Cerebrospinal Fluid Inflammatory Biomarkers Reflect Clinical Severity in Huntington's Disease

Filipe Brogueira Rodrigues1, Lauren M Byrne1, Peter McColgan1

  • 1Huntington's Disease Centre, Institute of Neurology, University College London, London, United Kingdom.

Plos One
|September 23, 2016
PubMed

Insights

Huntington

Area of Science:

  • Neuroscience
  • Immunology
  • Biomarker Discovery

Background:

  • Immune system activation plays a role in Huntington's disease (HD) pathogenesis.
  • Identifying immune biomarkers can aid in disease study and therapeutic response assessment.
  • Cerebrospinal fluid (CSF) inflammatory cytokines and microglial markers were investigated in HD patients.

Purpose of the Study:

  • To investigate inflammatory cytokines and microglial markers in the CSF of Huntington's disease patients.
  • To explore potential CSF biomarkers for Huntington's disease.

Main Methods:

  • Assayed CSF levels of TNF-α, IL-1β, IL-6, IL-8, YKL-40, chitotriosidase, total tau, and neurofilament light chain (NFL).
  • Compared marker levels between 23 Huntington's disease mutation carriers and 14 healthy controls.

Main Results:

  • CSF TNF-α and IL-1β were below the limit of detection.
  • Huntington's disease mutation carriers showed significantly higher CSF YKL-40, chitotriosidase, and IL-6 levels compared to controls.
  • CSF YKL-40 levels correlated significantly with disease stage, functional capacity, and motor scores.

Conclusions:

  • CSF YKL-40 may serve as a potential biomarker for certain aspects of Huntington's disease.
  • Further research is required to validate these exploratory findings and establish the role of YKL-40 in HD.
Abstract