Evidence map›Paper›PMID 37724995›Full record

ArticleEuropean journal of neurology2024

Serum neurofilament light chain: a promising early diagnostic biomarker for hereditary transthyretin amyloidosis?

Angela Romano, Guido Primiano, Giovanni Antonini, Marco Ceccanti, Silvia Fenu, Francesca Forcina, Luca Gentile, Maurizio Inghilleri, Luca Leonardi, Fiore Manganelli and 6 more

Open access · hybridAbstract read
In one paragraph

Article in European journal of neurology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 1 pooled it
4.8field-weighted citation impact, top 4% 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

20 citing papers in PubMed, 1 synthesis or guideline pooled it, 31 citations in OpenAlex.

  1. Neurofilament Light Chains in Systemic Amyloidosis: A Systematic Review.International journal of molecular sciences · 2024
    Pooled it
  2. Article
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  6. NfL as a biomarker in ATTRv amyloidosis: potential and limitations.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2025
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  10. Review
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  15. Serum neurofilament light chain levels correlate with small fiber related parameters in patients with hereditary transthyretin amyloidosis with polyneuropathy (ATTRv-PN).Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2024
    Article
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  17. Early detection of nerve involvement in presymptomatic TTR mutation carriers: exploring potential markers of disease onset.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2024
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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

16 authors at 7 institutions in 1 country.

Angela RomanoDipartimento di Neuroscienze, Organi di Senso e Torace, Fondazione Policlinico Universitario Agostino Gemelli IRCCS, Rome, Italy.ORCID 0000-0002-2061-1509
Guido PrimianoDipartimento di Neuroscienze, Organi di Senso e Torace, Fondazione Policlinico Universitario Agostino Gemelli IRCCS, Rome, Italy.ORCID 0000-0001-7616-7008
Giovanni AntoniniDipartimento di Neuroscienze, Salute Mentale e Organi di Senso (NESMOS), Sapienza Università di Roma, Rome, Italy.
Marco CeccantiDipartimento di Neuroscienze Umane, Sapienza Università di Roma, Rome, Italy.
Silvia FenuS.C. Malattie Neurologiche Rare, Dipartimento di Neuroscienze Cliniche, Fondazione IRCCS Istituto Neurologico Carlo Besta, Milan, Italy.
Francesca ForcinaDipartimento di Neuroscienze, Salute Mentale e Organi di Senso (NESMOS), Sapienza Università di Roma, Rome, Italy.
Luca GentileU.O.C. Neurologia e Malattie Neuromuscolari, Dipartimento di Medicina Clinica e Sperimentale, Università degli Studi di Messina, Messina, Italy.
Maurizio InghilleriDipartimento di Neuroscienze Umane, Sapienza Università di Roma, Rome, Italy.
Luca LeonardiDipartimento di Neuroscienze, Salute Mentale e Organi di Senso (NESMOS), Sapienza Università di Roma, Rome, Italy.
Fiore ManganelliDepartment of Neuroscience, Reproductive and Odontostomatological Science, University of Naples 'Federico II', Naples, Italy.ORCID 0000-0002-1442-9604
Laura ObiciCentro per lo Studio e la Cura delle Amiloidosi Sistemiche, Fondazione IRCCS Policlinico San Matteo, Pavia, Italy.
Andrea SabinoDipartimento di Neuroscienze, Università Cattolica del Sacro Cuore, Rome, Italy.
Maria Ausilia SciarroneDipartimento di Neuroscienze, Università Cattolica del Sacro Cuore, Rome, Italy.
Stefano TozzaDepartment of Neuroscience, Reproductive and Odontostomatological Science, University of Naples 'Federico II', Naples, Italy.ORCID 0000-0002-9672-4577
Francesca VitaliDipartimento di Neuroscienze, Università Cattolica del Sacro Cuore, Rome, Italy.
Marco LuigettiDipartimento di Neuroscienze, Organi di Senso e Torace, Fondazione Policlinico Universitario Agostino Gemelli IRCCS, Rome, Italy.ORCID 0000-0001-7539-505X
Sapienza University of Rome · ITUniversità Cattolica del Sacro Cuore · ITFederico II University Hospital · ITAgostino Gemelli University Polyclinic · ITFondazione IRCCS Istituto Neurologico Carlo Besta · ITPoliclinico San Matteo Fondazione · ITUniversity of Messina · IT

Funding

Ministero della SalutePfizer
6 · The paper itself

Abstract

background and purposeHereditary transthyretin amyloidosis (ATTRv) is a life-threatening disease caused by mutations in the gene encoding transthyretin (TTR). The recent therapeutic advances have underlined the importance of easily accessible, objective biomarkers of both disease onset and progression. Preliminary evidence suggests a potential role in this respect for neurofilament light chain (NfL). In this study, the aim was to determine serum NfL (sNfL) levels in a late-onset ATTRv population and evaluate whether it might represent a reliable biomarker of disease onset (i.e., 'conversion' from the asymptomatic status to symptomatic disease in TTR mutation carriers).

methodsIn all, 111 individuals harbouring a pathogenic TTR variant (61 symptomatic ATTRv patients and 50 presymptomatic carriers) were consecutively enrolled. Fifty healthy volunteers were included as the control group. Ella™ apparatus was used to assess sNfL levels.

resultsSerum NfL levels were increased in ATTRv patients compared to both presymptomatic carriers and healthy controls, whilst not differing between carriers and healthy controls. An sNfL cut-off of 37.10 pg/mL could discriminate between asymptomatic and symptomatic individuals with high diagnostic accuracy (area under the curve 0.958; p < 0.001), sensitivity (81.4%) and specificity (100%).

conclusionsSerum NfL seems to be a promising biomarker of peripheral nerve involvement in ATTRv amyloidosis and might become a reliable, objective measure to detect the transition from the presymptomatic stage to the onset of symptomatic disease. Further longitudinal studies are needed to confirm such a role and determine whether it could equally represent a biomarker of disease progression and response to therapy.

Indexed as

Amyloid Neuropathies, FamilialIntermediate FilamentsBiomarkersHumansLongitudinal StudiesBiomarkersATTRv amyloidosisbiomarkersdisease onsetneurofilament light chainNfL

Identifiers

PMID37724995
PMCPMC11235699
OpenAlexW4386863603

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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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.