Evidence map›Paper›PMID 35334608›Full record

ArticleMedicina (Kaunas, Lithuania)2022

Serum NfL in Alzheimer Dementia: Results of the Prospective Dementia Registry Austria.

Daniela Kern, Michael Khalil, Lukas Pirpamer, Arabella Buchmann, Edith Hofer, Peter Dal-Bianco, Elisabeth Stögmann, Christoph Scherfler, Thomas Benke, Gerhard Ransmayr and 1 more

Open access · goldAbstract read
In one paragraph

Article in Medicina (Kaunas, Lithuania), 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 1 pooled it
1.4field-weighted citation impact, top 19% 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

11 citing papers in PubMed, 1 synthesis or guideline pooled it, 13 citations in OpenAlex.

  1. Pooled it
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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

11 authors at 4 institutions in 1 country.

Daniela KernDepartment of Neurology, Medical University of Graz, Auenbruggerplatz 22, 8036 Graz, Austria.
Michael KhalilDepartment of Neurology, Medical University of Graz, Auenbruggerplatz 22, 8036 Graz, Austria.ORCID 0000-0002-5350-3328
Lukas PirpamerDepartment of Neurology, Medical University of Graz, Auenbruggerplatz 22, 8036 Graz, Austria.ORCID 0000-0002-4390-9703
Arabella BuchmannDepartment of Neurology, Medical University of Graz, Auenbruggerplatz 22, 8036 Graz, Austria.ORCID 0000-0002-7381-2427
Edith HoferDepartment of Neurology, Medical University of Graz, Auenbruggerplatz 22, 8036 Graz, Austria.
Peter Dal-BiancoDepartment of Neurology, Medical University of Vienna, Währinger Gürtel 18-20, 1090 Vienna, Austria.
Elisabeth StögmannDepartment of Neurology, Medical University of Vienna, Währinger Gürtel 18-20, 1090 Vienna, Austria.ORCID 0000-0003-4688-8482
Christoph ScherflerDepartment of Neurology, Innsbruck Medical University, Anichstraße 35, 6020 Innsbruck, Austria.
Thomas BenkeDepartment of Neurology, Innsbruck Medical University, Anichstraße 35, 6020 Innsbruck, Austria.
Gerhard RansmayrDepartment of Neurology 2, Faculty of Medicine, Kepler University Hospital, Krankenhausstraße 9, 4020 Linz, Austria.
Reinhold SchmidtDepartment of Neurology, Medical University of Graz, Auenbruggerplatz 22, 8036 Graz, Austria.
Medical University of Graz · ATInnsbruck Medical University · ATMedical University of Vienna · ATKepler Universitätsklinikum · AT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background and Objectives: The neurofilament light chain (NfL) is a biomarker for neuro-axonal injury in various acute and chronic neurological disorders, including Alzheimer’s disease (AD). We here investigated the cross-sectional and longitudinal associations between baseline serum NfL (sNfL) levels and cognitive, behavioural as well as MR volumetric findings in the Prospective Dementia Registry Austria (PRODEM-Austria). Materials and Methods: All participants were clinically diagnosed with AD according to NINCDS-ADRDA criteria and underwent a detailed clinical assessment, cognitive testing (including the Mini Mental State Examination (MMSE) and the Consortium to Establish a Registry for Alzheimer’s Disease (CERAD)), the neuropsychiatric inventory (NPI) and laboratory evaluation. A total of 237 patients were included in the study. Follow-up examinations were done at 6 months, 1 year and 2 years with 93.3% of patients undergoing at least one follow-up. We quantified sNfL by a single molecule array (Simoa). In a subgroup of 125 subjects, brain imaging data (1.5 or 3T MRI, with 1 mm isotropic resolution) were available. Brain volumetry was assessed using the FreeSurfer image analysis suite (v6.0). Results: Higher sNfL concentrations were associated with worse performance in cognitive tests at baseline, including CERAD (B = −10.084, SE = 2.999, p < 0.001) and MMSE (B = −3.014, SE = 1.293, p = 0.021). The sNfL levels also correlated with the presence of neuropsychiatric symptoms (NPI total score: r = 0.138, p = 0.041) and with smaller volumes of the temporal lobe (B = −0.012, SE = 0.003, p = 0.001), the hippocampus (B = −0.001, SE = 0.000201, p = 0.013), the entorhinal (B = −0.000308, SE = 0.000124, p = 0.014), and the parahippocampal cortex (B = −0.000316, SE = 0.000113, p = 0.006). The sNfL values predicted more pronounced cognitive decline over the mean follow-up period of 22 months, but there were no significant associations with respect to change in neuropsychiatric symptoms and brain volumetric measures. Conclusions: the sNfL levels relate to cognitive, behavioural, and imaging hallmarks of AD and predicts short term cognitive decline.

Indexed as

Alzheimer DiseaseAustriaCross-Sectional StudiesHumansProspective StudiesRegistriesAlzheimer’sbiomarkerblood biomarkerdementianeurofilament light (NfL)

Identifiers

PMID35334608
PMCPMC8955532
OpenAlexW4220932812

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.