Monday, December 1, 2025

Reduced NAA-Levels in the NAWM of Patients with MS Is a Feature of Progression. A Study with Quantitative Magnetic Resonance Spectroscopy at 3 Tesla

Authors: Fahmy Aboul-Enein, Martin Krššák, Romana Höftberger, Daniela Prayer, Wolfgang Kristoferitsch

DOI: 10.1371/journal.pone.0011625

Abstract Summary

MRI spectroscopy reveals that axonal damage in normal-appearing brain tissue distinguishes progressive from relapsing MS. While relapsing-remitting patients showed no metabolic abnormalities, secondary progressive patients had significantly reduced N-acetyl-aspartate levels—a marker of neuronal health—suggesting axonal degeneration drives disease progression.

Why Brain? 🧠

Lower NAA levels in normal-appearing brain tissue distinguish progressive from relapsing MS, revealing hidden axonal damage that marks disease progression even in areas without visible lesions.


The image is AI-generated for illustrative purposes only. Courtesy of Midjourney.

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