Evidence map›Paper›PMID 33128084›Full record

ArticleJournal of neurology2021

Neurofilament light is a biomarker of brain involvement in lupus and primary Sjögren's syndrome.

Anne B Tjensvoll, Maria B Lauvsnes, Henrik Zetterberg, Jan T Kvaløy, Ingeborg Kvivik, Stian S Maroni, Ole J Greve, Mona K Beyer, Shunsei Hirohata, Chaim Putterman and 5 more

Registry-linked trialOpen access · hybridAbstract read
In one paragraph

Article in Journal of neurology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06060275 (Neurofilament Light Chain as a Potential Marker in Behcet's Disease), which is not on this map. Cited by 30 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
30citing papers in PubMed, 2 pooled it
3.3field-weighted citation impact, top 7% 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.

NCT06060275 unknown statusnot on this mapstarted 2024, after this paper: background citation

Neurofilament Light Chain as a Potential Marker in Behcet's Disease

TypeobservationalSponsorAssiut UniversityRan2024 to 2024Enrolled60ConditionsBehçetArmsserum sample and nerve conduction study and cerebrospinal fluid study
3 · Its place in the literature

Who cites it

30 citing papers in PubMed, 2 syntheses or guidelines pooled it, 36 citations in OpenAlex.

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  8. Role of soluble biomarkers in treating multiple sclerosis and neuroinflammatory conditions.Neurotherapeutics : the journal of the American Society for Experimental NeuroTherapeutics · 2025
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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 5 institutions in 6 countries.

Anne B TjensvollDepartment of Neurology, Stavanger University Hospital, Stavanger, Norway.
Maria B LauvsnesDepartment of Internal Medicine, Clinical Immunology Unit, Stavanger University Hospital, POB 8100, 4068, Stavanger, Norway.
Henrik ZetterbergClinical Neurochemistry Laboratory, Sahlgrenska University Hospital, Mölndal, Sweden.
Jan T KvaløyResearch Department, Stavanger University Hospital, Stavanger, Norway.
Ingeborg KvivikResearch Department, Stavanger University Hospital, Stavanger, Norway.
Stian S MaroniClinical Neuropsychology Unit, Division of Psychiatry, Stavanger University Hospital, Stavanger, Norway.
Ole J GreveDepartment of Radiology, Stavanger University Hospital, Stavanger, Norway.
Mona K BeyerInstitute of Clinical Medicine, University of Oslo, Oslo, Norway.
Shunsei HirohataDepartment of Rheumatology and Infectious Diseases, Kitasato University School of Medicine, 1-15-1 Kitasato, Sagamihara, Kanagawa, 252-0374, Japan.
Chaim PuttermanDivision of Rheumatology, Albert Einstein College of Medicine and Montefiore Medical Center, Bronx, NY, USA.
Guido AlvesThe Norwegian Centre for Movement Disorders and Department of Neurology, Stavanger University Hospital, Stavanger, Norway.
Erna HarboeDepartment of Internal Medicine, Clinical Immunology Unit, Stavanger University Hospital, POB 8100, 4068, Stavanger, Norway.
Kaj BlennowClinical Neurochemistry Laboratory, Sahlgrenska University Hospital, Mölndal, Sweden.
Lasse G GøranssonDepartment of Internal Medicine, Clinical Immunology Unit, Stavanger University Hospital, POB 8100, 4068, Stavanger, Norway.
Roald OmdalDepartment of Internal Medicine, Clinical Immunology Unit, Stavanger University Hospital, POB 8100, 4068, Stavanger, Norway. roald.omdal@lyse.net.ORCID http://orcid.org/0000-0002-6051-4658
Stavanger University Hospital · NOSahlgrenska University Hospital · SEAlbert Einstein College of Medicine · USKitasato University · JPOslo University Hospital · NO

Funding

Helse Vest Regionalt Helseføretak 911807
6 · The paper itself

Abstract

backgroundTo test the hypothesis that neurofilament light (NfL) in CSF is a biomarker of CNS involvement in patients with systemic lupus erythematosus (SLE) and primary Sjögren's syndrome (pSS), we measured NfL in CSF from 52 patients with lupus and 54 with pSS and explored associations with clinical, structural, immunological and biochemical abnormalities.

methodsIn CSF, we measured NfL, anti-P antibodies, protein S100B and TWEAK by ELISA and anti-NR2 antibodies by electrochemiluminescence. Anti-phospholipid antibodies and routine immunological tests were performed in blood. IgG and albumin were measured in CSF and serum for assessment of the blood-brain barrier function (Q-albumin) and intrathecal IgG production (IgG index). Cerebral MRI and neuropsychological testing were performed.

resultsA multivariable regression model showed that increasing CSF anti-NR2 antibody levels were associated with increasing NfL levels in patients with SLE (B 1.27, 95% CI 0.88-1.65, p < 0.001). Age contributed significantly in the model (B 0.04, 95% CI 0.03-0.05, p < 0.001). Similar findings were observed in the pSS group. Adjusted for age and sex, no associations were found between NfL levels and any MRI data. In SLE patients, higher NfL concentrations were associated with impairments in psychomotor speed and motor function, and in pSS with motor dysfunction. These associations remained in multivariable regression models.

conclusionsIncreased concentration of NfL in CSF is a marker of cerebral involvement in patients with SLE and pSS, is strongly associated with the presence of anti-NR2 antibodies, and correlates with cognitive impairment in several domains.

Indexed as

Lupus Erythematosus, SystemicSjogren's SyndromeBiomarkersBrainHumansIntermediate FilamentsNeurofilament ProteinsBiomarkersNeurofilament ProteinsAnti-NR2 antibodiesCognitive dysfunctionNeurofilament light chainPrimary Sjögrens´s syndromeSystemic lupus erythematosus

Identifiers

PMID33128084
PMCPMC7990817
OpenAlexW3097390375

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

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.