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Serum GFAP and neurofilament light as biomarkers of disease activity and disability in NMOSD
Abstract
OBJECTIVE: To test the hypothesis that serum levels of glial fibrillary acidic protein (GFAP) and neurofilament light chain (NfL), which are an intermediate astrocyte and neuron filaments, respectively, are clinically useful biomarkers of disease activity and disability in neuromyelitis optica spectrum disorders (NMOSD). METHODS: Levels of GFAP and NfL in serum (sGFAP and sNfL, respectively) and in CSF samples were measured in healthy controls (HCs) (n = 49; 49 serum samples), patients with NMOSD (n = 33; 42 CSF and 102 serum samples), and patients with multiple sclerosis (MS) (n = 49; 53 CSF and 91 serum samples) by ultrasensitive single-molecule array assays. Association of sGFAP and sNfL levels with clinical parameters was determined. RESULTS: < 0.001, respectively). Higher sGFAP/sNfL quotient at relapse differentiated NMOSD from MS with a sensitivity of 73.0% and a specificity of 75.8%. CONCLUSIONS: sGFAP and sNfL are likely to be good biomarkers of disease activity and disability, and the sGFAP/sNfL quotient at relapse is a potential diagnostic marker for NMOSD.
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“For example, GFAP elevations have been reported in frontotemporal dementia39, traumatic brain injury40, multiple sclerosis41 and inflammatory central nervous system diseases42.”
From Diagnosis of Alzheimer's disease using plasma biomarkers adjusted to clinical probability (2024) · cites this paper as [42]
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Diagnosis of Alzheimer's disease using plasma biomarkers adjusted to clinical probability
Therriault, J., Janelidze, S., Benedet, A. L., Ashton, N. J., Arranz Martínez, J., Gonzalez-Escalante, A., Bellaver, B., Alcolea, D., Vrillon, A., Karim, H., et al. (2024) · Nature Aging · doi:10.1038/s43587-024-00731-y · Cited by 131
Metadata
- Authors
- Watanabe, M., Nakamura, Y., Michalak, Z., Isobe, N., Barro, C., Leppert, D., Matsushita, T., Hayashi, F., Yamasaki, R., Kuhle, J., & Kira, J.-I.
- Affiliations
- Kyushu University (JP)
- From the Departments of Neurology (M.W., Y.N., T.M., F.H., R.Y., J.-i.K.) and Neurological Therapeutics (N.I.), Neurological Institute, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan; and Neurology (Z.M., C.B., D.L., J.K.), Departments of Medicine, Biomedicine and Clinical Research, University Hospital Basel, University of Basel, Switzerland.
- Corresponding author
- Kira, Jun-ichi
- ORCID
- Venue
- Neurology
- Published
- 2019-09-24
- Volume
- 93
- Issue
- 13
- Pages
- e1299-e1311
- ISSN
- 0028-3878 (ISSN-L)
- 1526-632X
- OpenAlex
- W2970676275
- Cited by
- 220
- References
- 6
- Citations by year
- 2026: 27 · 2025: 39 · 2024: 30 · 2023: 33 · 2022: 32 · 2021: 36 · 2020: 22 · 2019: 1
- FWCI
- 16.75
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Neurology (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Fukuoka University
- Center for Clinical and Translational Research
- Japan Society for the Promotion of Science (20K20470, 18K07529)
- Topics
- Health Sciences › Medicine › Clinical Neurology › Multiple Sclerosis Research Studies
- Health Sciences › Medicine › Clinical Neurology › Peripheral Neuropathies and Disorders
- Health Sciences › Medicine › Ophthalmology › Glaucoma and retinal disorders
- Keywords
- neuromyelitis optica spectrum disorder, glial fibrillary acidic protein, neurofilament light chain, serum biomarkers, cerebrospinal fluid biomarkers, disease activity, disability progression, relapse, multiple sclerosis, differential diagnosis
- MeSH terms
- Adult, Biological Assay, Female, Glial Fibrillary Acidic Protein, Persons with Disabilities, Disabled Persons, Humans, Intermediate Filaments, Male, Middle Aged, Multiple Sclerosis, Neuromyelitis Optica, Biomarkers, Neurofilament Proteins
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