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February 23, 2023Journal of NeuroinflammationOpen Access

Supporting the differential diagnosis of connective tissue diseases with neurological involvement by blood and cerebrospinal fluid flow cytometry

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Authors

MHMichael HemingUniversity Hospital MünsterLMLouisa Müller‐MinyUniversity Hospital MünsterLRLeoni RolfesDüsseldorf University Hospital

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Overview

Randomized trial explores immune cell profiles to aid diagnosis in connective tissue diseases with neurological manifestations, suggesting faster test options.

Key Points

  • This study aims to improve the diagnosis of neurological manifestations in autoimmune connective tissue diseases by analyzing immune cell compositions.
  • Retrospective investigation of paired cerebrospinal fluid and blood samples from 28 CTD patients without neurological manifestations and 38 with neurological manifestations, along with control groups.
  • Flow cytometry was used to assess immune cell types in blood and cerebrospinal fluid samples from patients.
  • A machine learning model was developed to differentiate neurological CTD from multiple sclerosis based on immune cell compositions.
  • Blood plasma cells were significantly expanded in both CTD with neurological manifestations and CTD without compared to non-inflammatory controls and MS.
  • Blood flow cytometry effectively distinguished N-CTD from MS with an area under the curve (AUC) of 0.81.
  • CD4 + T cells and the CD4 + /CD8 + ratio were elevated in N-CTD compared to CTD.

Cite This Study

Heming et al. (2023) studied this question.

synapsesocial.com/papers/6a3fa67684e5814408cd5de3https://doi.org/10.1186/s12974-023-02733-w
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