Evidence map›Paper›PMID 33078859›Full record

ArticleMovement disorders : official journal of the Movement Disorder Society2021

Plasma Neurofilament Light as a Biomarker of Neurological Involvement in Wilson's Disease.

Samuel Shribman, Carolin Heller, Maggie Burrows, Amanda Heslegrave, Imogen Swift, Martha S Foiani, Godfrey T Gillett, Emmanuel A Tsochatzis, James B Rowe, Alex Gerhard and 10 more

Open access · hybridAbstract read
In one paragraph

Article in Movement disorders : official journal of the Movement Disorder Society, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 1 pooled it
2.1field-weighted citation impact, top 14% 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

16 citing papers in PubMed, 1 synthesis or guideline pooled it, 28 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Review
  4. Article
  5. Review
  6. Effect of primary copper metabolism disturbance on elemental, protein, and lipid composition of the organs in Jackson toxic milk mouse.Biometals : an international journal on the role of metal ions in biology, biochemistry, and medicine · 2025
    Article
  7. Article
  8. Review
  9. Review
  10. Article
  11. Review
  12. Review
  13. The Role of Zinc in the Treatment of Wilson's Disease.International journal of molecular sciences · 2022
    Review
  14. Neuroimaging Correlates of Cognitive Deficits in Wilson's Disease.Movement disorders : official journal of the Movement Disorder Society · 2022
    Article
  15. Article
  16. Review
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

20 authors at 12 institutions in 6 countries.

Samuel ShribmanDepartment of Clinical and Movement Neurosciences, Reta Lila Weston Institute, UCL Queen Square Institute of Neurology, London, United Kingdom.
Carolin HellerDementia Research Centre, Department of Neurodegenerative Disease, UCL Queen Square Institute of Neurology, London, United Kingdom.
Maggie BurrowsDepartment of Clinical and Movement Neurosciences, Reta Lila Weston Institute, UCL Queen Square Institute of Neurology, London, United Kingdom.
Amanda HeslegraveDepartment of Neurodegenerative Disease, UK Dementia Research Institute, UCL Queen Square Institute of Neurology, London, United Kingdom.
Imogen SwiftDepartment of Neurodegenerative Disease, UK Dementia Research Institute, UCL Queen Square Institute of Neurology, London, United Kingdom.
Martha S FoianiDepartment of Neurodegenerative Disease, UK Dementia Research Institute, UCL Queen Square Institute of Neurology, London, United Kingdom.
Godfrey T GillettDepartment of Clinical Chemistry, Northern General Hospital, Sheffield, United Kingdom.
Emmanuel A TsochatzisUCL Institute for Liver and Digestive Health, Royal Free Hospital and UCL, London, United Kingdom.
James B RoweDepartment of Clinical Neurosciences, University of Cambridge and Cambridge University Hospitals Trust, Cambridge, United Kingdom.ORCID 0000-0001-7216-8679
Alex GerhardDivision of Neuroscience and Experimental Psychology, Wolfson Molecular Imaging Centre, University of Manchester, Manchester, United Kingdom.
Chris R ButlerDepartment of Brain Sciences, Imperial College London, London, United Kingdom.
Mario MasellisDepartamento de Neurología, Pontificia Universidad Católica de Chile, Santiago, Chile.
Fion BremnerNeuro-Ophthalmology, National Hospital for Neurology and Neurosurgery, London, United Kingdom.
Alison MartinDepartment of Clinical Chemistry, Northern General Hospital, Sheffield, United Kingdom.
Lynne JungDepartment of Clinical Biochemistry, Southampton General Hospital, Southampton, United Kingdom.
Paul CookDepartment of Clinical Biochemistry, Southampton General Hospital, Southampton, United Kingdom.
Henrik ZetterbergDepartment of Neurodegenerative Disease, UK Dementia Research Institute, UCL Queen Square Institute of Neurology, London, United Kingdom.
Oliver BandmannSheffield Institute for Translational Neuroscience, University of Sheffield, Sheffield, United Kingdom.
Jonathan D RohrerDementia Research Centre, Department of Neurodegenerative Disease, UCL Queen Square Institute of Neurology, London, United Kingdom.
Thomas T WarnerDepartment of Clinical and Movement Neurosciences, Reta Lila Weston Institute, UCL Queen Square Institute of Neurology, London, United Kingdom.
UK Dementia Research Institute · GBQueen Mary University of London · GBNorthern General Hospital · GBSouthampton General Hospital · GBNational Hospital for Neurology and Neurosurgery · GBSahlgrenska University Hospital · SESunnybrook Health Science Centre · CAThe Royal Free Hospital · GBUniversity of Cambridge · GBUniversity of Manchester · GBUniversity of Oxford · GBUniversity of Sheffield · GB

Funding

Medical Research Council MC_U105597119Medical Research Council MC_UU_00005/12Medical Research Council MR/K010395/1Medical Research Council MR/L023784/2Wellcome Trust
6 · The paper itself

Abstract

backgroundOutcomes are unpredictable for neurological presentations of Wilson's disease (WD). Dosing regimens for chelation therapy vary and monitoring depends on copper indices, which do not reflect end-organ damage.

objectiveTo identify a biomarker for neurological involvement in WD.

methodsNeuronal and glial-specific proteins were measured in plasma samples from 40 patients and 38 age-matched controls. Patients were divided into neurological or hepatic presentations and those with recent neurological presentations or deterioration associated with non-adherence were subcategorized as having active neurological disease. Unified WD Rating Scale scores and copper indices were recorded.

resultsUnlike copper indices, neurofilament light (NfL) concentrations were higher in neurological than hepatic presentations. They were also higher in those with active neurological disease when controlling for severity and correlated with neurological examination subscores in stable patients.

conclusionNfL is a biomarker of neurological involvement with potential use in guiding chelation therapy and clinical trials for novel treatments. © 2020 University College London. Movement Disorders published by Wiley Periodicals LLC on behalf of International Parkinson and Movement Disorder Society.

Indexed as

Hepatolenticular DegenerationBiomarkersCopperHumansIntermediate FilamentsLondonPlasmaBiomarkersCopperbiomarkersneurofilament lightWilson's disease

Identifiers

PMID33078859
PMCPMC8436757
OpenAlexW3093313813

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.