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INNOSC Theranostics

                                                  and Pharmacological Sciences




                                        ORIGINAL RESEARCH ARTICLE
                                        BDNF-AS as a promising downregulated

                                        biomarker for multiple sclerosis pathogenesis
                                        and diagnosis




                                                    1,2
                                        Ahmed Kamal * , Menha Swellam  3  , Nevin M. Shalaby 4  ,
                                        Marwa K. Darwish 1  , and Eslam M. El-Nahrery 1
                                        1 Department of Biochemistry, Faculty of Science, Suez University, PO Box 43518 Suez, Egypt
                                        2 Biotechnology Program, Basic and Applied Science Institute, Egypt-Japan University of Science
                                        and Technology (E-JUST), New Borg El-Arab City, Alexandria, PO Box 21934, Egypt
                                        3 Department of Biochemistry, Biotechnology Research Institute, High Throughput Molecular and
                                        Genetic Laboratory, Central Laboratories Network and the Centers of Excellence, National Research
                                        Centre, Dokki, Giza, Egypt
                                        4 Department of Neurology, Faculty of Medicine, Cairo University, Giza, Egypt




                                        Abstract
            *Corresponding author:      Multiple sclerosis (MS) is a prevalent neurological disorder affecting the central
            Ahmed Kamal                 nervous system, with a global incidence exceeding 2.5 million cases. Brain-derived
            (ahmed.kamal@sci.suezuni.edu.eg)
                                        neurotrophic factor-antisense (BDNF-AS), a long non-coding RNA, has been identified
            Citation: Kamal A, Swellam M,   as a factor that negatively influences the expression of brain-derived neurotrophic
            Shalaby NM, Darwish MK,
            El-Nahrery EM. BDNF-AS as a   factor, a neurotrophin protein that exhibits heightened expression within actively
            promising downregulated biomarker   demyelinating lesions in MS. This study aims to assess the relative expression of
            for multiple sclerosis pathogenesis   BDNF-AS across all MS subtypes, evaluate its diagnostic accuracy, and explore
            and diagnosis. INNOSC
            Theranostics and Pharmacological   correlations between  BDNF-AS expression and disease parameters. Quantitative
            Sciences. 2025;8(1):91-100.   real-time polymerase chain reaction was employed to quantify the expression
            doi: 10.36922/itps.4407
                                        levels of BDNF-AS in the serum samples of 54 individuals diagnosed with various
            Received: August 1, 2024    types of MS and 20 healthy controls. Statistical analyses were performed to assess
            1st revised: December 25, 2024  the correlation and diagnostic efficacy of BDNF-AS expression levels. The expression
                                        of BDNF-AS was markedly reduced in individuals with MS compared to the control
            2nd revised: January 6, 2025
                                        group (P < 0.01). Notably, the highest expression levels were observed in patients
            Accepted: January 21, 2025  diagnosed with secondary progressive MS. Using a defined cutoff value of 0.31, and
            Published online: February 21,   the findings suggest that BDNF-AS expression in serum has notable potential as a
            2025                        specific and sensitive diagnostic marker for MS. In conclusion, this study provides
            Copyright: © 2025 Author(s).   a comprehensive evaluation of  BDNF-AS across all MS subtypes, highlighting its
            This is an Open-Access article   diagnostic accuracy and the association between elevated BDNF-AS expression and
            distributed under the terms of the
            Creative Commons Attribution   disease progression in secondary progressive MS. Further research is needed to
            License, permitting distribution,   validate these results.
            and reproduction in any medium,
            provided the original work is
            properly cited.             Keywords: Multiple sclerosis; Brain-derived neurotrophic factor;
            Publisher’s Note: AccScience   Brain-derived neurotrophic factor-antisense; Relapsing-remitting multiple sclerosis;
            Publishing remains neutral with   Secondary progressive multiple sclerosis; Primary progressive multiple sclerosis; Gene
            regard to jurisdictional claims in
            published maps and institutional   expression
            affiliations.




            Volume 8 Issue 1 (2025)                         91                               doi: 10.36922/itps.4407
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