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Teriflunomide, cognition and MRI: A longitudinal study.

L Pfaff1, M Mondino2, Q Loeb2

  • 1University of Strasbourg, Strasbourg, Biopathology of Myelin, Neuroprotection and Therapeutic Strategies, INSERM U1119, Strasbourg, France.

Multiple Sclerosis and Related Disorders
|August 28, 2024
PubMed
Summary

Teriflunomide (TRF) treatment in relapsing-remitting multiple sclerosis (RRMS) improved long-term verbal memory and inhibition after two years. MRI data indicated a correlation between cognitive improvements and white matter volume changes, particularly in the corpus callosum.

Keywords:
CognitionMRITeriflunomideTreatment

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Area of Science:

  • Neuroscience
  • Neurology
  • Radiology

Background:

  • Cognitive impairment is a common and disabling symptom in multiple sclerosis (MS).
  • Teriflunomide (TRF) is a disease-modifying therapy for MS, but its effects on cognition are not well-established.
  • Understanding TRF's impact on cognitive function and associated neuroimaging changes is crucial for MS management.

Purpose of the Study:

  • To investigate the influence of Teriflunomide (TRF) on comprehensive cognitive function in relapsing-remitting multiple sclerosis (RRMS).
  • To explore the correlations between cognitive performance and MRI-derived global and focal brain volumes after two years of TRF therapy.
  • To differentiate the effects of TRF on cognitive function in RRMS patients with and without baseline cognitive impairment.

Main Methods:

  • Twenty-four RRMS patients were assessed at baseline and after two years of TRF treatment.
  • Cognitive function was evaluated using the BCcogSEP battery, including the Selective Reminding Test (SRT) and GoNoGo task.
  • MRI data, including corpus callosum volume and Percentage Brain Volume Change, were correlated with cognitive test performance.

Main Results:

  • After two years, significant improvements were observed in SRT learning, delayed recall, and the GoNoGo task.
  • Corpus callosum volume positively correlated with SRT total recall performance.
  • Patients with cognitive impairment showed significant differences in white matter volume and Percentage Brain Volume Change compared to those without.

Conclusions:

  • Teriflunomide (TRF) treatment demonstrates a positive effect on cognitive function in RRMS, specifically enhancing long-term verbal memory and inhibition.
  • Neuroimaging findings suggest a link between cognitive improvements and changes in global and focal white matter volumes, notably the corpus callosum.
  • These results highlight the potential of TRF in addressing cognitive deficits in MS and underscore the role of white matter integrity in brain plasticity.