Neurol. praxi. 2026;27(1):22-26 | DOI: 10.36290/neu.2025.032

Laboratory biomarkers of multiple sclerosis

MUDr. Kamila Žondra Revendová, Ph.D.1, 2, MUDr. Ing. David Zeman, Ph.D.3, 4, MUDr. Radovan Bunganič1, 2, MUDr. Kryštof Damián Švub1, MUDr. Ondřej Pelíšek2, 5, doc. RNDr. Pavlína Kušnierová, Ph.D.3, 4
1 Neurologická klinika, Fakultní nemocnice Ostrava, Ostrava
2 Katedra klinických neurověd, Lékařská fakulta Ostravské univerzity, Ostrava
3 Ústav laboratorní medicíny, Oddělení klinické biochemie, Fakultní nemocnice Ostrava, Ostrava
4 Ústav laboratorní medicíny, Lékařská fakulta, Ostravská univerzita, Ostrava
5 Neurologické oddělení, Nemocnice Agel Nový Jičín, a. s.

Laboratory biomarkers play a crucial role in the diagnosis, prediction, and monitoring of treatment efficacy in patients with multiple sclerosis (MS). Their use enables better individualization of therapy, increasing the chances of slowing disease progression and improving patients' quality of life. The most important diagnostic laboratory biomarkers in MS are oligoclonal IgG bands and free kappa light chains, while neurofilament light chains are essential for disease prediction and monitoring treatment efficacy. Research in this area is continuously evolving with the aim of discovering new indicators that further improve diagnostic accuracy and enable more detailed monitoring of disease progression.

Keywords: laboratory biomarkers, multiple sclerosis, oligoclonal IgG bands, free light chains, neurofilament light chains.

Received: February 24, 2025; Revised: March 31, 2025; Accepted: April 1, 2025; Prepublished online: April 1, 2025; Published: March 11, 2026  Show citation

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Revendová KŽ, Zeman D, Bunganič R, Švub KD, Pelíšek O, Kušnierová P. Laboratory biomarkers of multiple sclerosis. Neurol. praxi. 2026;27(1):22-26. doi: 10.36290/neu.2025.032.
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References

  1. Abdelhak A, Foschi M, Abu-Rumeileh S, et al. Blood GFAP as an emerging biomarker in brain and spinal cord disorders. Nat Rev Neurol. 2022;18(3):158-172. doi:10.1038/s41582-021-00616-3. Go to original source... Go to PubMed...
  2. Bai Z, Chen D, Wang L, et al. Cerebrospinal Fluid and Blood Cytokines as Biomarkers for Multiple Sclerosis: A Systematic Review and Meta-Analysis of 226 Studies With 13,526 Multiple Sclerosis Patients. Front Neurosci. 2019;13:1026. doi:10.3389/fnins.2019.01026. Go to original source... Go to PubMed...
  3. Benkert P, Meier S, Schaedelin S, et al. Serum neurofilament light chain for individual prognostication of disease activity in people with multiple sclerosis: a retrospective modelling and validation study. Lancet Neurol. 2022;21(3):246-257. doi:10.1016/S1474-4422(22)00009-6. Go to original source... Go to PubMed...
  4. Berek K, Bsteh G, Auer M, et al. Cerebrospinal Fluid Findings in 541 Patients With Clinically Isolated Syndrome and Multiple Sclerosis: A Monocentric Study. Front Immunol. 2021;12:675307. doi:10.3389/fimmu.2021.675307. Go to original source... Go to PubMed...
  5. Bittner S, Oh J, Havrdová EK, et al. The potential of serum neurofilament as biomarker for multiple sclerosis. Brain. 2021;144. Go to original source...
  6. Bjornevik K, Munger KL, Cortese M, et al. Serum Neurofilament Light Chain Levels in Patients With Presymptomatic Multiple Sclerosis. JAMA Neurol. 2020;77(1):58-64. doi:10.1001/jamaneurol.2019.3238. Go to original source... Go to PubMed...
  7. Comabella M, Fernández M, Martin R, et al. Cerebrospinal fluid chitinase 3-like 1 levels are associated with conversion to multiple sclerosis. Brain. 2010;133(Pt 4):1082-1093. doi:10.1093/brain/awq035. Go to original source... Go to PubMed...
  8. Comabella M, Sastre-Garriga J, Borras E, et al. CSF Chitinase 3-Like 2 Is Associated With Long-term Disability Progression in Patients With Progressive Multiple Sclerosis. Neurol Neuroimmunol Neuroinflamm. 2021;8(6):e1082. doi:10.1212/NXI.0000000000001082. Go to original source... Go to PubMed...
  9. Ebrahimkhani S, Vafaee F, Young PE, et al. Exosomal microRNA signatures in multiple sclerosis reflect disease status. Sci Rep. 2017;7(1):14293. doi:10.1038/s41598-017-14301-3. Go to original source... Go to PubMed...
  10. Ferraro D, Galli V, Vitetta F, et al. Cerebrospinal fluid CXCL13 in clinically isolated syndrome patients: Association with oligoclonal IgM bands and prediction of Multiple Sclerosis diagnosis. J Neuroimmunol. 2015;283:64-69. doi:10.1016/j.jneuroim.2015.04.011. Go to original source... Go to PubMed...
  11. Floro S, Carandini T, Pietroboni AM, De Riz MA, Scarpini E, Galimberti D. Role of Chitinase 3-like 1 as a Biomarker in Multiple Sclerosis: A Systematic Review and Meta-analysis. Neurol Neuroimmunol Neuroinflamm. 2022;9(4):e1164. doi:10.1212/NXI.0000000000001164. Go to original source... Go to PubMed...
  12. Fonderico M, Portaccio E, Razzolini L, et al. Cerebrospinal Fluid IgM and Oligoclonal IgG Bands in Multiple Sclerosis: A Meta-Analysis of Prevalence and Prognosis. Brain Sci. 2021;11(11):1444. doi:10.3390/brainsci11111444. Go to original source... Go to PubMed...
  13. Hegen H, Walde J, Berek K, et al. Cerebrospinal fluid kappa free light chains for the diagnosis of multiple sclerosis: A systematic review and meta-analysis. Mult Scler. 2023;29(2):169-181. doi:10.1177/13524585221134213. Go to original source... Go to PubMed...
  14. Jarius S, Eichhorn P, Franciotta D, et al. The MRZ reaction as a highly specific marker of multiple sclerosis: re-evaluation and structured review of the literature. J Neurol. 2017;264(3):453-466. doi:10.1007/s00415-016-8360-4. Go to original source... Go to PubMed...
  15. Khalil M, Teunissen CE, Otto M, et al. Neurofilaments as biomarkers in neurological disorders. Nat Rev Neurol. 2018;14(10):577-589. doi:10.1038/s41582-018-0058-z. Go to original source... Go to PubMed...
  16. Klíčová K, Mareš J, Sobek O, et al. Prognostic relevance of the C-X-C motif chemokine ligand 13 and interleukin-8 in predicting the transition from clinically isolated syndrome to multiple sclerosis. Eur J Neurosci. 2024;59(11):2955-2966. doi:10.1111/ejn.16300. Go to original source... Go to PubMed...
  17. Kušnierová, Pavlína. Laboratorní diagnostika roztroušené sklerózy. Habilitační práce. Olomouc: Univerzita Palackého v Olomouci, 2021.
  18. Lotan I, Benninger F, Mendel R, et al. Does CSF pleocytosis have a predictive value for disease course in MS? Neurol Neuroimmunol Neuroinflamm. 2019;6(5):e584. doi:10.1212/NXI.0000000000000584. Go to original source... Go to PubMed...
  19. Mancuso R, Hernis A, Agostini S, et al. MicroRNA-572 expression in multiple sclerosis patients with different patterns of clinical progression. J Transl Med. 2015;13:148. doi:10.1186/s12967-015-0504-2. Go to original source... Go to PubMed...
  20. Martínez MA, Olsson B, Bau L, et al. Glial and neuronal markers in cerebrospinal fluid predict progression in multiple sclerosis. Mult Scler. 2015;21(5):550-561. doi:10.1177/1352458514549397. Go to original source... Go to PubMed...
  21. Meier S, Willemse EAJ, Schaedelin S, et al. Serum Glial Fibrillary Acidic Protein Compared With Neurofilament Light Chain as a Biomarker for Disease Progression in Multiple Sclerosis. JAMA Neurol. 2023;80(3):287-297. doi:10.1001/jamaneurol.2022.5250. Go to original source... Go to PubMed...
  22. Modvig S, Degn M, Roed H, et al. Cerebrospinal fluid levels of chitinase 3-like 1 and neurofilament light chain predict multiple sclerosis development and disability after optic neuritis. Mult Scler. 2015;21(14):1761-1770. doi:10.1177/1352458515574148. Go to original source... Go to PubMed...
  23. Møllgaard M, Degn M, Sellebjerg F, et al. Cerebrospinal fluid chitinase-3-like 2 and chitotriosidase are potential prognostic biomarkers in early multiple sclerosis. Eur J Neurol. 2016;23(5):898-905. doi:10.1111/ene.12960. Go to original source... Go to PubMed...
  24. Monreal E, Sainz de la Maza S, Costa-Frossard L, et al. Predicting Aggressive Multiple Sclerosis With Intrathecal IgM Synthesis Among Patients With a Clinically Isolated Syndrome. Neurol Neuroimmunol Neuroinflamm. 2021;8(5):e1047. doi:10.1212/NXI.0000000000001047. Go to original source... Go to PubMed...
  25. Montalban X, Lebrun-Frénay C, Oh J, et al. Diagnosis of multiple sclerosis: 2024 revisions of the McDonald criteria. Lancet Neurol. 2025;24(10):850-865. doi:10.1016/S1474-4422(25)00270-4. Go to original source... Go to PubMed...
  26. Petzold A. Intrathecal oligoclonal IgG synthesis in multiple sclerosis. J Neuroimmunol. 2013;262(1-2):1-10. doi:10.1016/j.jneuroim.2013.06.014. Go to original source... Go to PubMed...
  27. Revendova K, Zeman D, Kusnierova P, et al. Prognostic value of intrathecal IgM synthesis determined by various laboratory methods in patients with early multiple sclerosis - a prospective observational study. Mult Scler Relat Disord. 2022;63:103847. doi:10.1016/j.msard.2022.103847. Go to original source... Go to PubMed...
  28. Rodgers JM, Miller SD. Cytokine control of inflammation and repair in the pathology of multiple sclerosis. Yale J Biol Med. 2012;85(4):447-468.
  29. Sharief MK, Thompson EJ. Immunoglobulin M in the cerebrospinal fluid: an indicator of recent immunological stimulation. J Neurol Neurosurg Psychiatry. 1989;52(8):949-953. doi:10.1136/jnnp.52.8.949. Go to original source... Go to PubMed...
  30. Sharief MK, Thompson EJ. Intrathecal immunoglobulin M synthesis in multiple sclerosis. Relationship with clinical and cerebrospinal fluid parameters. Brain. 1991;114(Pt 1A):181-195.
  31. Siegel SR, Mackenzie J, Chaplin G, et al. Circulating microRNAs involved in multiple sclerosis. Mol Biol Rep. 2012;39(5):6219-6225. doi:10.1007/s11033-011-1441-7. Go to original source... Go to PubMed...
  32. Sindic CJ, Monteyne P, Laterre EC. Occurrence of oligoclonal IgM bands in the cerebrospinal fluid of neurological patients: an immunoaffinity-mediated capillary blot study. J Neurol Sci. 1994;124(2):215-219. doi:10.1016/0022-510x(94)90329-8. Go to original source... Go to PubMed...
  33. Sobek O. Doporučené postupy, indikace a možnosti likvorové diagnostiky u roztroušené sklerózy a optické neuromyelitidy. Multiple Sclerosis News. 2017;3(1):6-11.
  34. Sobek O, Dušková J, Kušnierová P, et al. Vyšetření likvoru - doporučený diagnostický postup. Multiple Sclerosis News. 2024;10(2):9-22.
  35. Stampanoni Bassi M, Iezzi E, Drulovic J, et al. IL-6 in the Cerebrospinal Fluid Signals Disease Activity in Multiple Sclerosis. Front Cell Neurosci. 2020;14:120. Published 2020 Jun 23. doi:10.3389/fncel.2020.00120. Go to original source...
  36. Tüfekci KU, Oner MG, Meuwissen RL, Genç S. The role of microRNAs in human diseases. Methods Mol Biol. 2014;1107:33-50. doi:10.1007/978-1-62703-748-8_3. Go to original source... Go to PubMed...
  37. Zeman D. Praktický průvodce laboratorním vyšetřením likvoru 1. Olomouc: Univerzita Palackého v Olomouci, 2018. ISBN 978-80-244-5262-3.
  38. Zondra Revendova K, Svub K, Bunganic R, et al. A comparison of measles-rubella-zoster reaction, oligoclonal IgG bands, oligoclonal kappa free light chains and kappa index in multiple sclerosis. Mult Scler Relat Disord. 2024;81:105125. doi:10.1016/j.msard.2023.105125. Go to original source... Go to PubMed...




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