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Distinct cerebrospinal fluid profiles of astrocytic aquaporin-4 and GFAP in neuroinflammatory disorders - PubMed

4 hours ago
  • #neuroinflammatory-disorders
  • #GFAP
  • #AQP4
  • Aquaporin 4 (AQP4) is a water channel expressed in astrocytic end feet and is suggested as a biomarker in Alzheimer's disease.
  • The study investigated CSF AQP4 and GFAP levels in 301 patients with various neuroinflammatory disorders and 98 controls.
  • CSF AQP4 levels were elevated in non-immune mediated polyneuropathy (NIP) patients, especially hereditary NIP.
  • CSF GFAP was elevated in AQP4 autoantibody positive NMOSD patients but not in AQP4 autoantibody negative NMOSD patients.
  • Combining AQP4 and GFAP levels or their ratio did not significantly improve diagnostic discrimination.
  • AQP4 shows potential as a biomarker in peripheral neuropathies, while GFAP indicates astrocytic injury in autoantibody positive NMOSD.
  • AQP4 and GFAP reflect different astrocytic processes in neurological diseases.