{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,28]],"date-time":"2026-08-28T23:37:58Z","timestamp":1787960278338,"version":"build-2784847793"},"reference-count":46,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2023,10,30]],"date-time":"2023-10-30T00:00:00Z","timestamp":1698624000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"funder":[{"DOI":"10.13039\/100015739","name":"Bayer Vital","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100015739","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Ann Clin Transl Neurol"],"published-print":{"date-parts":[[2024,1]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>Retrograde trans\u2010synaptic neuroaxonal degeneration is considered a key pathological factor of subclinical retinal neuroaxonal damage in multiple sclerosis (MS). We aim to evaluate the longitudinal association of optic radiation (OR) lesion activity with retinal neuroaxonal damage and its role in correlations between retinal and brain atrophy in people with clinically isolated syndrome and early MS (pweMS).<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Eighty\u2010five pweMS were retrospectively screened from a prospective cohort (Berlin CIS cohort). Participants underwent 3T magnetic resonance imaging (MRI) for OR lesion volume and brain atrophy measurements and optical coherence tomography (OCT) for retinal layer thickness measurements. All pweMS were followed with serial OCT and MRI over a median follow\u2010up of 2.9 (interquartile range: 2.6\u20133.4) years. Eyes with a history of optic neuritis prior to study enrollment were excluded. Linear mixed models were used to analyze the association of retinal layer thinning with changes in OR lesion volume and brain atrophy.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Macular ganglion cell\u2010inner plexiform layer (GCIPL) thinning was more pronounced in pweMS with OR lesion volume increase during follow\u2010up compared to those without (Difference: \u22120.82\u2009\u03bcm [95% CI:\u20101.49 to \u22120.15], <jats:italic>p<\/jats:italic>\u2009=\u20090.018). Furthermore, GCIPL thinning correlated with both OR lesion volume increase (<jats:italic>\u03b2<\/jats:italic> [95% CI]\u2009=\u2009\u22120.27 [\u22120.50 to \u22120.03], <jats:italic>p<\/jats:italic>\u2009=\u20090.028) and brain atrophy (<jats:italic>\u03b2<\/jats:italic> [95% CI]\u2009=\u20090.47 [0.25 to 0.70], <jats:italic>p<\/jats:italic>\u2009&lt;\u20090.001). Correlations of GCIPL changes with brain atrophy did not differ between pweMS with or without OR lesion increase (\u2009=\u20095.92e<jats:sup>\u22127<\/jats:sup>, <jats:italic>p<\/jats:italic>\u2009=\u20090.762).<\/jats:p><\/jats:sec><jats:sec><jats:title>Interpretation<\/jats:title><jats:p>Faster GCIPL thinning rate is associated with increased OR lesion load. Our results support the value of GCIPL as a sensitive biomarker reflecting both posterior visual pathway pathology and global brain neurodegeneration.<\/jats:p><\/jats:sec>","DOI":"10.1002\/acn3.51931","type":"journal-article","created":{"date-parts":[[2023,10,31]],"date-time":"2023-10-31T02:19:26Z","timestamp":1698718766000},"page":"45-56","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Interactions of optic radiation lesions with retinal and brain atrophy in early multiple sclerosis"],"prefix":"10.1002","volume":"11","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9605-8095","authenticated-orcid":false,"given":"Ting\u2010Yi","family":"Lin","sequence":"first","affiliation":[{"name":"Experimental and Clinical Research Center, a cooperation between the Max Delbr\u00fcck Center for Molecular Medicine in the Helmholtz Association and the Charit\u00e9 \u2013 Universit\u00e4tsmedizin Berlin  Berlin 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Charit\u00e9 \u2013 Universit\u00e4tsmedizin Berlin, corporate member of Freie Universit\u00e4t Berlin, Humboldt\u2010Universit\u00e4t zu Berlin  Berlin Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7981-2073","authenticated-orcid":false,"given":"Joseph","family":"Kuchling","sequence":"additional","affiliation":[{"name":"Experimental and Clinical Research Center, a cooperation between the Max Delbr\u00fcck Center for Molecular Medicine in the Helmholtz Association and the Charit\u00e9 \u2013 Universit\u00e4tsmedizin Berlin  Berlin Germany"},{"name":"Charit\u00e9 \u2013 Universit\u00e4tsmedizin Berlin, corporate member of Freie Universit\u00e4t Berlin and Humboldt\u2010Universit\u00e4t zu Berlin  Berlin Germany"},{"name":"Max\u2010Delbr\u00fcck Center for Molecular Medicine in the Helmholtz Association  Berlin Germany"},{"name":"Department of Neurology Charit\u00e9 \u2013 Universit\u00e4tsmedizin Berlin, corporate member of Freie 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