Abstract
Multiple Sclerosis (MS), an autoimmune disorder associated with spinal cord and brain, chiefly affects the white matter. Regarding the complexity as well as heterogenic etiology of this disease, the treatment of MS has been a challenging issue up to now. Researchers are working to develop new therapeutic strategies and drugs as complementary therapies. MS diagnosis significantly depends on the findings of Magnetic Resonance Imaging (MRI) examination. In this imaging technique, gadolinium is used as a contrast agent to reveal active plaques intending to destroy the bloodbrain barrier. It also detects plaques that are not correlated with the neurological symptoms. It has been attempted to determine biomarkers related to different dimensions of MS in various organizational hierarchy levels of the human anatomy (i.e., cells, proteins, RNA, and DNA). These biomarkers are appropriate diagnostic tools for MS diagnosis. In this review, we summarized the application of MRI and biochemical biomarkers to monitor MS patients. Moreover, we highlighted the joint application of MRI and biomarkers for the diagnosis of MS subjects.
Keywords: Multiple sclerosis, magnetic resonance imaging, biomarker, autoimmune disorder, RNA, DNA.
[http://dx.doi.org/10.1097/WCO.0000000000000206] [PMID: 25887774]
[PMID: 27794524]
[http://dx.doi.org/10.4172/2329-6925.1000259 ]
[http://dx.doi.org/10.1016/j.nic.2016.12.005] [PMID: 28391791]
[PMID: 27356025]
[http://dx.doi.org/10.3389/fneur.2019.00763] [PMID: 31379717]
[http://dx.doi.org/10.1016/j.autrev.2015.06.001] [PMID: 26071103]
[http://dx.doi.org/10.1007/s00726-019-02718-1] [PMID: 30887124]
[http://dx.doi.org/10.1038/s41423-019-0221-5] [PMID: 30874627]
[http://dx.doi.org/10.1002/jcb.28083]
[http://dx.doi.org/10.1007/s13317-018-0109-x] [PMID: 30415321]
[http://dx.doi.org/10.4103/2319-4170.128746] [PMID: 24732657]
[http://dx.doi.org/10.1016/j.aller.2019.01.003] [PMID: 31103252]
[http://dx.doi.org/10.1038/s41598-019-45433-3] [PMID: 31217537]
[http://dx.doi.org/10.1007/s13760-018-1028-3] [PMID: 30324330]
[http://dx.doi.org/10.1016/j.coi.2019.07.007] [PMID: 31445312]
[http://dx.doi.org/10.3325/cmj.2019.60.87] [PMID: 31044580]
[http://dx.doi.org/10.1007/s13311-017-0557-4] [PMID: 28695471]
[http://dx.doi.org/10.1097/WCO.0b013e3283533a93] [PMID: 22516854]
[http://dx.doi.org/10.32598/bcn.9.5.367] [PMID: 30719251]
[http://dx.doi.org/10.1086/367781] [PMID: 12557126]
[http://dx.doi.org/10.1016/j.autrev.2009.11.010] [PMID: 19932200]
[http://dx.doi.org/10.1111/ene.13819] [PMID: 30300457]
[http://dx.doi.org/10.1111/jgh.14104] [PMID: 29405466]
[http://dx.doi.org/10.1038/s41419-018-0379-2] [PMID: 29497049]
[http://dx.doi.org/10.1038/ncomms14241]
[http://dx.doi.org/10.1016/j.msard.2018.05.011] [PMID: 29936325]
[http://dx.doi.org/10.1002/ana.22366] [PMID: 21387374]
[http://dx.doi.org/10.3988/jcn.2018.14.3.339] [PMID: 29856160]
[http://dx.doi.org/10.1177/1352458514539405] [PMID: 25145690]
[http://dx.doi.org/10.1016/S1474-4422(15)00393-2]
[http://dx.doi.org/10.1002/acm2.12654] [PMID: 31257709]
[http://dx.doi.org/10.1002/jmri.26300] [PMID: 30302903]
[http://dx.doi.org/10.1177/1352458519848100] [PMID: 31116071]
[http://dx.doi.org/10.1016/j.msard.2019.101381] [PMID: 31518773]
[http://dx.doi.org/10.1007/s00247-017-3778-0] [PMID: 28409251]
[http://dx.doi.org/10.1038/nrneurol.2016.59] [PMID: 27125632]
[http://dx.doi.org/10.1055/s-0036-1579737] [PMID: 27116723]
[http://dx.doi.org/10.1111/j.1552-6569.2007.00132.x] [PMID: 17425730]
[http://dx.doi.org/10.1148/radiology.192.3.8058919] [PMID: 8058919]
[http://dx.doi.org/10.1001/archneurol.2008.578] [PMID: 19273757]
[http://dx.doi.org/10.1212/WNL.0b013e31827b1a8c] [PMID: 23175732]
[http://dx.doi.org/10.1093/brain/awf240 ]
[http://dx.doi.org/10.1007/s00415-005-0964-z] [PMID: 16307201]
[http://dx.doi.org/10.1186/s12929-017-0323-2] [PMID: 28245815]
[http://dx.doi.org/10.1002/jmri.25139] [PMID: 26756662]
[http://dx.doi.org/10.1016/j.nurt.2007.05.011] [PMID: 17599699]
[http://dx.doi.org/10.1007/s00234-014-1463-7] [PMID: 25404413]
[http://dx.doi.org/10.1016/j.neuroimage.2006.12.010] [PMID: 17258908]
[http://dx.doi.org/10.1212/WNL.56.3.304] [PMID: 11171893]
[http://dx.doi.org/10.1111/ane.12797] [PMID: 28741711]
[http://dx.doi.org/10.1016/j.pneurobio.2019.101663]]
[http://dx.doi.org/10.1212/WNL.0000000000007099]
[http://dx.doi.org/10.1007/s00415-016-8118-z] [PMID: 27094571]
[http://dx.doi.org/10.1002/mrm.20274] [PMID: 15508168]
[http://dx.doi.org/10.1016/j.neuroimage.2012.03.072] [PMID: 22484410]
[http://dx.doi.org/10.1038/nrneurol.2015.194] [PMID: 26526531]
[http://dx.doi.org/10.1002/1531-8249(200005)47:5<606:AID-ANA8>3.0.CO;2-L] [PMID: 10805331]
[http://dx.doi.org/10.1177/1051228405284093] [PMID: 16385021]
[http://dx.doi.org/10.1212/WNL.0000000000002975] [PMID: 27421541]
[http://dx.doi.org/10.1093/brain/awm329] [PMID: 18234696]
[http://dx.doi.org/10.1177/1352458511417828] [PMID: 21865413]
[http://dx.doi.org/10.3174/ajnr.A5636] [PMID: 29700044]
[http://dx.doi.org/10.1093/brain/120.11.2059] [PMID: 9397021]
[http://dx.doi.org/10.1016/S1474-4422(07)70176-X] [PMID: 17616439]
[http://dx.doi.org/10.1093/brain/awf087] [PMID: 11912114]
[http://dx.doi.org/10.2214/AJR.05.2212] [PMID: 17312056]
[http://dx.doi.org/10.3174/ajnr.A5534] [PMID: 29439120]
[http://dx.doi.org/10.1172/JCI86198] [PMID: 27270171]
[http://dx.doi.org/10.1007/s00330-013-3080-y] [PMID: 24317461]
[http://dx.doi.org/10.1007/s00330-013-2791-4] [PMID: 23436147]
[PMID: 30568931]
[http://dx.doi.org/10.1177/1352458519833018] [PMID: 30907234]
[http://dx.doi.org/10.1093/brain/awp032] [PMID: 19297508]
[http://dx.doi.org/10.1093/brain/awm152] [PMID: 17664178]
[http://dx.doi.org/10.3174/ajnr.A1738] [PMID: 19729541]
[http://dx.doi.org/10.1016/j.nicl.2015.09.003] [PMID: 26594620]
[http://dx.doi.org/10.1186/1471-2377-14-100] [PMID: 24885357]
[PMID: 16775261]
[http://dx.doi.org/10.1007/s00330-007-0672-4 ]
[http://dx.doi.org/10.1371/journal.pone.0160071] [PMID: 27467829]
[http://dx.doi.org/10.1002/jcb.26599] [PMID: 29236313]
[http://dx.doi.org/10.1002/nbm.3607] [PMID: 27602543]
[http://dx.doi.org/10.3174/ajnr.A5225] [PMID: 28572153]
[http://dx.doi.org/10.1016/j.nicl.2017.05.010] [PMID: 28560158]
[http://dx.doi.org/10.1093/brain/awx247] [PMID: 29053798]
[http://dx.doi.org/10.1016/j.neuroscience.2018.03.048] [PMID: 29631021]
[http://dx.doi.org/10.1177/1352458512440516] [PMID: 22389415]
[http://dx.doi.org/10.1155/2015/212693]]
[http://dx.doi.org/10.1177/1352458513515082] [PMID: 24326671]
[http://dx.doi.org/10.1007/s00415-019-09489-5] [PMID: 31363847]
[http://dx.doi.org/10.1097/WCO.0000000000000336] [PMID: 27075495]
[http://dx.doi.org/10.3390/biomedicines7030056] [PMID: 31362384]
[http://dx.doi.org/10.1016/j.jneuroim.2018.06.005] [PMID: 29957381]
[http://dx.doi.org/10.1007/s12026-017-8961-8] [PMID: 29116612]
[http://dx.doi.org/10.1016/j.jneuroim.2012.05.018 ] [PMID: 22726889]
[http://dx.doi.org/10.1016/j.jneuroim.2012.01.001] [PMID: 22281286]
[http://dx.doi.org/10.1002/jcp.28457] [PMID: 30891784]
[http://dx.doi.org/10.1615/CritRevEukaryotGeneExpr.2019025273] [PMID: 31679268]
[http://dx.doi.org/10.1016/j.ab.2019.113349 ] [PMID: 31254490]
[http://dx.doi.org/10.1016/j.jaut.2019.04.002] [PMID: 31014917]
[http://dx.doi.org/10.2174/1573406413666170906121828] [PMID: 28875861]
[http://dx.doi.org/10.1016/j.msard.2018.07.030] [PMID: 30071507]
[http://dx.doi.org/10.1093/brain/awh176] [PMID: 15180926]
[http://dx.doi.org/10.1155/2011/823176] [PMID: 22096644]
[http://dx.doi.org/10.1111/j.1600-065X.2012.01134.x] [PMID: 22725956]
[http://dx.doi.org/10.4103/0972-2327.58272] [PMID: 20182566]
[http://dx.doi.org/10.1002/ana.21911] [PMID: 20186855]
[http://dx.doi.org/10.1371/journal.pone.0036779] [PMID: 22586495]
[http://dx.doi.org/10.1016/j.febslet.2011.03.037] [PMID: 21439284]
[http://dx.doi.org/10.1016/j.autrev.2011.05.007] [PMID: 21619948]
[http://dx.doi.org/10.1016/j.jneuroim.2010.07.006] [PMID: 20678810]
[http://dx.doi.org/10.1038/nrneurol.2011.22] [PMID: 21364522]
[http://dx.doi.org/10.22038/IJBMS.2018.29009.7001 ] [PMID: 30140409]
[http://dx.doi.org/10.1155/2011/315406] [PMID: 22096635]
[http://dx.doi.org/10.1155/2011/767083] [PMID: 22096642]
[http://dx.doi.org/10.2174/138161212802502143] [PMID: 22612740]
[http://dx.doi.org/10.1016/j.nbd.2009.04.010] [PMID: 19426803]
[http://dx.doi.org/10.1007/BF03256329] [PMID: 19712003]
[PMID: 19112391]
[PMID: 31332992]
[http://dx.doi.org/10.1007/s12035-019-01698-3] [PMID: 31385229]
[http://dx.doi.org/10.1111/ane.13152 ] [PMID: 31350854]
[http://dx.doi.org/10.1016/j.jneuroim.2006.07.006] [PMID: 16945427]
[http://dx.doi.org/10.1309/Y5VFF2UAW0RK5W63] [PMID: 14608891]
[http://dx.doi.org/10.1016/j.jneuroim.2010.10.027] [PMID: 21109310]
[http://dx.doi.org/10.1089/jir.2008.0007] [PMID: 18715196]
[http://dx.doi.org/10.1007/s10875-012-9709-9] [PMID: 22644841]
[http://dx.doi.org/10.1212/01.wnl.0000313840.27060.bf] [PMID: 18519875]
[http://dx.doi.org/10.1056/NEJMoa1110740] [PMID: 22784115]
[http://dx.doi.org/10.1002/ana.20276] [PMID: 15497154]
[http://dx.doi.org/10.1016/j.jneuroim.2005.12.010] [PMID: 16469392]
[http://dx.doi.org/10.1177/1756285611433772] [PMID: 22590479]
[http://dx.doi.org/10.1002/art.30399] [PMID: 21506093]
[http://dx.doi.org/10.1016/j.jneuroim.2012.01.002] [PMID: 22579051]
[http://dx.doi.org/10.1038/nri2529] [PMID: 19424277]
[http://dx.doi.org/10.4172/2155-9899.S10-009]
[http://dx.doi.org/10.1590/S0004-282X2011000600019] [PMID: 22042189]
[http://dx.doi.org/10.1073/pnas.1203463109] [PMID: 22589299]
[http://dx.doi.org/10.5692/clinicalneurol.52.19] [PMID: 22260974]
[http://dx.doi.org/10.1002/ana.22508] [PMID: 21710627]
[http://dx.doi.org/10.1007/s12035-012-8270-0] [PMID: 22549745]
[http://dx.doi.org/10.1371/journal.pone.0007440] [PMID: 19823682]
[http://dx.doi.org/10.1371/journal.pone.0006309] [PMID: 19617918]
[http://dx.doi.org/10.2174/187221512799303127] [PMID: 22239683]
[http://dx.doi.org/10.1038/nmeth.f.281x]
[http://dx.doi.org/10.1371/journal.pone.0024604] [PMID: 21949733]
[http://dx.doi.org/10.1177/1352458507080468] [PMID: 17967840]
[http://dx.doi.org/10.1212/WNL.58.12.1786] [PMID: 12084878]
[http://dx.doi.org/10.1093/brain/awp228] [PMID: 19741051]
[http://dx.doi.org/10.1016/j.it.2011.03.008] [PMID: 21530402]
[http://dx.doi.org/10.1212/WNL.0b013e318259e123] [PMID: 22573631]
[http://dx.doi.org/10.1038/nm.2110] [PMID: 20348925]
[http://dx.doi.org/10.1007/s12016-011-8296-5] [PMID: 22231516]
[http://dx.doi.org/10.1111/j.1600-065X.2012.01131.x] [PMID: 22725952]
[http://dx.doi.org/10.1126/scitranslmed.3002400] [PMID: 21795588]
[http://dx.doi.org/10.1016/j.cytogfr.2014.12.002] [PMID: 25596967]
[http://dx.doi.org/10.1371/journal.pone.0029648] [PMID: 22216338]
[http://dx.doi.org/10.1136/bmjopen-2011-000053] [PMID: 22021740]
[http://dx.doi.org/10.1016/S0304-3940(00)01543-3] [PMID: 11044583]
[http://dx.doi.org/10.1016/S0165-5728(98)00053-8] [PMID: 9670842]
[http://dx.doi.org/10.1016/S0165-5728(96)00101-4] [PMID: 8862139]
[http://dx.doi.org/10.4049/jimmunol.176.12.7768] [PMID: 16751425]
[http://dx.doi.org/10.1212/01.WNL.0000035626.92372.0A] [PMID: 12451219]
[http://dx.doi.org/10.1016/S0165-5728(02)00097-8] [PMID: 12044976]
[http://dx.doi.org/10.4049/jimmunol.180.2.1258] [PMID: 18178866]
[http://dx.doi.org/10.1177/1352458514566666] [PMID: 25662345]
[http://dx.doi.org/10.1177/135245850000600201] [PMID: 10773848]
[http://dx.doi.org/10.1177/2055217318767192] [PMID: 29780609]
[http://dx.doi.org/10.1016/S0165-5728(97)00177-X] [PMID: 9526840]
[http://dx.doi.org/10.1016/S0165-5728(00)00443-4] [PMID: 11164911]
[http://dx.doi.org/10.1177/1352458509359725] [PMID: 20086018]
[http://dx.doi.org/10.1177/1352458511433063] [PMID: 22183936]
[http://dx.doi.org/10.1111/ene.12960] [PMID: 26872061]
[http://dx.doi.org/10.3389/fimmu.2017.01810] [PMID: 29312322]
[http://dx.doi.org/10.1016/j.jneuroim.2006.09.002] [PMID: 17046070]
[http://dx.doi.org/10.1371/journal.pone.0098588] [PMID: 24886843]
[http://dx.doi.org/10.1177/1352458515624558] [PMID: 26754805]
[http://dx.doi.org/10.1002/ana.10441] [PMID: 12557289]
[http://dx.doi.org/10.1007/s00415-010-5863-2] [PMID: 21197541]
[http://dx.doi.org/10.1177/1352458512438238] [PMID: 22354735]
[http://dx.doi.org/10.1111/ane.12921] [PMID: 29527713]
[http://dx.doi.org/10.12659/MSM.904642] [PMID: 28550707]
[http://dx.doi.org/10.1016/j.bbrc.2017.03.115] [PMID: 28342869]
[http://dx.doi.org/10.4049/jimmunol.1601727] [PMID: 28228555]
[http://dx.doi.org/10.1016/j.jneuroim.2016.08.017] [PMID: 27725128]
[http://dx.doi.org/10.1212/NXI.0000000000000219] [PMID: 27144214]
[http://dx.doi.org/10.1016/j.gene.2014.04.069] [PMID: 24792898]
[http://dx.doi.org/10.1002/eji.200940032] [PMID: 20148420]
[http://dx.doi.org/10.1111/ane.12921]
[http://dx.doi.org/10.1177/1352458515613641] [PMID: 26493127]
[http://dx.doi.org/10.1371/journal.pone.0124555] [PMID: 25938517]
[http://dx.doi.org/10.3109/00207454.2012.678444] [PMID: 22463747]
[http://dx.doi.org/10.1093/hmg/ddy438] [PMID: 30566690]
[http://dx.doi.org/10.1016/j.jns.2009.12.018] [PMID: 20064646]
[http://dx.doi.org/10.1002/acn3.638] [PMID: 30564615]
[http://dx.doi.org/10.1001/jamaneurol.2016.5197] [PMID: 28114622]
[http://dx.doi.org/10.1371/journal.pone.0075021] [PMID: 24069377]