Neurofilament light chain level is a weak risk factor for the development of MS.

Abstract:

OBJECTIVE:To determine the prognostic value of selected biomarkers in clinically isolated syndromes (CIS) for conversion to multiple sclerosis (MS) and disability accrual. METHODS:Data were acquired from 2 CIS cohorts. The screening phase evaluated patients developing clinically definite MS (CIS-CDMS) and patients who remained as CIS during a 2-year minimum follow-up (CIS-CIS). We determined levels of neurofascin, semaphorin 3A, fetuin A, glial fibrillary acidic protein, and neurofilament light (NfL) and heavy chains in CSF (estimated mean [95% confidence interval; CI]). We evaluated associations between biomarker levels, conversion, disability, and magnetic resonance parameters. In the replication phase, we determined NfL levels (n = 155) using a 900 ng/L cutoff. Primary endpoints in uni- and multivariate analyses were CDMS and 2010 McDonald MS. RESULTS:The only biomarker showing significant differences in the screening was NfL (CIS-CDMS 1,553.1 [1,208.7-1,897.5] ng/L and CIS-CIS 499.0 [168.8-829.2] ng/L, p < 0.0001). The strongest associations were with brain parenchymal fraction change (rs = -0.892) and percentage brain volume change (rs = -0.842) at 5 years. NfL did not correlate with disability. In the replication phase, more NfL-positive patients, according to the cutoff, evolved to MS. Every 100-ng/L increase in NfL predicted CDMS (hazard ratio [HR] = 1.009, 95% CI 1.005-1.014) and McDonald MS (HR = 1.009, 95% CI 1.005-1.013), remaining significant for CDMS in the multivariate analysis (adjusted HR = 1.005, 95% CI 1.000-1.011). This risk was lower than the presence of oligoclonal bands or T2 lesions. CONCLUSIONS:NfL is a weak independent risk factor for MS. Its role as an axonal damage biomarker may be more relevant as suggested by its association with medium-term brain volume changes.

journal_name

Neurology

journal_title

Neurology

authors

Arrambide G,Espejo C,Eixarch H,Villar LM,Alvarez-Cermeño JC,Picón C,Kuhle J,Disanto G,Kappos L,Sastre-Garriga J,Pareto D,Simon E,Comabella M,Río J,Nos C,Tur C,Castilló J,Vidal-Jordana A,Galán I,Arévalo MJ,Auger C

doi

10.1212/WNL.0000000000003085

subject

Has Abstract

pub_date

2016-09-13 00:00:00

pages

1076-84

issue

11

eissn

0028-3878

issn

1526-632X

pii

WNL.0000000000003085

journal_volume

87

pub_type

杂志文章
  • Lambert-Eaton myasthenic syndrome: electrodiagnostic findings and response to treatment.

    abstract::The authors reviewed the incidence of cancer, repetitive nerve stimulation findings, and response to treatment in 73 patients with Lambert-Eaton myasthenic syndrome. Thirty-one patients (42%) had lung cancer, 29 small cell. Doubling of the compound motor action potential amplitude in three tested distal muscles was se...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.54.11.2176

    authors: Tim RW,Massey JM,Sanders DB

    更新日期:2000-06-13 00:00:00

  • Orthostatic hypotension in familial amyloid polyneuropathy: treatment with DL-threo-3,4-dihydroxyphenylserine.

    abstract::We measured plasma norepinephrine levels in patients with familial amyloid polyneuropathy. Patients with orthostatic hypotension had low basal plasma norepinephrine levels, which did not increase after postural change. On the basis of biochemical findings that suggest depletion of peripheral norepinephrine, DL-threo-3...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.31.10.1323

    authors: Suzuki T,Higa S,Sakoda S,Hayashi A,Yamamura Y,Takaba Y,Nakajima A

    更新日期:1981-10-01 00:00:00

  • Changes in the ascertainment of multiple sclerosis.

    abstract:OBJECTIVE:With diagnostic criteria alterations, increased MRI availability, and awareness of therapies, temporal changes in incidence and prevalence rates may occur, with an increase in the proportion of mildly affected persons diagnosed with multiple sclerosis (MS). The authors assessed temporal trends in the delay fr...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/01.wnl.0000178891.20579.64

    authors: Marrie RA,Cutter G,Tyry T,Hadjimichael O,Campagnolo D,Vollmer T

    更新日期:2005-10-11 00:00:00

  • History of head trauma and risk of intracranial meningioma: population-based case-control study.

    abstract::A population-based case-control study in western Washington state was performed to assess the relation between head trauma and meningioma. Based on 200 case and 400 control subjects, head trauma was associated with an increased risk of meningioma (odds ratio = 1.83; 95% CI = 1.28, 2.62), especially head traumas occurr...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.58.12.1849

    authors: Phillips LE,Koepsell TD,van Belle G,Kukull WA,Gehrels JA,Longstreth WT Jr

    更新日期:2002-06-25 00:00:00

  • A case-control study of Alzheimer's disease in China.

    abstract::We conducted a case-control study to assess possible factors associated with Alzheimer's disease (AD) with 70 clinically diagnosed AD patients and 140 age- and sex-matched nondemented neighborhood controls in China. Factors significantly associated with AD cases were family history of dementia in first-degree relative...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.42.8.1481

    authors: Li G,Shen YC,Li YT,Chen CH,Zhau YW,Silverman JM

    更新日期:1992-08-01 00:00:00

  • Safety, tolerability, and efficacy of orally administered cannabinoids in MS.

    abstract::The authors conducted a randomized, double-blind, placebo-controlled, twofold crossover study in 16 patients with MS who presented with severe spasticity to investigate safety, tolerability, and efficacy of oral Delta(9)-Tetrahydrocannabinol (THC) and Cannabis sativa plant extract. Both drugs were safe, but adverse ev...

    journal_title:Neurology

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1212/wnl.58.9.1404

    authors: Killestein J,Hoogervorst EL,Reif M,Kalkers NF,Van Loenen AC,Staats PG,Gorter RW,Uitdehaag BM,Polman CH

    更新日期:2002-05-14 00:00:00

  • Cerebellar control of fixation eye movements.

    abstract::Human subjects normally have miniature eye movements during tasks that require steady visual fixation. These eye movements were compared in 12 control subjects and 4 patients with degenerative cerebellar disorders. Slow drifts, small fixation saccades, square waves, saccadic oscillations, flutter, and vertical nystagm...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.32.1.31

    authors: Hotson JR

    更新日期:1982-01-01 00:00:00

  • Rate of spontaneous resolution of a solitary cysticercus granuloma in patients with seizures.

    abstract::The rate of spontaneous resolution of a recently diagnosed solitary cerebral cysticercus granuloma as visualized on CT scan was prospectively studied in 210 patients presenting with seizures. The proportion of granulomas that had resolved completely at different time intervals after the index scan was 18.8% at 3 month...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.57.12.2315

    authors: Rajshekhar V

    更新日期:2001-12-26 00:00:00

  • Child neurology: diagnosis of Lambert-Eaton myasthenic syndrome in children.

    abstract:OBJECTIVE:To report a case of Lambert-Eaton myasthenic syndrome (LEMS) in a child and review the existing literature of LEMS in children. METHODS:We report a pediatric case of LEMS with the classic clinical triad of proximal weakness, autonomic dysfunction, and areflexia; the characteristic increment in compound motor...

    journal_title:Neurology

    pub_type: 杂志文章,评审

    doi:10.1212/WNL.0b013e318293e14e

    authors: Morgan-Followell B,de Los Reyes E

    更新日期:2013-05-21 00:00:00

  • Fatal ataxic encephalopathy and carnitine acetyltransferase deficiency: a functional defect of pyruvate oxidation?

    abstract::A 3-year 8-month-old girl died after 14 months of illness characterized by episodes of intermittent ataxia associated with oculomotor palsy, hypotonia, mental confusion, and disturbances of consciousness. In the last 4 months of life, there were signs of liver dysfunction. Pyruvate dehydrogenase and alpha-ketoglutarat...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.29.12.1578

    authors: DiDonato S,Rimoldi M,Moise A,Bertagnoglio B,Uziel G

    更新日期:1979-12-01 00:00:00

  • Autopsy validation of 123I-FP-CIT dopaminergic neuroimaging for the diagnosis of DLB.

    abstract:OBJECTIVE:To conduct a validation study of 123I-N-fluoropropyl-2b-carbomethoxy-3b-(4-iodophenyl) nortropane (123I-FP-CIT) SPECT dopaminergic imaging in the clinical diagnosis of dementia with Lewy bodies (DLB) with autopsy as the gold standard. METHODS:Patients >60 years of age with dementia who had undergone 123I-FP-...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/WNL.0000000000003512

    authors: Thomas AJ,Attems J,Colloby SJ,O'Brien JT,McKeith I,Walker R,Lee L,Burn D,Lett DJ,Walker Z

    更新日期:2017-01-17 00:00:00

  • Wolfram syndrome: evidence of a diffuse neurodegenerative disease by magnetic resonance imaging.

    abstract::Wolfram syndrome is an autosomal recessive disorder beginning in childhood that consists of four cardinal features: optic atrophy, diabetes mellitus, diabetes insipidus, and neurosensory hearing loss. Aside from these features, the clinical picture is highly variable and may include other neurologic abnormalities such...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.42.6.1220

    authors: Rando TA,Horton JC,Layzer RB

    更新日期:1992-06-01 00:00:00

  • Elevated cortical zinc in Alzheimer disease.

    abstract:OBJECTIVE:To determine whether changes in brain biometals in Alzheimer disease (AD) and in normal brain tissue are tandemly associated with amyloid beta-peptide (Abeta) burden and dementia severity. METHODS:The authors measured zinc, copper, iron, manganese, and aluminum and Abeta levels in postmortem neocortical tiss...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/01.wnl.0000223644.08653.b5

    authors: Religa D,Strozyk D,Cherny RA,Volitakis I,Haroutunian V,Winblad B,Naslund J,Bush AI

    更新日期:2006-07-11 00:00:00

  • Melioidosis and bilateral third-nerve palsies.

    abstract::Central nervous system involvement in melioidosis is unusual. We describe a 34-year-old man who developed a Pseudomonas pseudomallei meningitis, manifested as bilateral third-nerve palsies, 13 years after having been in southeast Asia. Diagnosis was established by a fourfold rise in the serum antibody titer for the ba...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.34.1.105

    authors: Beck RW,Janssen RS,Smiley ML,Schatz NJ,Savino PJ,Rubin DH

    更新日期:1984-01-01 00:00:00

  • Seronegative, non-neoplastic acute cerebellar degeneration.

    abstract::Five women are presented with a subacute pure pancerebellar syndrome of ataxia and dysarthria to emphasize that this illness may occur without anti-Purkinje-cell or anti-Yo antibodies, or associated systemic cancer. The syndrome evolved over weeks or less and stabilized in four of the patients. Three had had a precedi...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.43.8.1602

    authors: Ropper AH

    更新日期:1993-08-01 00:00:00

  • Phenotype and genotype analysis in amyotrophic lateral sclerosis with TARDBP gene mutations.

    abstract:OBJECTIVE:To describe the phenotype and phenotype-genotype correlations in patients with amyotrophic lateral sclerosis (ALS) with TARDBP gene mutations. METHODS:French TARDBP+ patients with ALS (n = 28) were compared first to 3 cohorts: 737 sporadic ALS (SALS), 192 nonmutated familial ALS (FALS), and 58 SOD1 + FALS, a...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/WNL.0b013e3182553c88

    authors: Corcia P,Valdmanis P,Millecamps S,Lionnet C,Blasco H,Mouzat K,Daoud H,Belzil V,Morales R,Pageot N,Danel-Brunaud V,Vandenberghe N,Pradat PF,Couratier P,Salachas F,Lumbroso S,Rouleau GA,Meininger V,Camu W

    更新日期:2012-05-08 00:00:00

  • Diagnosis of thymoma in myasthenics using anti-striated muscle antibodies: predictive value and gain in diagnostic certainty.

    abstract::Assay of anti-striated muscle antibodies (StrAb) is used as a diagnostic test for thymoma in individuals with myasthenia gravis. Unfortunately, false positive results are common, and their effect on test accuracy is magnified by the relatively low frequency of thymoma in myasthenics. We estimated the predictive values...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.41.4.520

    authors: Lanska DJ

    更新日期:1991-04-01 00:00:00

  • Depressive symptoms and white matter dysfunction in retired NFL players with concussion history.

    abstract:OBJECTIVE:To determine whether correlates of white matter integrity can provide general as well as specific insight into the chronic effects of head injury coupled with depression symptom expression in professional football players. METHOD:We studied 26 retired National Football League (NFL) athletes who underwent dif...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/WNL.0b013e318299ccf8

    authors: Strain J,Didehbani N,Cullum CM,Mansinghani S,Conover H,Kraut MA,Hart J Jr,Womack KB

    更新日期:2013-07-02 00:00:00

  • Anatomical evidence of an indirect pathway for word repetition.

    abstract:OBJECTIVE:To combine MRI-based cortical morphometry and diffusion white matter tractography to describe the anatomical correlates of repetition deficits in patients with primary progressive aphasia (PPA). METHODS:The traditional anatomical model of language identifies a network for word repetition that includes Wernic...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/WNL.0000000000008746

    authors: Forkel SJ,Rogalski E,Drossinos Sancho N,D'Anna L,Luque Laguna P,Sridhar J,Dell'Acqua F,Weintraub S,Thompson C,Mesulam MM,Catani M

    更新日期:2020-02-11 00:00:00

  • Caffeinated clues and the promise of adenosine A(2A) antagonists in PD.

    abstract::Large prospective epidemiologic studies have linked the consumption of coffee and other caffeinated beverages to a reduced risk of subsequently developing PD. Caffeine as well as more specific antagonists of the adenosine A(2A) receptor have also now been found to attenuate neurotoxicity in a mouse model of PD. The co...

    journal_title:Neurology

    pub_type: 杂志文章,评审

    doi:10.1212/wnl.58.8.1154

    authors: Schwarzschild MA,Chen JF,Ascherio A

    更新日期:2002-04-23 00:00:00

  • Hereditary dystonia-parkinsonism syndrome of juvenile onset.

    abstract::We studied a family with an extrapyramidal disorder characterized by childhood onset of lower-limb and axial dystonia, followed by parkinsonism. Dramatic response to levodopa therapy and minimal progression in adult life was seen. The family included five generations of affected members of both sexes in an autosomal d...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.36.11.1424

    authors: Nygaard TG,Duvoisin RC

    更新日期:1986-11-01 00:00:00

  • Surgical treatment of carpal tunnel syndrome in patients with peripheral neuropathy.

    abstract::Outcome after carpal tunnel surgery was studied retrospectively in 32 patients with peripheral neuropathy and carpal tunnel syndrome. Nocturnal paresthesias were almost universally relieved, followed in order of responsiveness by pain, numbness, and weakness. Twenty-five of 28 patients said they would have the surgery...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.49.4.1159

    authors: Morgenlander JC,Lynch JR,Sanders DB

    更新日期:1997-10-01 00:00:00

  • Use of antithrombotic drugs in the treatment of acute ischemic stroke: a survey of neurologists in practice in the United States.

    abstract::In an attempt to determine the opinions and practices of neurologists regarding the use of antithrombotic drugs in the treatment of acute ischemic stroke, we conducted a survey of 349 randomly selected neurologists from throughout the United States. Responses were received from 247 (71%), and 219 identified themselves...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.39.12.1631

    authors: Marsh EE 3rd,Adams HP Jr,Biller J,Wasek P,Banwart K,Mitchell V,Woolson R

    更新日期:1989-12-01 00:00:00

  • Sequential changes in the P3 component of the auditory evoked potential in confusional states and dementing illnesses.

    abstract::The P3 component of the auditory evoked potential has been shown to reflect "endogenous" processes related to cognition. This component was measured serially in seven patients who had confusional states or dementing illnesses that fluctuated in severity over time. The latency of P3 component reflected the clinical imp...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.33.9.1215

    authors: Goodin DS,Starr A,Chippendale T,Squires KC

    更新日期:1983-09-01 00:00:00

  • The impact of neuropathic pain on health-related quality of life: review and implications.

    abstract::A number of high-quality studies have recently been published that examine the association between neuropathic pain and health-related quality of life (HRQoL). The current review identified 52 such studies in patients with six neuropathic pain conditions associated with lesions of either the peripheral (postsurgical n...

    journal_title:Neurology

    pub_type: 杂志文章,meta分析,评审

    doi:10.1212/01.wnl.0000259085.61898.9e

    authors: Jensen MP,Chodroff MJ,Dworkin RH

    更新日期:2007-04-10 00:00:00

  • Hemiballism and metastatic brain tumor.

    abstract::We describe a 78-year-old man with right hemiballism as the presenting symptom of a metastatic occult adenocarcinoma of the lung. CT demonstrated two contrast-enhancing lesions: one in the left subthalamic region and the other in the left parietal region. Metastatic tumor was confirmed at autopsy. ...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.34.2.204

    authors: Glass JP,Jankovic J,Borit A

    更新日期:1984-02-01 00:00:00

  • JC virus DNA load in patients with and without progressive multifocal leukoencephalopathy.

    abstract:OBJECTIVE:To determine the clinical value of JC virus (JCV) detection in various anatomic compartments for the diagnosis of progressive multifocal leukoencephalopathy (PML). METHODS:CSF, peripheral blood mononuclear cells (PBMC), plasma, and urine samples were evaluated from HIV-infected and uninfected individuals. JC...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.52.2.253

    authors: Koralnik IJ,Boden D,Mai VX,Lord CI,Letvin NL

    更新日期:1999-01-15 00:00:00

  • Germline and mosaic mutations of FLN1 in men with periventricular heterotopia.

    abstract:OBJECTIVE:To describe the phenotypic spectrum and genetics of periventricular nodular heterotopia (PNH) caused by FLN1 mutations in four men. BACKGROUND:X-linked PNH caused by FLN1 mutations (MIM #300049) implies prenatal or early postnatal lethality in boys and 50% recurrence risk in daughters of affected women. MET...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/01.wnl.0000132818.84827.4d

    authors: Guerrini R,Mei D,Sisodiya S,Sicca F,Harding B,Takahashi Y,Dorn T,Yoshida A,Campistol J,Krämer G,Moro F,Dobyns WB,Parrini E

    更新日期:2004-07-13 00:00:00

  • Neuropsychiatric changes precede classic motor symptoms in ALS and do not affect survival.

    abstract:OBJECTIVES:To investigate patient susceptibility to neuropsychiatric symptoms in the context of progression of more classic motor symptoms in amyotrophic lateral sclerosis (ALS) and to examine the impact of neuropsychiatric symptoms on survival. METHODS:The study cohort consisted of 219 patients with ALS (limb onset =...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/WNL.0000000000000023

    authors: Mioshi E,Caga J,Lillo P,Hsieh S,Ramsey E,Devenney E,Hornberger M,Hodges JR,Kiernan MC

    更新日期:2014-01-14 00:00:00

  • beta-Carbolinium cations, endogenous MPP+ analogs, in the lumbar cerebrospinal fluid of patients with Parkinson's disease.

    abstract::We measured beta-carbolinium cations (BC+s) endogenous analogs of the N-methyl-4-phenylpyridinium ion (MPP+), in the lumbar CSF of 22 patients with idiopathic Parkinson's disease (PD) and 11 age-matched controls without any symptoms of parkinsonism. Among the BC+s, 2,9-diemethylnorharmanium cation (2,9-Me2NH+), the mo...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.45.12.2240

    authors: Matsubara K,Kobayashi S,Kobayashi Y,Yamashita K,Koide H,Hatta M,Iwamoto K,Tanaka O,Kimura K

    更新日期:1995-12-01 00:00:00