ObjectiveTo test the hypothesis that serum levels of glial fibrillary acidic protein (GFAP) and neurofilament light chain (NfL), which are an intermediate astrocyte and neuron filaments, respectively, are clinically useful biomarkers of disease activity and disability in neuromyelitis optica spectrum disorders (NMOSD).MethodsLevels of GFAP and NfL in serum (sGFAP and sNfL, respectively) and in CSF samples were measured in healthy controls (HCs) (n = 49; 49 serum samples), patients with NMOSD (n = 33; 42 CSF and 102 serum samples), and patients with multiple sclerosis (MS) (n = 49; 53 CSF and 91 serum samples) by ultrasensitive single-molecule array assays. Association of sGFAP and sNfL levels with clinical parameters was determined.ResultsFor both GFAP and NfL, CSF and serum levels were strongly correlated. Both were higher in the serum of patients with NMOSD than in HCs (both p < 0.001). Moreover, sGFAP was higher in NMOSD than in MS (median 207.7 vs 121.1 pg/mL, p < 0.001). In NMOSD, sGFAP concentration increased after recent relapse (540.9 vs 152.9 pg/mL, p < 0.001). Multivariate analyses indicated that sGFAP and sNfL were associated with Expanded Disability Status Scale score in NMOSD (p = 0.026 and p < 0.001, respectively). Higher sGFAP/sNfL quotient at relapse differentiated NMOSD from MS with a sensitivity of 73.0% and a specificity of 75.8%.ConclusionssGFAP and sNfL are likely to be good biomarkers of disease activity and disability, and the sGFAP/sNfL quotient at relapse is a potential diagnostic marker for NMOSD.
Four catechins and rutin were isolated from ethanol extracts of buckwheat (Fagopyrum esculentum Moench) groats by Sephadex LH-20 column chromatography and preparative HPLC with monitoring of the peroxyl radical scavenging activity. The antioxidant activity of these catechins was higher than that of rutin. The structures of these catechins were established as (−)-epicatechin, (+)-catechin 7-O-β-d-glucopyranoside, (−)-epicatechin 3-O-p-hydroxybenzoate, and (−)-epicatechin 3-O-(3,4-di-O-methyl)gallate on the basis of 1H, 13C, and two-dimensional nuclear magnetic resonance techniques and fast atom bombardment mass spectrometry. The yields of these antioxidant compounds suggest that they are abundant, as is rutin, which is known as a biological phytochemical in buckwheat groats. Keywords: Fagopyrum esculentum; antioxidant activity; flavonoids; (−)-epicatechin; (+)-catechin 7-O-β-d-glucopyranoside; (−)-epicatechin 3-O-p-hydroxybenzoate; (−)-epicatechin 3-O-(3,4-di-O-methyl)gallate
Ethanolic extracts of buckwheat (Fagopyrum esculentum Möench) hulls were separated by Sephadex LH-20 column chromatography into eight fractions. Five of the fractions exhibited peroxyl radical-scavenging activity by inhibiting the oxidation of methyl linoleate in solution. Two of the antioxidant fractions contained proanthocyanidins (condensed tannins) from the color reaction of these fractions with HCl under heat treatment. Five antioxidant compounds were isolated by preparative HPLC and identified as quercetin, hyperin, rutin, protocatechuic acid, and 3,4-dihydroxybenzaldehyde. The contents of these active compounds in the buckwheat hulls were as follows: protocatechuic acid (13.4 mg/100 g of dried hulls), 3,4-dihydroxybenzaldehyde (6.1 mg/100 g), hyperin (5.0 mg/100 g), rutin (4.3 mg/100 g), and quercetin (2.5 mg/100 g). Besides the isolation of these compounds, two major compounds that showed no peroxyl radical-scavenging activity in the extract were isolated and identified as vitexin and isovitexin. Keywords: Fagopyrum esculentum; antioxidant activity; flavonoids; phenolic compounds; proanthocyanidin
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