlns.com/foaf/0.1/familyName> "Kultima"^^<http://www.w3.org/2001/XMLSchema#string> . <https://discovery.ucl.ac.uk/id/person/ext-12f1af0b473f8607f0711c467fd8d35f> <http://xmlns.com/foaf/0.1/name> "K Kultima"^^<http://www.w3.org/2001/XMLSchema#string> . <https://discovery.ucl.ac.uk/id/person/ext-88f129f6a1a5e3e69bbd2c136cda645c> <http://www.w3.org/1999/02/22-rdf-syntax-ns#type> <http://xmlns.com/foaf/0.1/Person> . <https://discovery.ucl.ac.uk/id/person/ext-88f129f6a1a5e3e69bbd2c136cda645c> <http://xmlns.com/foaf/0.1/givenName> "J"^^<http://www.w3.org/2001/XMLSchema#string> . <https://discovery.ucl.ac.uk/id/person/ext-88f129f6a1a5e3e69bbd2c136cda645c> <http://xmlns.com/foaf/0.1/familyName> "Steinmetz"^^<http://www.w3.org/2001/XMLSchema#string> . <https://discovery.ucl.ac.uk/id/person/ext-88f129f6a1a5e3e69bbd2c136cda645c> <http://xmlns.com/foaf/0.1/name> "J Steinmetz"^^<http://www.w3.org/2001/XMLSchema#string> . <https://discovery.ucl.ac.uk/id/person/ext-a6d4307bbcdf245957be46eb79703a77> <http://www.w3.org/1999/02/22-rdf-syntax-ns#type> <http://xmlns.com/foaf/0.1/Person> . <https://discovery.ucl.ac.uk/id/person/ext-a6d4307bbcdf245957be46eb79703a77> <http://xmlns.com/foaf/0.1/givenName> "PE"^^<http://www.w3.org/2001/XMLSchema#string> . <https://discovery.ucl.ac.uk/id/person/ext-a6d4307bbcdf245957be46eb79703a77> <http://xmlns.com/foaf/0.1/familyName> "Khoonsari"^^<http://www.w3.org/2001/XMLSchema#string> . <https://discovery.ucl.ac.uk/id/person/ext-a6d4307bbcdf245957be46eb79703a77> <http://xmlns.com/foaf/0.1/name> "PE Khoonsari"^^<http://www.w3.org/2001/XMLSchema#string> . <https://discovery.ucl.ac.uk/id/person/ext-4b442b17b451b39149f2ab5c84671287> <http://www.w3.org/1999/02/22-rdf-syntax-ns#type> <http://xmlns.com/foaf/0.1/Person> . <https://discovery.ucl.ac.uk/id/person/ext-4b442b17b451b39149f2ab5c84671287> <http://xmlns.com/foaf/0.1/givenName> "O"^^<http://www.w3.org/2001/XMLSchema#string> . <https://discovery.ucl.ac.uk/id/person/ext-4b442b17b451b39149f2ab5c84671287> <http://xmlns.com/foaf/0.1/familyName> "Spjuth"^^<http://www.w3.org/2001/XMLSchema#string> . <https://discovery.ucl.ac.uk/id/person/ext-4b442b17b451b39149f2ab5c84671287> <http://xmlns.com/foaf/0.1/name> "O Spjuth"^^<http://www.w3.org/2001/XMLSchema#string> . <https://discovery.ucl.ac.uk/id/person/ext-17366f7668eb43d7861bbd5b44f5da23> 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