Indicators of MS can show years before clinical symptoms.
Myelin injury occurs around 7 years before symptoms, followed by axonal damage a year later.
Astrocytic changes relate to inflammation, occurring upon symptom onset.
Immune signaling pathway alterations noted during presymptomatic stage.
A candidate biomarker panel proposed for early MS detection.
Importance of longitudinal biobanks highlighted.
Potential for improved early detection and monitoring strategies.
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