Neurology Central

Oxidative stress-related biomarkers in multiple sclerosis: a review

Despite major advances in understanding multiple sclerosis (MS) pathophysiology and therapeutics, there remains a need for better biomarkers of disease activity, therapeutic response and prognosis. Clinical disability scores such as the Expanded Disability Scale Score (EDSS), lack sensitivity and their use in trials for progressive MS are limited by the lengths of time required to detect meaningful disability progression. Other scores [1] developed to address these shortcomings have their own limitations. MRI markers of disability progression such as brain atrophy attempt to improve on this but have a poor predictive value [2]. There remains a need for sensitive markers of disease activity, closely related to the underlying neuropathology and predictive of disability progression.
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