Synaptic Loss in Multiple Sclerosis Spinal Cord.

Petrova, Natalia; Nutma, Erik; Carassiti, Daniele; Rs Newman, James; Amor, Sandra; Altmann, Daniel R; Baker, David; Schmierer, Klaus · Ann Neurol · 2020

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Abstract

Disability in multiple sclerosis (MS) is considered primarily a result of axonal loss. However, correlation with spinal cord cross-sectional area-a predictor of disability-is poor, questioning the unique role of axonal loss. We investigated the degree of synaptic loss in postmortem spinal cords (18 chronic MS, 8 healthy controls) using immunohistochemistry for synaptophysin and synapsin. Substantial (58-96%) loss of synapses throughout the spinal cord was detected, along with moderate (47%) loss of anterior horn neurons, notably in demyelinating MS lesions. We conclude that synaptic loss is significant in chronic MS, likely contributing to disability accrual. ANN NEUROL 2020;88:619-625.

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