Correlation between the Neutrophil-to-Lymphocyte Ratio and Multiple Sclerosis: Recent Understanding and Potential Application Perspectives

Multiple sclerosis (MS) is a chronic debilitating immune-mediated disease of the central nervous system, which causes demyelination and neuroaxonal damage. Low-grade systemic inflammation has been considered to lead to pathogenesis owing to the amplification of pathogenic immune response activation....

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Main Authors: Qingqing Zhou, Rui Jia, Jingxia Dang
Format: Article
Language:English
Published: Wiley 2022-01-01
Series:Neurology Research International
Online Access:http://dx.doi.org/10.1155/2022/3265029
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author Qingqing Zhou
Rui Jia
Jingxia Dang
author_facet Qingqing Zhou
Rui Jia
Jingxia Dang
author_sort Qingqing Zhou
collection DOAJ
description Multiple sclerosis (MS) is a chronic debilitating immune-mediated disease of the central nervous system, which causes demyelination and neuroaxonal damage. Low-grade systemic inflammation has been considered to lead to pathogenesis owing to the amplification of pathogenic immune response activation. However, there is a shortage of reliable systemic inflammatory biomarkers to predict the disease activity and progression of MS. In MS patients, a series of cytokines and chemokines promote the proliferation of neutrophils and lymphocytes and their transfer to the central nervous system. The neutrophil-to-lymphocyte ratio (NLR), which combines the information of the inherent and adaptive parts of the immune system, represents a reliable measure of the inflammatory burden. In this review, we aimed to discuss the inflammatory response in MS, mainly the function of lymphocytes and neutrophils, which can be implemented in the utility of NLR as a diagnostic tool in MS patients. The underlying pathophysiology is highlighted to identify new potential targets for neuroprotection and to develop novel therapeutic strategies.
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spelling doaj-art-8040dcdcbdbc484995f77979159166542025-02-03T01:20:02ZengWileyNeurology Research International2090-18602022-01-01202210.1155/2022/3265029Correlation between the Neutrophil-to-Lymphocyte Ratio and Multiple Sclerosis: Recent Understanding and Potential Application PerspectivesQingqing Zhou0Rui Jia1Jingxia Dang2Department of NeurologyDepartment of NeurologyDepartment of NeurologyMultiple sclerosis (MS) is a chronic debilitating immune-mediated disease of the central nervous system, which causes demyelination and neuroaxonal damage. Low-grade systemic inflammation has been considered to lead to pathogenesis owing to the amplification of pathogenic immune response activation. However, there is a shortage of reliable systemic inflammatory biomarkers to predict the disease activity and progression of MS. In MS patients, a series of cytokines and chemokines promote the proliferation of neutrophils and lymphocytes and their transfer to the central nervous system. The neutrophil-to-lymphocyte ratio (NLR), which combines the information of the inherent and adaptive parts of the immune system, represents a reliable measure of the inflammatory burden. In this review, we aimed to discuss the inflammatory response in MS, mainly the function of lymphocytes and neutrophils, which can be implemented in the utility of NLR as a diagnostic tool in MS patients. The underlying pathophysiology is highlighted to identify new potential targets for neuroprotection and to develop novel therapeutic strategies.http://dx.doi.org/10.1155/2022/3265029
spellingShingle Qingqing Zhou
Rui Jia
Jingxia Dang
Correlation between the Neutrophil-to-Lymphocyte Ratio and Multiple Sclerosis: Recent Understanding and Potential Application Perspectives
Neurology Research International
title Correlation between the Neutrophil-to-Lymphocyte Ratio and Multiple Sclerosis: Recent Understanding and Potential Application Perspectives
title_full Correlation between the Neutrophil-to-Lymphocyte Ratio and Multiple Sclerosis: Recent Understanding and Potential Application Perspectives
title_fullStr Correlation between the Neutrophil-to-Lymphocyte Ratio and Multiple Sclerosis: Recent Understanding and Potential Application Perspectives
title_full_unstemmed Correlation between the Neutrophil-to-Lymphocyte Ratio and Multiple Sclerosis: Recent Understanding and Potential Application Perspectives
title_short Correlation between the Neutrophil-to-Lymphocyte Ratio and Multiple Sclerosis: Recent Understanding and Potential Application Perspectives
title_sort correlation between the neutrophil to lymphocyte ratio and multiple sclerosis recent understanding and potential application perspectives
url http://dx.doi.org/10.1155/2022/3265029
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AT ruijia correlationbetweentheneutrophiltolymphocyteratioandmultiplesclerosisrecentunderstandingandpotentialapplicationperspectives
AT jingxiadang correlationbetweentheneutrophiltolymphocyteratioandmultiplesclerosisrecentunderstandingandpotentialapplicationperspectives