The Serum Level of Midkine in Patients With Multiple Sclerosis and Neuromyelitis Optica

Milad Moayednia1, Leila Dehghani2, Amir Safi1

  • 1Isfahan Neurosciences Research Center, Alzahra Research Institute, Isfahan University of Medical Sciences, Isfahan, Iran.

Abstract

Insights

Serum midkine (MK) levels are significantly higher in new Multiple Sclerosis (MS) patients compared to Neuromyelitis Optica (NMO) and healthy individuals, suggesting MK’s role in neuroautoimmune diseases.

Area of Science:

  • Neuroimmunology
  • Biochemistry

Background:

  • Midkine (MK), a heparin-binding growth factor, is implicated in neurological disease pathogenesis.
  • MK enhances leukocyte migration, contributing to inflammatory responses in the central nervous system.

Purpose of the Study:

  • To evaluate and compare serum midkine (MK) concentrations in newly diagnosed Multiple Sclerosis (MS) and Neuromyelitis Optica (NMO) patients.
  • To investigate the potential role of MK in the inflammatory processes of these neuroautoimmune conditions.

Main Methods:

  • Cross-sectional study conducted at Isfahan University of Medical Sciences.
  • Serum MK levels were measured using ELISA in 80 MS patients, 80 NMO patients, and 80 healthy controls.
  • Data analysis performed using SPSS software.

Main Results:

  • Mean serum MK level in MS patients (1038.58±44.73 pg/mL) was significantly elevated compared to NMO patients (872.62±55.42 pg/mL) and healthy controls (605.02±9.42 pg/mL).
  • These findings indicate a differential involvement of MK in MS and NMO pathogenesis.

Conclusions:

  • Midkine (MK) plays a significant role in the inflammatory pathways of neuroautoimmune diseases, particularly Multiple Sclerosis (MS).
  • Serum MK levels may serve as a potential biomarker for early diagnosis and prevention of disease progression in MS.
  • Targeting MK with inhibitors could be a therapeutic strategy for managing MS and related neuroinflammatory conditions.