Groundbreaking Breakthrough in Multiple Sclerosis Unveils New Subtypes, Paving Way for Personalised Treatment and Improved Outcomes.
A recent study published in medical journal Brain has led to the discovery of two new biological subtypes of multiple sclerosis (MS), a condition that affects millions of people worldwide. The breakthrough was achieved using artificial intelligence, a simple blood test, and MRI scans, offering hope for more effective treatments and better outcomes for patients.
The research, conducted by researchers at University College London and Queen Square Analytics, analyzed the levels of serum neurofilament light chain (sNfL) in 600 patients. The protein can indicate nerve cell damage and signal disease activity. A machine learning model called SuStaIn was used to interpret the sNfL results and brain scans.
The study revealed two distinct types of MS: early sNfL and late sNfL. Patients with high levels of sNfL in the early stages of the disease had visible damage in the corpus callosum, a part of the brain that connects the two hemispheres, and developed brain lesions quickly, making this type appear more aggressive and active.
On the other hand, patients with late sNfL showed brain shrinkage in areas such as the limbic cortex and deep grey matter before sNfL levels increased. This subtype is slower, with overt damage occurring later. The researchers believe that this distinction will enable doctors to better understand which patients are at higher risk of different complications.
The lead author of the study, Dr Arman Eshaghi from University College London, stated that MS is not one disease and current subtypes fail to describe the underlying tissue changes needed for effective treatment. With AI combined with a blood marker and MRI scans, researchers have identified two clear biological patterns of MS for the first time.
This breakthrough will enable clinicians to understand where patients sit on the disease pathway and who may need closer monitoring or earlier, targeted treatment. Patients with early sNfL MS could become eligible for higher-efficacy treatments, while those with late sNfL may be offered personalized therapies to protect brain cells or neurons.
Experts, including Caitlin Astbury from the MS Society, a charity, say that this study is an exciting development in understanding MS. The existing definitions of MS are based on clinical symptoms and often fail to accurately reflect what is happening in the body, making it challenging to treat effectively. The researchers believe that their findings could lead to more personalized treatment and better outcomes for patients.
The study's results add to growing evidence supporting a move away from the existing descriptors of MS and towards terms that reflect the underlying biology of the condition. This could help identify people at an increased risk of progression and allow them to be offered more targeted treatment options.
A recent study published in medical journal Brain has led to the discovery of two new biological subtypes of multiple sclerosis (MS), a condition that affects millions of people worldwide. The breakthrough was achieved using artificial intelligence, a simple blood test, and MRI scans, offering hope for more effective treatments and better outcomes for patients.
The research, conducted by researchers at University College London and Queen Square Analytics, analyzed the levels of serum neurofilament light chain (sNfL) in 600 patients. The protein can indicate nerve cell damage and signal disease activity. A machine learning model called SuStaIn was used to interpret the sNfL results and brain scans.
The study revealed two distinct types of MS: early sNfL and late sNfL. Patients with high levels of sNfL in the early stages of the disease had visible damage in the corpus callosum, a part of the brain that connects the two hemispheres, and developed brain lesions quickly, making this type appear more aggressive and active.
On the other hand, patients with late sNfL showed brain shrinkage in areas such as the limbic cortex and deep grey matter before sNfL levels increased. This subtype is slower, with overt damage occurring later. The researchers believe that this distinction will enable doctors to better understand which patients are at higher risk of different complications.
The lead author of the study, Dr Arman Eshaghi from University College London, stated that MS is not one disease and current subtypes fail to describe the underlying tissue changes needed for effective treatment. With AI combined with a blood marker and MRI scans, researchers have identified two clear biological patterns of MS for the first time.
This breakthrough will enable clinicians to understand where patients sit on the disease pathway and who may need closer monitoring or earlier, targeted treatment. Patients with early sNfL MS could become eligible for higher-efficacy treatments, while those with late sNfL may be offered personalized therapies to protect brain cells or neurons.
Experts, including Caitlin Astbury from the MS Society, a charity, say that this study is an exciting development in understanding MS. The existing definitions of MS are based on clinical symptoms and often fail to accurately reflect what is happening in the body, making it challenging to treat effectively. The researchers believe that their findings could lead to more personalized treatment and better outcomes for patients.
The study's results add to growing evidence supporting a move away from the existing descriptors of MS and towards terms that reflect the underlying biology of the condition. This could help identify people at an increased risk of progression and allow them to be offered more targeted treatment options.