Cited by 927Alzheimer's disease research and treatmentsDementia and Cognitive Impairment ResearchAmyotrophic Lateral Sclerosis Research

The DOI matches its Crossref record; 49 of the 49 references it cites were found in a registry or an index; 4 of the 52 sources its claims cite were checked for support.

Serum neurofilament dynamics predicts neurodegeneration and clinical progression in presymptomatic Alzheimer’s disease

Open access

Abstract

Neurofilament light chain (NfL) is a promising fluid biomarker of disease progression for various cerebral proteopathies. Here we leverage the unique characteristics of the Dominantly Inherited Alzheimer Network and ultrasensitive immunoassay technology to demonstrate that NfL levels in the cerebrospinal fluid (n = 187) and serum (n = 405) are correlated with one another and are elevated at the presymptomatic stages of familial Alzheimer's disease. Longitudinal, within-person analysis of serum NfL dynamics (n = 196) confirmed this elevation and further revealed that the rate of change of serum NfL could discriminate mutation carriers from non-mutation carriers almost a decade earlier than cross-sectional absolute NfL levels (that is, 16.2 versus 6.8 years before the estimated symptom onset). Serum NfL rate of change peaked in participants converting from the presymptomatic to the symptomatic stage and was associated with cortical thinning assessed by magnetic resonance imaging, but less so with amyloid-β deposition or glucose metabolism (assessed by positron emission tomography). Serum NfL was predictive for both the rate of cortical thinning and cognitive changes assessed by the Mini-Mental State Examination and Logical Memory test. Thus, NfL dynamics in serum predict disease progression and brain neurodegeneration at the early presymptomatic stages of familial Alzheimer's disease, which supports its potential utility as a clinically useful biomarker.

Overview

Integrity signals

Registry

Crossref · 10.1038/s41591-018-0304-3

Cites

49 of 49 references verified0 citation errors · 0 not checkable

Statistics

Verification

Claims the paper makes

24 Own result · 16 Not checked yet · 8 Own method · 8 Own interpretation · 3 Partly supported · 2 No basis given · accuracy not yet measured

Verify all 48 references — free account

Show all 31 claims

  • Probably not a substantial claim. 18
  • It may state two separate claims as one. 22
30 of 30
  • The paper relies on this without support.

    Collecting CSF requires an invasive procedure, and imaging is costly, so neither fits easily into routine care.

    “However, CSF collection is invasive and imaging modalities are expensive; therefore, they are not well suited to routine clinical practice.”
  • The paper relies on this without support.

    People with sporadic Alzheimer’s disease tend to be older and have more other illnesses, which could affect their blood NfL.

    “However, sporadic Alzheimer’s disease patients are typically older and have more comorbidities, which in turn may influence NfL levels in the blood.”
  • The paper relies on this without support.

    Rising NfL is not a signature of Alzheimer’s disease alone.

    “While an increase of NfL levels is not specific for Alzheimer’s disease”
3 of 3

Claims other papers make about this one

Each is checked against this paper’s own text: does it say what the citing paper says it does?

Statistics recomputed

Every reported test result, recomputed from its test statistic and degrees of freedom. A result shows as not adding up only once an independent check has confirmed it.

  • ConsistentF(2, 104) = 1.8108reported p = .1686 · recomputed p = .169

    “F(2, 104)= 1.8108, p = .1686”

  • ConsistentF(2, 240) = 1.9205reported p = .1488 · recomputed p = .149

    “F(2, 240)= 1.9205, p = .1488”

  • ConsistentF(2, 130) = 0.4678reported p = .6274 · recomputed p = .627

    “F(2, 130) = 0.4678, p = .6274”

3 of 3

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Citations

Cites

Research works printed but not linked: 1

  1. Wechsler, D. Wechsler Memory Scale-Revised: Manual (The Psychological Corporation, San Antonio, 1987).

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Metadata

Authors
Dominantly Inherited Alzheimer Network, Preische, O., Schultz, S. A., Apel, A., Kuhle, J., Kaeser, S. A., Barro, C., Gräber, S., Kuder-Buletta, E., LaFougere, C., Laske, C., Vöglein, J., Levin, J., Masters, C. L., Martins, R., Schofield, P. R., Rossor, M. N., Graff-Radford, N. R., Salloway, S., Ghetti, B., Ringman, J. M., Noble, J. M., Chhatwal, J., Goate, A. M., Benzinger, T. L. S., Morris, J. C., Bateman, R. J., Wang, G., Fagan, A. M., McDade, E. M., Gordon, B. A., & Jucker, M.
Affiliations
  • German Center for Neurodegenerative Diseases (DE)
  • Washington University in St. Louis (US)
  • University of Basel (CH)
  • The University of Melbourne (AU)
  • Edith Cowan University (AU)
  • UNSW Sydney (AU)
  • Mayo Clinic (US)
  • Brown University (US)
  • Keck Hospital of USC (US)
  • Columbia University Irving Medical Center (US)
  • Harvard University (US)
Corresponding author
Jucker, Mathias
Venue
Nature Medicine
Published
2019-01-21
Volume
25
Issue
2
Pages
277-283
ISSN
  • 1078-8956 (ISSN-L)
  • 1546-170X
OpenAlex
W2910313823
Cited by
927
References
49
Citations by year
2026: 70 · 2025: 87 · 2024: 145 · 2023: 116 · 2022: 126 · 2021: 142 · 2020: 176 · 2019: 63
FWCI
87.98
Type
journal article
Language
en
Open access
Locations
  • Nature Medicine (publishedVersion)
  • PubMed (publishedVersion)
  • PubMed Central (acceptedVersion)
  • UWA Profiles and Research Repository (UWA) (submittedVersion)
  • Murdoch University Research Portal (submittedVersion)
  • Edith Cowan University Research Online (Edith Cowan University) (submittedVersion)
  • UCL Discovery (University College London) (submittedVersion)
  • eScholarship (California Digital Library) (submittedVersion)
  • DZNE Pub (submittedVersion)
  • Conicet (submittedVersion, cc-by)
  • IUScholarWorks (Indiana University) (submittedVersion)
  • PMC
Funders
  • National Institute for Health and Care Research (NF-SI-0512-10033)
  • Schweizerischer Nationalfonds zur Förderung der Wissenschaftlichen Forschung (320030)
  • National Institutes of Health (UL1TR001873)
  • Medical Research Council (MR/L023784/2, MR/L023784/1)
  • Japan Society for the Promotion of Science (18K07385, 17H06498, 17K09794)
  • National Institute on Aging (UF1AG032438, U19AG032438, U01AG032438, U24AG021886, K01AG053474)
  • National Institute of Neurological Disorders and Stroke (P30NS098577)
  • National Center for Advancing Translational Sciences
Topics
  • Life Sciences › Neuroscience › Cellular and Molecular Neuroscience › Alzheimer's disease research and treatments
  • Health Sciences › Medicine › Psychiatry and Mental health › Dementia and Cognitive Impairment Research
  • Health Sciences › Medicine › Clinical Neurology › Amyotrophic Lateral Sclerosis Research
Keywords
neurofilament light chain, serum biomarkers, preclinical Alzheimer's disease, familial Alzheimer's disease, mutation carriers, disease progression, neurodegeneration, cortical thinning, amyloid-beta, glucose metabolism, cerebrospinal fluid, longitudinal biomarker dynamics, cognitive decline
MeSH terms
Alzheimer Disease, Humans, Mutation, Nerve Degeneration, Neurofilament Proteins, Disease Progression

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