Subventricular Zone Microstructure in Pediatric-Onset Multiple Sclerosis

Monica Margoni1,2,3, Loredana Storelli1, Elisabetta Pagani1

  • 1Neuroimaging Research Unit, Division of Neuroscience, IRCCS San Raffaele Scientific Institute, Milan, Italy.

Annals of Neurology
|January 18, 2025
PubMed

Insights

Subventricular zone (SVZ) microstructural changes occur early in pediatric multiple sclerosis (MS) and correlate with brain damage, but not clinical impairment. These findings highlight early disease-related alterations in the SVZ in pediatric MS patients.

Area of Science:

  • Neuroscience
  • Radiology
  • Neurology

Background:

  • The subventricular zone (SVZ) is a critical neurogenic niche.
  • Aging impacts SVZ microstructure, affecting neurogenesis and brain health.
  • Pediatric-onset multiple sclerosis (MS) presents unique challenges in understanding disease progression.

Purpose of the Study:

  • To investigate age-related microstructural changes in the SVZ.
  • To examine the association between SVZ microstructure and clinical disability in pediatric MS.
  • To explore the relationship between SVZ alterations and brain structural damage in pediatric MS.

Main Methods:

  • 141 pediatric-onset MS patients and 233 healthy controls (HC) underwent 3.0T MRI.
  • Fractional anisotropy (FA) and mean diffusivity (MD) were measured in the SVZ and thalamus.
  • Analysis correlated microstructural metrics with clinical disability and brain lesion volume.

Main Results:

  • In healthy controls, SVZ microstructure changed with age, with distinct patterns for FA and MD.
  • Pediatric MS patients exhibited higher SVZ FA compared to pediatric HC, while adult patients showed no difference.
  • SVZ and thalamic microstructural abnormalities in MS patients correlated with white matter lesion volume and reduced brain volumes.

Conclusions:

  • SVZ microstructural changes are evident early in pediatric MS.
  • These early SVZ alterations are associated with brain structural damage.
  • SVZ microstructural changes in pediatric MS do not appear to correlate with clinical impairment.
Abstract

Related Concept Videos

Chronic Bowel Disorders: Introduction01:17

Chronic Bowel Disorders: Introduction

Chronic bowel diseases are a group of long-term conditions affecting the digestive tract, characterized by inflammation and damage to the gut lining. These conditions primarily include irritable bowel syndrome and inflammatory bowel disease.
Irritable Bowel Syndrome (IBS) is a common disorder affecting the gastrointestinal tract. The distinctive feature is recurrent abdominal pain associated with altered bowel movements, manifesting as constipation, diarrhea, or fluctuating between both. The...
Other Disorders of Digestive System01:30

Other Disorders of Digestive System

The gastrointestinal tract is susceptible to various disorders. If the lower esophageal sphincter is damaged, stomach acid can flow back into the esophagus, causing irritation and inflammation of the lining. This condition is called gastroesophageal reflux disease (known as heartburn) and may cause chest pain and difficulty swallowing. In the stomach, prolonged use of nonsteroidal anti-inflammatory drugs like aspirin, chronic alcohol consumption, bacterial infections such as Helicobacter...
Development of the Oral Microbiota01:28

Development of the Oral Microbiota

The establishment of the oral microbiome begins before birth, challenging the long-held belief that the fetal oral cavity is sterile. The presence of oral microbes such as Streptococcus and Fusobacterium in amniotic fluid suggests that microbial exposure may occur in utero, potentially through translocation from the maternal oral or gastrointestinal tract. This early colonization primes the neonatal immune system and sets the stage for subsequent microbial succession. Maternal health,...
Peptic Ulcer01:27

Peptic Ulcer

Peptic ulcers are erosive lesions of the gastric or duodenal lining, most commonly caused by Helicobacter pylori infection. This Gram-negative, helical bacterium has adapted to survive the stomach’s acidic environment by producing urease, which converts urea into ammonia and carbon dioxide. The ammonia neutralizes gastric acid in the bacterium’s immediate environment, allowing colonization of the gastric mucosa. H. pylori attaches to mucus-secreting epithelial cells, penetrates the mucus...
Diverticular Disease of the Colon01:27

Diverticular Disease of the Colon

Diverticular disease involves the formation of diverticula—small sac-like outpouchings of the colonic wall—and their complications. It most commonly affects the sigmoid colon due to higher intraluminal pressure and structural vulnerability. It results from structural weakness and increased pressure in the colon, producing pseudodiverticula that may remain silent or progress to inflammation and serious complications.Structure of DiverticulaIn diverticulosis, these outpouchings are...
Appendicitis01:19

Appendicitis

Appendicitis is an acute inflammatory condition of the vermiform appendix, most commonly caused by obstruction of its lumen. The appendix is a narrow, blind-ended pouch that extends from the cecum, making it particularly prone to obstruction. Causes include fecaliths, lymphoid hyperplasia (often after viral infections), parasites, tumors, or foreign bodies. This obstruction initiates a cascade of pathological changes.Luminal Obstruction and Early InflammationAfter obstruction, normal mucosal...