In the brain, multiple sclerosis is a chronic disease caused by immunemediated neurodegeneration. About 2.5 million people around the world suffer from
multiple sclerosis (MS), and women are more prone to it. Neither clinical nor imaging
biomarkers are used to diagnose or characterize the disease. Molecular biomarkers have
been developed from immunology and neurobiology because they are well matched
with causal path mechanisms and other disease characteristics, thus, limiting the
number of molecular biomarkers used in clinical practice. Currently, the chapter
discusses the attribute of flawless MS biomarkers and the challenges associated with
developing newer biomarkers. The study also discusses the discovery of biomarkers
from the blood and cerebrospinal fluid (CSF) that are useful for diagnosing MS,
predicting its prognosis, and evaluating its therapeutic response and side effects.
Keywords: Axonal injury, Biomarkers of MS, Molecular aspects, Multiple sclerosis (MS), Neuronal inflammation, Neuropathology of MS.