Evidence map›Paper›PMID 34996525›Full record

ArticleAlzheimer's research & therapy2022

Serum neurofilament light chain level as a predictor of cognitive stage transition.

Eun-Hye Lee, Hyuk Sung Kwon, Seong-Ho Koh, Seong Hye Choi, Jeong-Hwa Jin, Jee Hyang Jeong, Jae-Won Jang, Kyung Won Park, Eun-Joo Kim, Hee Jin Kim and 7 more

Open access · goldAbstract read
In one paragraph

Article in Alzheimer's research & therapy, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 31 papers.

0numbers the graph read from it
0cells of the map it votes in
31citing papers in PubMed
8.6field-weighted citation impact, top 1% 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

31 citing papers in PubMed, 60 citations in OpenAlex.

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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

17 authors at 12 institutions in 1 country.

Eun-Hye Lee *Department of Neurology, Hanyang University Guri Hospital, Hanyang University College of Medicine, 153 Gyeongchun-ro, Guri, 11923, Republic of Korea.
Hyuk Sung Kwon *Department of Neurology, Hanyang University Guri Hospital, Hanyang University College of Medicine, 153 Gyeongchun-ro, Guri, 11923, Republic of Korea.
Seong-Ho KohDepartment of Neurology, Hanyang University Guri Hospital, Hanyang University College of Medicine, 153 Gyeongchun-ro, Guri, 11923, Republic of Korea. ksh213@hanyang.ac.kr.ORCID 0000-0001-5419-5761
Seong Hye ChoiDepartment of Neurology, Inha University School of Medicine, 27 Inhang-ro, Jung-gu, Incheon, Republic of Korea. seonghye@inha.ac.kr.
Jeong-Hwa JinDepartment of Neurology, Hanyang University Guri Hospital, Hanyang University College of Medicine, 153 Gyeongchun-ro, Guri, 11923, Republic of Korea.
Jee Hyang JeongDepartment of Neurology, Ewha Womans University School of Medicine, Seoul, Republic of Korea.
Jae-Won JangDepartment of Neurology, Kangwon National University School of Medicine, Chuncheon, Republic of Korea.
Kyung Won ParkDepartment of Neurology, Dong-A Medical Center, Dong-A University College of Medicine, Busan, Republic of Korea.
Eun-Joo KimDepartment of Neurology, Pusan National University Hospital, Pusan National University School of Medicine and Medical Research Institute, Busan, Republic of Korea.
Hee Jin KimDepartment of Neurology, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Republic of Korea.
Jin Yong HongDepartment of Neurology, Yonsei University Wonju College of Medicine, Wonju, Republic of Korea.
Soo Jin YoonDepartment of Neurology, Eulji University Hospital, Eulji University School of Medicine, Daejeon, Republic of Korea.
Bora YoonDepartment of Neurology, Konyang University College of Medicine, Daejeon, Republic of Korea.
Ju-Hee KangDepartment of Pharmacology, Inha University School of Medicine, Incheon, Republic of Korea.
Jong-Min LeeDepartment of Biomedical Engineering, Hanyang University, Seoul, Republic of Korea.
Hyun-Hee ParkDepartment of Neurology, Hanyang University Guri Hospital, Hanyang University College of Medicine, 153 Gyeongchun-ro, Guri, 11923, Republic of Korea.
Jungsoon HaDepartment of Neurology, Hanyang University Guri Hospital, Hanyang University College of Medicine, 153 Gyeongchun-ro, Guri, 11923, Republic of Korea.
Hanyang University Guri Hospital · KRInha University · KRDaejeon Eulji Medical Center, Eulji University · KRDong-A University · KREwha Womans University · KRGemVax & KAEL (South Korea) · KRHanyang University · KRKangwon National University · KRKonyang University · KRPusan National University Hospital · KRSamsung Medical Center · KRYonsei University · KR

Funding

NIEHS NIH HHS 27398C0007
6 · The paper itself

Abstract

backgroundNeurofilament light chain (NFL) level has been suggested as a blood-based biomarker for neurodegeneration in dementia. However, the association between baseline NFL levels and cognitive stage transition or cortical thickness is unclear. This study aimed to investigate whether baseline NFL levels are associated with cognitive stage transition or cortical thickness in mild cognitive impairment (MCI) and cognitively unimpaired (CU) participants.

methodsThis study analyzed data on participants from the independent validation cohort of the Korea Brain Aging Study for the Early Diagnosis and Prediction of Alzheimer's disease (KBASE-V) study. Among the participants of KBASE-V study, 53 MCI and 146 CU participants who were followed up for ≥ 2 years and had data on the serum NFL levels were eligible for inclusion in this study. Participants were classified into three groups according to baseline serum NFL levels of low, middle, or high.

resultsThe Kaplan-Meier analysis showed association between the serum NFL tertiles and risk of cognitive stage transition in MCI (P = 0.002) and CU (P = 0.028) participants, analyzed separately. The same is true upon analysis of MCI and CU participants together (P < 0.001). In MCI participants, the highest serum NFL tertile and amyloid-beta positivity were independent predictors for cognitive stage transition after adjusting for covariates. For CU participants, only amyloid-beta positivity was identified to be an independent predictor.

conclusionThe study shows that higher serum NFL tertile levels correlate with increased risk of cognitive stage transition in both MCI and CU participants. Serum NFL levels were negatively correlated with the mean cortical thickness of the whole-brain and specific brain regions.

Indexed as

Cognitive DysfunctionIntermediate FilamentsAlzheimer DiseaseAmyloid beta-PeptidesBiomarkersCognitionHumansAmyloid beta-PeptidesBiomarkersAlzheimer’s diseaseAmyloid pathologyCognitive stageCortical thicknessNeurofilament light chain

Identifiers

PMID34996525
PMCPMC8742445
OpenAlexW4205406292

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.