MCP‐1 Is Elevated in the Cerebral Fluid of Children With Tourette Syndrome: Case Series and Literature Review

Abstract Purpose This study aims to investigate cerebrospinal fluid (CSF) in patients with Tourette syndrome (TS) to identify the role of neuroinflammation in the pathophysiology of TS. Methods We retrospectively reported cerebrospinal fluid (CSF) examination in four male adolescents diagnosed with...

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Main Authors: Ke Zhongling, Chen Mengxin, Huang Yuxian, Chen Yanhui
Format: Article
Language:English
Published: Wiley 2025-06-01
Series:Brain and Behavior
Subjects:
Online Access:https://doi.org/10.1002/brb3.70617
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author Ke Zhongling
Chen Mengxin
Huang Yuxian
Chen Yanhui
author_facet Ke Zhongling
Chen Mengxin
Huang Yuxian
Chen Yanhui
author_sort Ke Zhongling
collection DOAJ
description Abstract Purpose This study aims to investigate cerebrospinal fluid (CSF) in patients with Tourette syndrome (TS) to identify the role of neuroinflammation in the pathophysiology of TS. Methods We retrospectively reported cerebrospinal fluid (CSF) examination in four male adolescents diagnosed with severe TS, as indicated by a high Yale Global Tic Severity Scale (YGTSS) score. The examination included routine and biochemical tests, oligoclonal band testing, and analysis of 14 neural autoantibodies. Furthermore, the levels of 34 cytokines were also measured. Findings CSF examinations revealed that routine and biochemical tests were normal and that no oligoclonal bands were detected. The 14 neural autoantibodies tested were negative. Among the 34 cytokines analyzed, only monocyte chemoattractant protein‐1 (MCP‐1) levels were significantly elevated. Conclusions This study is the first to report elevated levels of MCP‐1 in the CSF of patients with TS. Our findings suggest that MCP‐1‐associated neuroinflammation may play a crucial role in the pathogenesis of TS, indicating that targeting MCP‐1 could be a promising therapeutic approach to managing symptoms of TS.
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spelling doaj-art-bcd143039b504c64af77ffb57039ca242025-08-20T03:36:38ZengWileyBrain and Behavior2162-32792025-06-01156n/an/a10.1002/brb3.70617MCP‐1 Is Elevated in the Cerebral Fluid of Children With Tourette Syndrome: Case Series and Literature ReviewKe Zhongling0Chen Mengxin1Huang Yuxian2Chen Yanhui3Department of PediatricsFujian Medical University Union HospitalFuzhou ChinaDepartment of PediatricsFujian Medical University Union HospitalFuzhou ChinaDepartment of PediatricsFujian Medical University Union HospitalFuzhou ChinaDepartment of PediatricsFujian Medical University Union HospitalFuzhou ChinaAbstract Purpose This study aims to investigate cerebrospinal fluid (CSF) in patients with Tourette syndrome (TS) to identify the role of neuroinflammation in the pathophysiology of TS. Methods We retrospectively reported cerebrospinal fluid (CSF) examination in four male adolescents diagnosed with severe TS, as indicated by a high Yale Global Tic Severity Scale (YGTSS) score. The examination included routine and biochemical tests, oligoclonal band testing, and analysis of 14 neural autoantibodies. Furthermore, the levels of 34 cytokines were also measured. Findings CSF examinations revealed that routine and biochemical tests were normal and that no oligoclonal bands were detected. The 14 neural autoantibodies tested were negative. Among the 34 cytokines analyzed, only monocyte chemoattractant protein‐1 (MCP‐1) levels were significantly elevated. Conclusions This study is the first to report elevated levels of MCP‐1 in the CSF of patients with TS. Our findings suggest that MCP‐1‐associated neuroinflammation may play a crucial role in the pathogenesis of TS, indicating that targeting MCP‐1 could be a promising therapeutic approach to managing symptoms of TS.https://doi.org/10.1002/brb3.70617CSFimmunologicMCP‐1neuroinflammationTourette syndrome
spellingShingle Ke Zhongling
Chen Mengxin
Huang Yuxian
Chen Yanhui
MCP‐1 Is Elevated in the Cerebral Fluid of Children With Tourette Syndrome: Case Series and Literature Review
Brain and Behavior
CSF
immunologic
MCP‐1
neuroinflammation
Tourette syndrome
title MCP‐1 Is Elevated in the Cerebral Fluid of Children With Tourette Syndrome: Case Series and Literature Review
title_full MCP‐1 Is Elevated in the Cerebral Fluid of Children With Tourette Syndrome: Case Series and Literature Review
title_fullStr MCP‐1 Is Elevated in the Cerebral Fluid of Children With Tourette Syndrome: Case Series and Literature Review
title_full_unstemmed MCP‐1 Is Elevated in the Cerebral Fluid of Children With Tourette Syndrome: Case Series and Literature Review
title_short MCP‐1 Is Elevated in the Cerebral Fluid of Children With Tourette Syndrome: Case Series and Literature Review
title_sort mcp 1 is elevated in the cerebral fluid of children with tourette syndrome case series and literature review
topic CSF
immunologic
MCP‐1
neuroinflammation
Tourette syndrome
url https://doi.org/10.1002/brb3.70617
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