Skip to main content

Thank you for visiting nature.com. You are using a browser version with limited support for CSS. To obtain the best experience, we recommend you use a more up to date browser (or turn off compatibility mode in Internet Explorer). In the meantime, to ensure continued support, we are displaying the site without styles and JavaScript.

  • Original Article
  • Published:

Gene-expression signatures: biomarkers toward diagnosing multiple sclerosis

Abstract

Identification of biomarkers contributing to disease diagnosis, classification or prognosis could be of considerable utility. For example, primary methods to diagnose multiple sclerosis (MS) include magnetic resonance imaging and detection of immunological abnormalities in cerebrospinal fluid. We determined whether gene-expression differences in blood discriminated MS subjects from comparator groups, and identified panels of ratios that performed with varying degrees of accuracy depending upon complexity of comparator groups. High levels of overall accuracy were achieved by comparing MS with homogeneous comparator groups. Overall accuracy was compromised when MS was compared with a heterogeneous comparator group. Results, validated in independent cohorts, indicate that gene-expression differences in blood accurately exclude or include a diagnosis of MS and suggest that these approaches may provide clinically useful prediction of MS.

This is a preview of subscription content, access via your institution

Access options

Buy this article

Prices may be subject to local taxes which are calculated during checkout

Figure 1
Figure 2
Figure 3
Figure 4
Figure 5
Figure 6
Figure 7

Similar content being viewed by others

References

  1. Swanton JK, Rovira A, Tintore M, Altmann DR, Barkhof F, Filippi M et al. MRI criteria for multiple sclerosis in patients presenting with clinically isolated syndromes: a multicentre retrospective study. Lancet Neurol 2007; 6: 664–665.

    Article  Google Scholar 

  2. Polman CH, Reingold SC, Edan G, Filippi M, Hartung HP, Kappos L et al. Diagnostic criteria for multiple sclerosis: 2005 revisions to the ‘McDonald Criteria’. Ann Neurol 2005; 58: 840–846.

    Article  Google Scholar 

  3. McDonald WI, Compston A, Edan G, Goodkin D, Hartung HP, Lublin FD et al. Recommended diagnostic criteria for multiple sclerosis: guidelines from the international panel on the diagnosis of multiple sclerosis. Ann Neurol 2001; 50: 121–127.

    Article  CAS  Google Scholar 

  4. Awad A, Hemmer B, Hartung HP, Kieseier B, Bennett JL, Stuve O . Analyses of cerebrospinal fluid in the diagnosis and monitoring of multiple sclerosis. J Neuroimmunol 2009; 219: 1–7.

    Article  Google Scholar 

  5. LInk H, Huang Y-M . Oligoclonal bands in multiple sclerosis cerebrospinal fluid: an update on methodology and clinical usefulness. J Neuroimmunol 2006; 180: 17–28.

    Article  CAS  Google Scholar 

  6. Consortium TWTCC.. Genome-wide association study of 14 000 cases of seven common diseases and 3000 shared controls. Nature 2007; 447: 661–678.

    Article  Google Scholar 

  7. Axtell RC, de Jong BA, Boniface K, van der Voort LF, Bhat R, De Sarno P et al. T helper type 1 and 17 cells determine efficacy of interferon-beta in multiple sclerosis and experimental encephalomyelitis. Nat Med 2010; 16: 406–412.

    Article  CAS  Google Scholar 

  8. Keller A, Leidinger P, Lange J, Borries A, Schroers H, Scheffler M et al. Multiple sclerosis: microRNA expression profiles accurately differentiate patients with relapsing-remitting disease from healthy controls. PLoS One 2009; 13: e7440.

    Article  Google Scholar 

  9. Harris VK, Sadiq SA . Disease biomarkers in multiple sclerosis: potential for use in therapeutic decision making. Mol Diagn Ther 2009; 13: 225–244.

    Article  CAS  Google Scholar 

  10. Quintana FJ, Farez MF, Viglietta V, Iglesias AH, Merbl Y, Izquierdo G et al. Antigen microarrays identify unique serum autoantibody signatures in clinical and pathologic subtypes of multiple sclerosis. Proc Natl Acad Sci USA 2008; 105: 18889–18894.

    Article  CAS  Google Scholar 

  11. Kostka D, Spang R . Microarray based diagnosis profits from better documentation of gene expression signatures. PLoS Comput Biol 2008; 4: e22.

    Article  Google Scholar 

  12. Ray S, Britschgi M, Herbert C, Takeda-Uchimura Y, Boxer A, Blennow K et al. Classification and prediction of clinical Alzheimer's diagnosis based on plasma signaling proteins. Nat Med 2007; 13: 1359–1362.

    Article  CAS  Google Scholar 

  13. Quackenbush J . Microarray analysis and tumor classification. N Engl J Med 2006; 354: 2463–2472.

    Article  CAS  Google Scholar 

  14. Hofman P . DNA Microarrays. Nephron Physiol 2005; 99: 85–89.

    Article  Google Scholar 

  15. Gregersen PK, Brehrens TW . Fine mapping the phenotype in autoimmune disease: the promise and pitfalls of DNA microarray technologies. Genes Immun 2003; 4: 175–176.

    Article  CAS  Google Scholar 

  16. Bomprezzi R, Ringnér M, Kim S, Bittner ML, Khan J, Chen Y et al. Gene expression profile in multiple sclerosis patients and healthy controls: identifying pathways relevant to disease. Hum Mol Genet 2003; 12: 2191–2199.

    Article  CAS  Google Scholar 

  17. Brynedal B, Khademi M, Wallström E, Hillert J, Olsson T, Duvefelt K . Gene expression proling in multiple sclerosis: a disease of the central nervous system, but with relapses triggered in the periphery? Neurobiol Dis 2010; 37: 613–621.

    Article  CAS  Google Scholar 

  18. Harris VK, Sadiq SA . Disease biomarkers: potential for use in therapeutic decision making. Mol Diagn Ther 2009; 13: 225–244.

    Article  CAS  Google Scholar 

  19. Maas K, Chan S, Parker J, Slater A, Moore J, Olsen N et al. Cutting edge: molecular portrait of human autoimmune disease. J Immunol 2002; 169: 5–9.

    Article  CAS  Google Scholar 

  20. Liu Z, Maas K, Aune TM . Identification of gene expression signatures in autoimmune disease without the influence of familial resemblance. Hum Mol Genet 2006; 15: 501–509.

    Article  CAS  Google Scholar 

  21. Maas K, Chen H, Shyr Y, Olsen NJ, Aune T . Shared gene expression profiles in individuals with autoimmune disease and unaffected first-degree relatives of individuals with autoimmune disease. Hum Mol Genet 2005; 14: 1305–1314.

    Article  CAS  Google Scholar 

  22. Fossey SC, Vnencak-Jones CL, Olsen NJ, Sriram S, Garrison G, Deng X et al. Identification of molecular biomarkers for multiple sclerosis. J Mol Diagn 2007; 9: 197–204.

    Article  CAS  Google Scholar 

  23. Weyand CM, Fujii H, Shao L, Goronzy JJ . Rejuvenating the immune system in rheumatoid arthritis. Nat Rev Rheumatol 2009; 5: 583–588.

    Article  CAS  Google Scholar 

  24. Shao L, Fujii H, Colmegna I, Oishi H, Goronzy JJ, Weyand CM . Deficiency of the DNA repair enzyme ATM in rheumatoid arthritis. J Exp Med 2009; 206: 1435–1449.

    Article  CAS  Google Scholar 

  25. Deng X, Ljunggren-Rose A, Maas K, Sriram S . Defective ATM-p53-mediated apoptotic pathway in multiple sclerosis. Ann Neurol 2005; 58: 577–584.

    Article  CAS  Google Scholar 

  26. Maas K, Westfall M, Pietenpol J, Olsen NJ, Aune T . Reduced p53 in peripheral blood mononuclear cells from patients with rheumatoid arthritis is associated with loss of radiation-induced apoptosis. Arthritis Rheum 2005; 52: 1047–1057.

    Article  CAS  Google Scholar 

  27. Butowski N . Immunostimulants for malignant gliomas. Neurosurg Clin N Am 2010; 21: 53–65.

    Article  Google Scholar 

  28. Readinger JA, Mueller KL, Venegas AM, Horai R, Schwartzberg PL . Tec kinases regulate T-lymphocyte development and function: new insights into the roles of Itk and Rlk/Txk. Immunol Rev 2009; 228: 93–114.

    Article  CAS  Google Scholar 

  29. Buchner DA, Meisler MH . TSRC1, a widely expressed gene containing seven thrombospondin type I repeats. Gene 2003; 307: 23–30.

    Article  CAS  Google Scholar 

  30. Abdi H . The Bonferonni and Sidak Corrections for Multiple Comparisons. Sage: Thousand Oaks, CA, 2007.

    Google Scholar 

Download references

Acknowledgements

This work was supported by the US National Institutes of Health Grant AI053984.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to T M Aune.

Ethics declarations

Competing interests

TMA and NJO are co-owners of ArthroChip.

Additional information

Supplementary Information accompanies the paper on Genes and Immunity website

Supplementary information

Rights and permissions

Reprints and permissions

About this article

Cite this article

Tossberg, J., Crooke, P., Henderson, M. et al. Gene-expression signatures: biomarkers toward diagnosing multiple sclerosis. Genes Immun 13, 146–154 (2012). https://doi.org/10.1038/gene.2011.66

Download citation

  • Received:

  • Revised:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1038/gene.2011.66

Keywords

This article is cited by

Search

Quick links