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    Home > Active Ingredient News > Study of Nervous System > Mov Disord: neurofilament light chain, can predict cognitive decline in patients with Parkinson's

    Mov Disord: neurofilament light chain, can predict cognitive decline in patients with Parkinson's

    • Last Update: 2021-09-29
    • Source: Internet
    • Author: User
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    Throughout neurodegenerative diseases, biomarkers can improve the accuracy of diagnosis , help prognosis, and provide information for clinical trial design
    .


    Although biomarkers are routinely used for Alzheimer's disease (AD), the development of biomarkers has proven to be more challenging in Parkinson's disease (PD)


    diagnosis

    Unlike amyloid-β and tau in AD, no radioligand can be used to detect the hallmark pathological protein of Parkinson's disease--α-ynuclein, while the level of α-ynuclein in cerebrospinal fluid (CSF) is in patients and controls There is overlap between
    .

    So far, no specific blood or CSF biomarkers have been used for the clinical diagnosis or management of PD
    .

    manage

    In recent years, neurofilament light chain protein (NfL) has become a promising biomarker in a variety of neurodegenerative diseases
    .


    NfL is a neuron-specific component of the axon cytoskeleton, which can enter the extracellular space after axon damage or death; NfL has been quantified in plasma, serum and CSF


    Although relatively non-specific, the NfL values ​​in these intervals can be used as candidate biomarkers for nerve axon damage


    However, few large-scale studies have performed longitudinal analysis of plasma and cerebrospinal fluid NfL
    .

    No previous studies have explored the question of whether plasma NfL levels at a single time point can predict longitudinal clinical outcomes
    .


    Using a large single-center cohort, Whitley W.


     

    They included 615 participants with neurodegenerative diseases, including 152 PD and 200 healthy control participants, and provided plasma and/or cerebrospinal fluid (CSF) NfL samples
    .


    The Kruskal-Wallis grade test was used to compare the diagnostic groups


    They found that there is a great correlation between plasma and cerebrospinal fluid NfL levels (Spearman r = 0.


    64, P <0.
    001); NfL is the highest in neurocognitive disorders


    In general, plasma NfL is a useful prognostic biomarker of PD, which can predict clinical conversion to mild cognitive impairment or dementia
    .

    In general, plasma NfL is a useful prognostic biomarker of PD, which can predict clinical conversion to mild cognitive impairment or dementia
    .



    Original source:
    Aamodt WW, Waligorska T, Shen J, et al.


    Neurofilament Light Chain as a Biomarker for Cognitive Decline in Parkinson Disease .
    Mov Disord.
    Published online September 4, 2021:mds.
    28779.
    doi:10.
    1002/mds.
    28779

    Neurofilament Light Chain as a Biomarker for Cognitive Decline in Parkinson Disease in this message
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