The weak correlation between inflammatory activity and disease Progres
sion in patients with multiple sclerosis has shifted the emphasis from
inflammatory monitoring to the investigation of the pathological proc
esses of demyelination, axonal loss, and gliosis. New magnetic resonan
ce imaging (MRI) techniques that have been developed to measure these
processes appear very promising. This paper will briefly discuss poten
tial body fluid markers of axonal loss, gliosis and demyelination, as
the Pathological substrates of brain atrophy, their function and the p
rinciples behind their future study in patients with multiple sclerosi
s.