Evidence map›Paper›PMID 32515902›Full record

ArticleAnnals of clinical and translational neurology2020

Longitudinal biomarkers in amyotrophic lateral sclerosis.

Fen Huang, Yuda Zhu, Jennifer Hsiao-Nakamoto, Xinyan Tang, Jason C Dugas, Miriam Moscovitch-Lopatin, Jonathan D Glass, Robert H Brown, Shafeeq S Ladha, David Lacomis and 5 more

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in Annals of clinical and translational neurology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05137665 (Target ALS Biomarker Study; Longitudinal Biofluids, Clinical Measures, and At - Home Measures), which is not on this map. Cited by 71 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
71citing papers in PubMed, 4 pooled it
6.0field-weighted citation impact, top 3% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT05137665 recruitingnot on this mapstarted 2021, after this paper: background citation

Target ALS Biomarker Study; Longitudinal Biofluids, Clinical Measures, and At - Home Measures

Typeobservational_patient_registrySponsorTarget ALS Foundation, Inc.Ran2021 to 2031Enrolled1,000ConditionsAmyotrophic Lateral Sclerosis, Movement Disorders, Degenerative Disorder, Motor Neuron Disease
3 · Its place in the literature

Who cites it

71 citing papers in PubMed, 4 syntheses or guidelines pooled it, 108 citations in OpenAlex.

  1. Pooled it
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  4. Pooled it
  5. A Phase 1 study of GDC-0134, a dual leucine zipper kinase inhibitor, in ALS.Annals of clinical and translational neurology · 2022
    Trial
  6. Article
  7. Peripheral and cerebrospinal fluid inflammatory markers in sporadic amyotrophic lateral sclerosis an exploratory cross-sectional association study.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2026
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11 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

15 authors at 6 institutions in 1 country.

Fen HuangDenali Therapeutics, South San Francisco, California, USA.ORCID 0000-0003-0726-3789
Yuda ZhuDenali Therapeutics, South San Francisco, California, USA.
Jennifer Hsiao-NakamotoDenali Therapeutics, South San Francisco, California, USA.
Xinyan TangDenali Therapeutics, South San Francisco, California, USA.
Jason C DugasDenali Therapeutics, South San Francisco, California, USA.
Miriam Moscovitch-LopatinSean M. Healey and AMG Center for ALS, Massachusetts General Hospital, Boston, Massachusetts, USA.
Jonathan D GlassDepartment of Neurology and Pathology, Emory University, Atlanta, Georgia, USA.
Robert H BrownDepartment of Neurology, University of Massachusetts Medical School, Worcester, Massachusetts, USA.
Shafeeq S LadhaDepartments of Neurology and Neurobiology, Gregory W. Fulton ALS Center, Barrow Neurological Institute, Phoenix, Arizona, USA.
David LacomisLive Like Lou Center for ALS Research, Department of Neurology, University of Pittsburgh, Pittsburgh, Pennsylvania, USA.
Jeffrey M HarrisDenali Therapeutics, South San Francisco, California, USA.
Kimberly Scearce-LevieDenali Therapeutics, South San Francisco, California, USA.
Carole HoDenali Therapeutics, South San Francisco, California, USA.
Robert BowserDepartments of Neurology and Neurobiology, Gregory W. Fulton ALS Center, Barrow Neurological Institute, Phoenix, Arizona, USA.
James D BerrySean M. Healey and AMG Center for ALS, Massachusetts General Hospital, Boston, Massachusetts, USA.
Denali Therapeutics (United States) · USBarrow Neurological Institute · USMassachusetts General Hospital · USEmory University · USUniversity of Massachusetts Chan Medical School · USUniversity of Pittsburgh · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo investigate neurodegenerative and inflammatory biomarkers in people with amyotrophic lateral sclerosis (PALS), evaluate their predictive value for ALS progression rates, and assess their utility as pharmacodynamic biomarkers for monitoring treatment effects.

methodsDe-identified, longitudinal plasma, and cerebrospinal fluid (CSF) samples from PALS (n = 108; 85 with samples from ≥2 visits) and controls without neurological disease (n = 41) were obtained from the Northeast ALS Consortium (NEALS) Biofluid Repository. Seventeen of 108 PALS had familial ALS, of whom 10 had C9orf72 mutations. Additional healthy control CSF samples (n = 35) were obtained from multiple sources. We stratified PALS into fast- and slow-progression subgroups using the ALS Functional Rating Scale-Revised change rate. We compared cytokines/chemokines and neurofilament (NF) levels between PALS and controls, among progression subgroups, and in those with C9orf72 mutations.

resultsWe found significant elevations of cytokines, including MCP-1, IL-18, and neurofilaments (NFs), indicators of neurodegeneration, in PALS versus controls. Among PALS, these cytokines and NFs were significantly higher in fast-progression and C9orf72 mutation subgroups versus slow progressors. Analyte levels were generally stable over time, a key feature for monitoring treatment effects. We demonstrated that CSF/plasma neurofilament light chain (NFL) levels may predict disease progression, and stratification by NFL levels can enrich for more homogeneous patient groups.

interpretationLongitudinal stability of cytokines and NFs in PALS support their use for monitoring responses to immunomodulatory and neuroprotective treatments. NFs also have prognostic value for fast-progression patients and may be used to select similar patient subsets in clinical trials.

Indexed as

Disease ProgressionAdultAgedAmyotrophic Lateral SclerosisBiological Specimen BanksBiomarkersC9orf72 ProteinCytokinesFemaleHumansLongitudinal StudiesMaleMiddle AgedNeurofilament ProteinsPrognosisBiomarkersC9orf72 ProteinC9orf72 protein, humanCytokinesneurofilament protein LNeurofilament Proteins

Identifiers

PMID32515902
PMCPMC7359115
OpenAlexW3033540417

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LicenceCC BY-NC-ND
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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.