Clin Chem Lab Med. 2004 Feb;42(2):186-91
Leoni V, Masterman T, Mousavi FS, Wretlind B, Wahlund LO, Diczfalusy U, Hillert J, Bjorkhem I.
Department of Experimental and Clinical Biomedical Science (DSBSC), University of Insubria, Varese, Italy.
24S-Hydroxycholesterol (24OHC) and 27-hydroxycholesterol (27OHC) are two structurally similar oxysterols of different origins--the former almost exclusively formed in the brain and the latter formed to a lesser extent in the brain than in most other organs.
HYPOTHESIS TO BE TESTED:
Neuronal damage and/or demyelination causes increased flux of 24OHC from the brain into the cerebrospinal fluid (CSF), whereas a defect blood-brain barrier causes increased flux of 27OHC from the circulation into the CSF.
Isotope dilution-mass spectrometry was used to assay the two oxysterols in CSF and plasma from more than 250 patients with different neurological and geriatric diseases.
The CSF-levels of the two oxysterols were much more affected by the different diseases than the plasma levels.
Patients with active demyelinating diseases had increased levels of 24OHC in CSF with a relatively high 24OHC/27OHC ratio.
Patients with meningitis in general had high levels of both steroids with a low 24OHC/27OHC ratio.
Patients with Alzheimer's disease had slightly increased levels of 24OHC in CSF with less increase in 27OHC.
Patients with multiple sclerosis had a tendency to have higher levels of 24OHC during active periods with a high 24OHC/ 27OHC ratio.
Measurements of the two oxysterols in CSF and plasma may add significantly to existing biochemical methods for evaluation of neurological diseases.