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Research summary ·
AI summary · not yet reviewedHuman studyObservationalPublished in a peer-reviewed journal

Lower ALPS-index in Human Individuals with Relapsing-Remitting MS

Individuals with relapsing-remitting multiple sclerosis (RRMS) were found to have a significantly lower ALPS-index compared to non-MS controls (p = 0.001). Additionally, both lower ALPS-index and slower gait speed were independently associated with longer disease duration in RRMS patients (p = 0.028).

Most relevant to
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This plain-English summary was written by AI from a published abstract and may contain errors. It is not medical advice. Read the original study and talk to your MS team before making decisions about treatment.
Human efficacy
Not yet assessed
Mechanism
Not yet assessed
Evidence strength
Not yet assessed
Outcome
Not yet assessed

Why it matters

These findings indicate that the ALPS-index may be a useful imaging marker for age-related vulnerability and its relationship with mobility and aging in MS.

What this does not prove

The study does not establish causation between ALPS-index and disease duration. Results are limited to RRMS patients and a specific age- and sex-matched control group, which may affect generalization.

Next milestone

No next milestone was established from the available source.

Study facts
Study design
Observational
Participants / samples
Not reported
Randomised
No
Controlled
Yes
Primary endpoint met
Yes
Relevant MS type
RRMS
Publication date
2026-10-04
Evidence reviewed
Abstract only
Regulatory approval
Not reported
Research areas
Neuroinflammation, Other

Original sources

Supporting passages (13)
study designThe objectives of this study were to: (1) compare the ALPS-index between individuals with relapsing-remitting MS (RRMS) and non-MS controls, (2) examine the role of age in the association between ALPS-index and disease duration, and (3) examine the relationship between ALPS-index and walking speed in RRMS.
subjectsMETHODS: Individuals with RRMS and age‑ and sex-matched controls underwent 3T MRI, including diffusion‑weighted imaging.
randomizedMETHODS: Individuals with RRMS and age‑ and sex-matched controls underwent 3T MRI, including diffusion‑weighted imaging.
controlledMETHODS: Individuals with RRMS and age‑ and sex-matched controls underwent 3T MRI, including diffusion‑weighted imaging.
peer reviewedJournal: Multiple sclerosis and related disorders
primary endpoint metIndividuals with RRMS have significantly lower ALPS‑index compared to controls (p = 0.001).
research categoriesCONCLUSIONS: These findings highlight the interconnected roles of aging, perivascular fluid transport, and mobility in MS and support the ALPS‑index as a feasible, non‑invasive imaging marker of age‑related vulnerability.
relevant ms typesThe objectives of this study were to: (1) compare the ALPS-index between individuals with relapsing-remitting MS (RRMS) and non-MS controls, (2) examine the role of age in the association between ALPS-index and disease duration, and (3) examine the relationship between ALPS-index and walking speed in RRMS.
publication datePublication date: 2026-10-04
comparatorRESULTS: Individuals with RRMS have significantly lower ALPS‑index compared to controls (p = 0.001).
primary endpointThe objectives of this study were to: (1) compare the ALPS-index between individuals with relapsing-remitting MS (RRMS) and non-MS controls, (2) examine the role of age in the association between ALPS-index and disease duration, and (3) examine the relationship between ALPS-index and walking speed in RRMS.
findingsIn a multivariable model, both lower ALPS‑index and slower gait speed were independently associated with longer disease duration, with an interaction effect (p = 0.032) suggesting functional compensation between perivascular diffusion and mobility.
limitationsTitle: Reduced perivascular diffusion in multiple sclerosis is associated with aging, disease duration, and mobility impairment.

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