Evidence map›Paper›PMID 33753741›Full record

ArticleNature communications2021

Neurofilament light chain as a potential biomarker for monitoring neurodegeneration in X-linked adrenoleukodystrophy.

Isabelle Weinhofer, Paulus Rommer, Bettina Zierfuss, Patrick Altmann, Martha Foiani, Amanda Heslegrave, Henrik Zetterberg, Andreas Gleiss, Patricia L Musolino, Yi Gong and 6 more

Open access · goldAbstract readMulticenter Study
In one paragraph

Article in Nature communications, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 36 papers.

0numbers the graph read from it
0cells of the map it votes in
36citing papers in PubMed
4.0field-weighted citation impact, top 5% 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

36 citing papers in PubMed, 60 citations in OpenAlex.

  1. Article
  2. Article
  3. Neurodegenerative Diseases in Children: A Comprehensive Review.International journal of molecular sciences · 2026
    Review
  4. Rigorous genetic diagnosis review in natural history studies.Orphanet journal of rare diseases · 2026
    Article
  5. Article
  6. Observational
  7. Review
  8. Lipid signature in X-ALD: a comparison between phenotypes.Frontiers in molecular biosciences · 2026
    Article
  9. Review
  10. Article
  11. Article
  12. Review
  13. Biomarkers for gene therapy clinical trials of lysosomal storage disorders.Molecular therapy : the journal of the American Society of Gene Therapy · 2024
    Review
  14. Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. Article
  20. Article
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

16 authors at 5 institutions in 5 countries.

Isabelle WeinhoferDepartment of Pathobiology of the Nervous System, Center for Brain Research, Medical University of Vienna, Vienna, Austria.
Paulus RommerDepartment of Neurology, Medical University of Vienna, Vienna, Austria.
Bettina ZierfussDepartment of Pathobiology of the Nervous System, Center for Brain Research, Medical University of Vienna, Vienna, Austria.ORCID 0000-0002-5357-2630
Patrick AltmannDepartment of Neurology, Medical University of Vienna, Vienna, Austria.
Martha FoianiUK Dementia Research Institute at UCL, London, UK.
Amanda HeslegraveUK Dementia Research Institute at UCL, London, UK.
Henrik ZetterbergUK Dementia Research Institute at UCL, London, UK.ORCID 0000-0003-3930-4354
Andreas GleissSection for Clinical Biometrics, Center for Medical Statistics, Informatics, and Intelligent Systems, Medical University of Vienna, Vienna, Austria.
Patricia L MusolinoDepartment of Neurology, Harvard Medical School, Massachusetts General Hospital, Boston, MA, USA.
Yi GongDepartment of Neurology, Harvard Medical School, Massachusetts General Hospital, Boston, MA, USA.
Sonja Forss-PetterDepartment of Pathobiology of the Nervous System, Center for Brain Research, Medical University of Vienna, Vienna, Austria.
Thomas BergerDepartment of Neurology, Medical University of Vienna, Vienna, Austria.
Florian EichlerDepartment of Neurology, Harvard Medical School, Massachusetts General Hospital, Boston, MA, USA.
Patrick AubourgKremlin-Bicêtre Hospital, University Paris-Saclay, Paris, France.
Wolfgang KöhlerDepartment of Neurology, Leukodystrophy Clinic, University of Leipzig Medical Center, Leipzig, Germany.
Johannes BergerDepartment of Pathobiology of the Nervous System, Center for Brain Research, Medical University of Vienna, Vienna, Austria. johannes.berger@meduniwien.ac.at.ORCID 0000-0003-0182-2658
Medical University of Vienna · ATHarvard University · USUK Dementia Research Institute · GBBicêtre Hospital · FRSahlgrenska University Hospital · SE

Funding

Validation of the GMFC-MLDU54NS115052 · NINDS · CHILDREN'S HOSP OF PHILADELPHIA · PI Laura Ann Adang · 2019 to 2026
$14.3M
Effects of ABCD1 Deficiency on Endothelial Function and Permeability to Leukocytes in Cerebral X-linked AdrenoleukodystrophyR01NS117575 · NINDS · MASSACHUSETTS GENERAL HOSPITAL · PI MUSOLINO, PATRICIA L · 2020 to 2024
$2.0M
Effect of ABCD1 upon Brain Endothelium in X-linked AdrenoleukodystrophyK08NS094683 · NINDS · MASSACHUSETTS GENERAL HOSPITAL · PI MUSOLINO, PATRICIA L · 2015 to 2020
$1.0M
Austrian Science Fund FWF KLI 837Austrian Science Fund FWF T 562NINDS NIH HHS K08 NS094683NINDS NIH HHS R01 NS117575NINDS NIH HHS U54 NS115052Wellcome Trust
6 · The paper itself

Abstract

X-linked adrenoleukodystrophy (X-ALD), the most frequent monogenetic disorder of brain white matter, is highly variable, ranging from slowly progressive adrenomyeloneuropathy (AMN) to life-threatening inflammatory brain demyelination (CALD). In this study involving 94 X-ALD patients and 55 controls, we tested whether plasma/serum neurofilament light chain protein (NfL) constitutes an early distinguishing biomarker. In AMN, we found moderately elevated NfL with increased levels reflecting higher grading of myelopathy-related disability. Intriguingly, NfL was a significant predictor to discriminate non-converting AMN from cohorts later developing CALD. In CALD, markedly amplified NfL levels reflected brain lesion severity. In rare cases, atypically low NfL revealed a previously unrecognized smoldering CALD disease course with slowly progressive myelin destruction. Upon halt of brain demyelination by hematopoietic stem cell transplantation, NfL gradually normalized. Together, our study reveals that blood NfL reflects inflammatory activity and progression in CALD patients, thus constituting a potential surrogate biomarker that may facilitate clinical decisions and therapeutic development.

Indexed as

AdolescentAdrenoleukodystrophyAdultBiomarkersChildCohort StudiesDisease ProgressionHumansIntermediate FilamentsMiddle AgedNerve DegenerationNeurofilament ProteinsBiomarkersNeurofilament Proteins

Identifiers

PMID33753741
PMCPMC7985512
OpenAlexW3139473065

What OpenQuestion holds

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LicenceCC BY
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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.