Prognostic Value of CXCL13, CCL11, and CCL20 Chemokines in Multiple Sclerosis

<b>Objective:</b> The course of relapsing–remitting multiple sclerosis (RRMS) is highly variable and there is a lack of effective prognostic biomarkers. This study aimed to assess the potential prognostic value of the chemokines B lymphocyte chemoattractant molecule (CXCL13), eotaxin-1 (...

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Main Authors: Işıl Peker, Hacer Eroğlu İçli, Belgin Mutluay, Burcu Yüksel, Zeynep Özdemir, Mesrure Köseoğlu, Aysu Şen, Dilek Ataklı, Aysun Soysal, Musa Öztürk
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Language:English
Published: MDPI AG 2024-12-01
Series:Biomedicines
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Online Access:https://www.mdpi.com/2227-9059/13/1/40
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author Işıl Peker
Hacer Eroğlu İçli
Belgin Mutluay
Burcu Yüksel
Zeynep Özdemir
Mesrure Köseoğlu
Aysu Şen
Dilek Ataklı
Aysun Soysal
Musa Öztürk
author_facet Işıl Peker
Hacer Eroğlu İçli
Belgin Mutluay
Burcu Yüksel
Zeynep Özdemir
Mesrure Köseoğlu
Aysu Şen
Dilek Ataklı
Aysun Soysal
Musa Öztürk
author_sort Işıl Peker
collection DOAJ
description <b>Objective:</b> The course of relapsing–remitting multiple sclerosis (RRMS) is highly variable and there is a lack of effective prognostic biomarkers. This study aimed to assess the potential prognostic value of the chemokines B lymphocyte chemoattractant molecule (CXCL13), eotaxin-1 (CCL11), and macrophage inflammatory protein 3-alpha (CCL20) in RRMS. <b>Methods:</b> Forty-two patients with MS were enrolled, along with 22 controls, 12 of the controls were idiopathic intracranial hypertension (IIH) patients, and 10 of the controls were other neurologic diseases (OND). Chemokine levels were measured using enzyme-linked immunosorbent assay (ELISA) in serum and cerebrospinal fluid (CSF) samples. <b>Results:</b> No significant differences were observed among the groups in serum levels of CXCL13, CCL11, and CCL20 (<i>p</i> = 0.509, <i>p</i> = 0.979, <i>p</i> = 0.169, respectively). CSF CXCL13 levels were significantly higher in the OND group (<i>p</i> = 0.016). A PATH analysis showed CSF CXCL13 was significantly associated with new T2 hyperintense lesions on brain magnetic resonance imaging (<i>p</i> < 0.001), and baseline serum CCL11 levels were associated with EDSS (<i>p</i> = 0.030), implying its potential role in indicating neurodegenerative processes and possible progression risk. Serum CCL20 correlated with EDSS (<i>p</i> = 0.002) and lesion burden (<i>p</i> < 0.001), reflecting disease severity. <b>Conclusions:</b> These findings suggest that CSF CXCL13 could serve as a useful biomarker for predicting active disease in RRMS, while follow-up serum CCL11 may assist in identifying progression. Although these chemokines are not specific to MS, higher levels may signal disease activity, severity, and transition to more progressive stages.
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spelling doaj-art-67bed3f4292e4e9e80a8fb0ba24cfad72025-01-24T13:23:48ZengMDPI AGBiomedicines2227-90592024-12-011314010.3390/biomedicines13010040Prognostic Value of CXCL13, CCL11, and CCL20 Chemokines in Multiple SclerosisIşıl Peker0Hacer Eroğlu İçli1Belgin Mutluay2Burcu Yüksel3Zeynep Özdemir4Mesrure Köseoğlu5Aysu Şen6Dilek Ataklı7Aysun Soysal8Musa Öztürk9Department of Neurology, Edirne Sultan 1. Murat State Hospital, 22030 Edirne, TurkeyDepartment of Biochemistry, Bakirkoy Research and Training Hospital for Psychiatry, Neurology and Neurosurgery, 34147 Istanbul, TurkeyDepartment of Neurology, Bakirkoy Research and Training Hospital for Psychiatry, Neurology and Neurosurgery, 34147 Istanbul, TurkeyDepartment of Neurology, Bakirkoy Research and Training Hospital for Psychiatry, Neurology and Neurosurgery, 34147 Istanbul, TurkeyDepartment of Neurology, Bakirkoy Research and Training Hospital for Psychiatry, Neurology and Neurosurgery, 34147 Istanbul, TurkeyDepartment of Neurology, Kanuni Sultan Suleiman Research and Training Hospital, 34303 Istanbul, TurkeyDepartment of Neurology, Bakirkoy Research and Training Hospital for Psychiatry, Neurology and Neurosurgery, 34147 Istanbul, TurkeyDepartment of Neurology, Bakirkoy Research and Training Hospital for Psychiatry, Neurology and Neurosurgery, 34147 Istanbul, TurkeyDepartment of Neurology, Bakirkoy Research and Training Hospital for Psychiatry, Neurology and Neurosurgery, 34147 Istanbul, TurkeyDepartment of Neurology, Bakirkoy Research and Training Hospital for Psychiatry, Neurology and Neurosurgery, 34147 Istanbul, Turkey<b>Objective:</b> The course of relapsing–remitting multiple sclerosis (RRMS) is highly variable and there is a lack of effective prognostic biomarkers. This study aimed to assess the potential prognostic value of the chemokines B lymphocyte chemoattractant molecule (CXCL13), eotaxin-1 (CCL11), and macrophage inflammatory protein 3-alpha (CCL20) in RRMS. <b>Methods:</b> Forty-two patients with MS were enrolled, along with 22 controls, 12 of the controls were idiopathic intracranial hypertension (IIH) patients, and 10 of the controls were other neurologic diseases (OND). Chemokine levels were measured using enzyme-linked immunosorbent assay (ELISA) in serum and cerebrospinal fluid (CSF) samples. <b>Results:</b> No significant differences were observed among the groups in serum levels of CXCL13, CCL11, and CCL20 (<i>p</i> = 0.509, <i>p</i> = 0.979, <i>p</i> = 0.169, respectively). CSF CXCL13 levels were significantly higher in the OND group (<i>p</i> = 0.016). A PATH analysis showed CSF CXCL13 was significantly associated with new T2 hyperintense lesions on brain magnetic resonance imaging (<i>p</i> < 0.001), and baseline serum CCL11 levels were associated with EDSS (<i>p</i> = 0.030), implying its potential role in indicating neurodegenerative processes and possible progression risk. Serum CCL20 correlated with EDSS (<i>p</i> = 0.002) and lesion burden (<i>p</i> < 0.001), reflecting disease severity. <b>Conclusions:</b> These findings suggest that CSF CXCL13 could serve as a useful biomarker for predicting active disease in RRMS, while follow-up serum CCL11 may assist in identifying progression. Although these chemokines are not specific to MS, higher levels may signal disease activity, severity, and transition to more progressive stages.https://www.mdpi.com/2227-9059/13/1/40relapsing–remitting multiple sclerosisB lymphocyte chemoattractant moleculeeotaxin-1macrophage inflammatory protein 3-alfabiomarkers
spellingShingle Işıl Peker
Hacer Eroğlu İçli
Belgin Mutluay
Burcu Yüksel
Zeynep Özdemir
Mesrure Köseoğlu
Aysu Şen
Dilek Ataklı
Aysun Soysal
Musa Öztürk
Prognostic Value of CXCL13, CCL11, and CCL20 Chemokines in Multiple Sclerosis
Biomedicines
relapsing–remitting multiple sclerosis
B lymphocyte chemoattractant molecule
eotaxin-1
macrophage inflammatory protein 3-alfa
biomarkers
title Prognostic Value of CXCL13, CCL11, and CCL20 Chemokines in Multiple Sclerosis
title_full Prognostic Value of CXCL13, CCL11, and CCL20 Chemokines in Multiple Sclerosis
title_fullStr Prognostic Value of CXCL13, CCL11, and CCL20 Chemokines in Multiple Sclerosis
title_full_unstemmed Prognostic Value of CXCL13, CCL11, and CCL20 Chemokines in Multiple Sclerosis
title_short Prognostic Value of CXCL13, CCL11, and CCL20 Chemokines in Multiple Sclerosis
title_sort prognostic value of cxcl13 ccl11 and ccl20 chemokines in multiple sclerosis
topic relapsing–remitting multiple sclerosis
B lymphocyte chemoattractant molecule
eotaxin-1
macrophage inflammatory protein 3-alfa
biomarkers
url https://www.mdpi.com/2227-9059/13/1/40
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