Relationship Between T-helper 1 Inflammatory Biomarkers and Hematological Index Responses in Patients With Multiple Sclerosis
2024

Inflammatory Biomarkers and Blood Responses in Multiple Sclerosis Patients

Sample size: 70 publication Evidence: moderate

Author Information

Author(s): Muacevic Alexander, Adler John R, Dezayee Zhian

Primary Institution: Hawler Medical University

Hypothesis

This study aims to introduce new inflammatory ratios derived from hematological and lipid indices as discriminators of T-helper (Th)-1/Th-2 activity in RR-MS.

Conclusion

MHDLR and LNHDLR are non-invasive, cost-effective biomarkers for monitoring the immune response and inflammatory status in RR-MS patients.

Supporting Evidence

  • Serum levels of Th-1 and Th-2 cytokines in RR-MS were significantly higher than in healthy subjects.
  • The ratios of INF-γ-to-IL4 and TNF-α-to-IL-10 were significantly lower than those of healthy subjects.
  • MHDLR significantly correlated positively with INF-γ and TNF-α, while inversely correlated with IL-4 and IL-5.
  • LNHDLR was significantly higher in RR-MS patients compared to healthy subjects.

Takeaway

This study looked at blood markers in people with multiple sclerosis to see how they relate to inflammation. It found new ways to measure inflammation that could help doctors track the disease.

Methodology

This cross-sectional study recruited 40 RR-MS patients and 30 healthy individuals, measuring Th-1 and Th-2 cytokines and hematological indices using enzyme-linked immunosorbent assay and routine laboratory investigations.

Potential Biases

Participants were selected from one setting, which may introduce selection bias.

Limitations

The study's cross-sectional design limits the ability to establish causality, and the small sample size restricts generalizability.

Participant Demographics

40 RR-MS patients (15 men, 25 women) aged 37.1 ± 4.8 years and 30 healthy subjects (21 men, 9 women) aged 34.3 ± 5.0 years.

Statistical Information

P-Value

<0.001

Statistical Significance

p<0.001

Digital Object Identifier (DOI)

10.7759/cureus.75278

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