Evolution of retinal degeneration and prediction of disease activity in relapsing and progressive multiple sclerosis
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Evolution of retinal degeneration and prediction of disease activity in relapsing and progressive multiple sclerosis. / Krämer, Julia; Balloff, Carolin; Weise, Margit; Koska, Valeria; Uthmeier, Yannik; Esderts, Isabell; Nguyen-Minh, Mai; Zimmerhof, Moritz; Hartmann, Alex; Dietrich, Michael; Ingwersen, Jens; Lee, John-Ih; Havla, Joachim; Kümpfel, Tania; Kerschensteiner, Martin; Häußler, Vivien; Heesen, Christoph; Stellmann, Jan-Patrick; Zimmermann, Hanna G; Oertel, Frederike C; Ringelstein, Marius; Brandt, Alexander U; Paul, Friedemann; Aktas, Orhan; Hartung, Hans-Peter; Wiendl, Heinz; Meuth, Sven G; Albrecht, Philipp.
In: NAT COMMUN, Vol. 15, No. 1, 19.06.2024, p. 5243.Research output: SCORING: Contribution to journal › SCORING: Journal article › Research › peer-review
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TY - JOUR
T1 - Evolution of retinal degeneration and prediction of disease activity in relapsing and progressive multiple sclerosis
AU - Krämer, Julia
AU - Balloff, Carolin
AU - Weise, Margit
AU - Koska, Valeria
AU - Uthmeier, Yannik
AU - Esderts, Isabell
AU - Nguyen-Minh, Mai
AU - Zimmerhof, Moritz
AU - Hartmann, Alex
AU - Dietrich, Michael
AU - Ingwersen, Jens
AU - Lee, John-Ih
AU - Havla, Joachim
AU - Kümpfel, Tania
AU - Kerschensteiner, Martin
AU - Häußler, Vivien
AU - Heesen, Christoph
AU - Stellmann, Jan-Patrick
AU - Zimmermann, Hanna G
AU - Oertel, Frederike C
AU - Ringelstein, Marius
AU - Brandt, Alexander U
AU - Paul, Friedemann
AU - Aktas, Orhan
AU - Hartung, Hans-Peter
AU - Wiendl, Heinz
AU - Meuth, Sven G
AU - Albrecht, Philipp
N1 - © 2024. The Author(s).
PY - 2024/6/19
Y1 - 2024/6/19
N2 - Retinal optical coherence tomography has been identified as biomarker for disease progression in relapsing-remitting multiple sclerosis (RRMS), while the dynamics of retinal atrophy in progressive MS are less clear. We investigated retinal layer thickness changes in RRMS, primary and secondary progressive MS (PPMS, SPMS), and their prognostic value for disease activity. Here, we analyzed 2651 OCT measurements of 195 RRMS, 87 SPMS, 125 PPMS patients, and 98 controls from five German MS centers after quality control. Peripapillary and macular retinal nerve fiber layer (pRNFL, mRNFL) thickness predicted future relapses in all MS and RRMS patients while mRNFL and ganglion cell-inner plexiform layer (GCIPL) thickness predicted future MRI activity in RRMS (mRNFL, GCIPL) and PPMS (GCIPL). mRNFL thickness predicted future disability progression in PPMS. However, thickness change rates were subject to considerable amounts of measurement variability. In conclusion, retinal degeneration, most pronounced of pRNFL and GCIPL, occurs in all subtypes. Using the current state of technology, longitudinal assessments of retinal thickness may not be suitable on a single patient level.
AB - Retinal optical coherence tomography has been identified as biomarker for disease progression in relapsing-remitting multiple sclerosis (RRMS), while the dynamics of retinal atrophy in progressive MS are less clear. We investigated retinal layer thickness changes in RRMS, primary and secondary progressive MS (PPMS, SPMS), and their prognostic value for disease activity. Here, we analyzed 2651 OCT measurements of 195 RRMS, 87 SPMS, 125 PPMS patients, and 98 controls from five German MS centers after quality control. Peripapillary and macular retinal nerve fiber layer (pRNFL, mRNFL) thickness predicted future relapses in all MS and RRMS patients while mRNFL and ganglion cell-inner plexiform layer (GCIPL) thickness predicted future MRI activity in RRMS (mRNFL, GCIPL) and PPMS (GCIPL). mRNFL thickness predicted future disability progression in PPMS. However, thickness change rates were subject to considerable amounts of measurement variability. In conclusion, retinal degeneration, most pronounced of pRNFL and GCIPL, occurs in all subtypes. Using the current state of technology, longitudinal assessments of retinal thickness may not be suitable on a single patient level.
KW - Humans
KW - Retinal Degeneration/diagnostic imaging
KW - Male
KW - Female
KW - Tomography, Optical Coherence/methods
KW - Adult
KW - Middle Aged
KW - Disease Progression
KW - Multiple Sclerosis, Relapsing-Remitting/diagnostic imaging
KW - Retina/diagnostic imaging
KW - Multiple Sclerosis, Chronic Progressive/diagnostic imaging
KW - Magnetic Resonance Imaging/methods
KW - Prognosis
KW - Nerve Fibers/pathology
KW - Retinal Ganglion Cells/pathology
U2 - 10.1038/s41467-024-49309-7
DO - 10.1038/s41467-024-49309-7
M3 - SCORING: Journal article
C2 - 38897994
VL - 15
SP - 5243
JO - NAT COMMUN
JF - NAT COMMUN
SN - 2041-1723
IS - 1
ER -