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CSF levels of glutamine synthetase and GFAP to explore astrocytic damage in seronegative NMOSD.

Iris KleerekooperMegan K HerbertHinke B KuiperijDouglas Kazutoshi SatoKazuo FujiharaDagoberto CallegaroRomain MarignierAlbert SaizMakbule SenelHayrettin TumaniBrigit A De JongS Anand TripIchiro NakashimaMarcel M VerbeekAxel Petzold
Published in: Journal of neurology, neurosurgery, and psychiatry (2020)
Our data indicate astrocytic injury occurs in some patients with double-Ab-seronegative NMOSD, which hints at the possible existence of yet undiscovered astrocytic autoimmune targets. We hypothesise that elevated GS and GFAP levels could identify those double-Ab-seronegative patients suitable to undergo in-depth autoimmune screening for astrocytic antibodies.
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