κ-FLC Index and Retinal Layer Thinning in MS Patients
In a study involving 100 MS patients, a higher κ-FLC index was linked to thinning of the peripapillary retinal nerve fiber layer (pRNFL) and ganglion cell plus inner plexiform layer (GCIPL). Specifically, statistical analysis indicated significant associations between the κ-FLC index and the thickness of these retinal layers.
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Why it matters
This research highlights a potential relationship between κ-FLC index, a marker of plasma cell activity, and specific retinal layer thinning in MS patients, which may inform future investigations into MS pathology.
What this does not prove
While the findings show an association, they do not prove causation between κ-FLC index and retinal degeneration.
Next milestone
No next milestone was established from the available source.
Study facts
- Study design
- Not reported
- Participants / samples
- 100 · Total number of patients included
- Randomised
- Not reported
- Controlled
- Not reported
- Primary endpoint met
- Not reported
- Relevant MS type
- Not reported
- Publication date
- Not reported
- Evidence reviewed
- Abstract only
- Regulatory approval
- Not reported
- Research areas
- Not classified
Original sources
- Primary evidenceIntrathecal Plasma Cell Activity as Measured by the Kappa Free Light Chain Index Is Associated With Retinal Layer Atrophy in Early Multiple Sclerosis. ↗DOI: 10.1111/ene.70759
Supporting passages (5)
sample size100
sample size basisRESULTS: A total of 100 patients at a median age of 33 (25th-75th percentile: 25-39) years and a female predominance (58%) were included.
primary endpointOBJECTIVE: To investigate whether the κ-FLC index is associated with peripapillary retinal nerve fiber layer (pRNFL) and ganglion cell plus inner plexiform layer (GCIPL) thickness.
findingsIn multivariable linear regression analysis adjusted for age, sex, disease duration, number of T2-hyperintense and number of contrast-enhancing MRI lesions, the κ-FLC index was associated with pRNFL (log-transformed κ-FLC index: β: -2.51; 95% confidence interval [CI]: -4.01, -1.01; p = 0.001) and GCIPL thinning (log-transformed κ-FLC index: β: -1.24, 95% CI: -2.32, -0.17; p = 0.024).
limitationsTitle: Intrathecal Plasma Cell Activity as Measured by the Kappa Free Light Chain Index Is Associated With Retinal Layer Atrophy in Early Multiple Sclerosis.
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