Evidence map›Paper›PMID 38654326›Full record

ArticleAlzheimer's research & therapy2024

Serum and cerebrospinal fluid neurofilament light chain and glial fibrillary acid protein levels in early and advanced stages of cerebral amyloid Angiopathy.

Ingeborg Rasing, Sabine Voigt, Emma A Koemans, Anna M de Kort, Thijs W van Harten, Ellis S van Etten, Erik W van Zwet, Erik Stoops, Cindy Francois, H Bea Kuiperij and 8 more

Erratum issuedOpen access · goldAbstract read
In one paragraph

Article in Alzheimer's research & therapy, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
7.0field-weighted citation impact, top 2% 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

15 citing papers in PubMed, 19 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Review
  5. Polygenic risk score predicts pathologically confirmed cerebral amyloid angiopathy.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2025
    Article
  6. Article
  7. Review
  8. The relevance of combined testing of cerebrospinal fluid glial fibrillary acidic protein and ubiquitin C-terminal hydrolase L1 in multiple sclerosis and peripheral neuropathy.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2025
    Article
  9. Circulating proteomic biomarkers for cerebral amyloid angiopathy screening and risk stratification.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2025
    Article
  10. Review
  11. Review
  12. Article
  13. Review
  14. Article
  15. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

18 authors at 6 institutions in 2 countries.

Ingeborg Rasing *Department of Neurology, Leiden University Medical Center, Leiden, The Netherlands. i.rasing@lumc.nl.
Sabine Voigt *Department of Neurology, Leiden University Medical Center, Leiden, The Netherlands.
Emma A KoemansDepartment of Neurology, Leiden University Medical Center, Leiden, The Netherlands.
Anna M de KortDepartment of Neurology, Donders Institute for Brain, Cognition and Behaviour, Radboud University Medical Center, Nijmegen, The Netherlands.
Thijs W van HartenDepartment of Radiology, Leiden University Medical Center, Leiden, The Netherlands.
Ellis S van EttenDepartment of Neurology, Leiden University Medical Center, Leiden, The Netherlands.
Erik W van ZwetDepartment of Biomedical Data Sciences, Leiden University Medical Center, Leiden, The Netherlands.
Erik StoopsADx NeuroSciences, Ghent, Belgium.
Cindy FrancoisADx NeuroSciences, Ghent, Belgium.
H Bea KuiperijDepartment of Neurology, Donders Institute for Brain, Cognition and Behaviour, Radboud University Medical Center, Nijmegen, The Netherlands.
Catharina J M KlijnDepartment of Neurology, Donders Institute for Brain, Cognition and Behaviour, Radboud University Medical Center, Nijmegen, The Netherlands.
Floris H B M SchreuderDepartment of Neurology, Donders Institute for Brain, Cognition and Behaviour, Radboud University Medical Center, Nijmegen, The Netherlands.
Louise van der WeerdDepartment of Radiology, Leiden University Medical Center, Leiden, The Netherlands.
Matthias J P van OschDepartment of Radiology, Leiden University Medical Center, Leiden, The Netherlands.
Marianne A A van WalderveenDepartment of Radiology, Leiden University Medical Center, Leiden, The Netherlands.
Marcel M VerbeekDepartment of Neurology, Donders Institute for Brain, Cognition and Behaviour, Radboud University Medical Center, Nijmegen, The Netherlands.
Gisela M Terwindt *Department of Neurology, Leiden University Medical Center, Leiden, The Netherlands.
Marieke J H Wermer *Department of Neurology, Leiden University Medical Center, Leiden, The Netherlands.
Leiden University Medical Center · NLRadboud University Medical Center · NLADx NeuroSciences · BEADx NeuroSciencesRadboud University Nijmegen · NLUniversity Medical Center Groningen · NL

Funding

Cerebral amyloid angiopathy fluid biomarkers evaluation (CAFE)R01NS104147 · NINDS · UNIVERSITY OF RHODE ISLAND · PI VAN NOSTRAND, WILLIAM E. · 2018 to 2022
$3.2M
NINDS NIH HHS R01 NS104147
6 · The paper itself

Abstract

backgroundNeurofilament light chain (NFL) is a biomarker for neuroaxonal damage and glial fibrillary acidic protein (GFAP) for reactive astrocytosis. Both processes occur in cerebral amyloid angiopathy (CAA), but studies investigating the potential of NFL and GFAP as markers for CAA are lacking. We aimed to investigate NFL and GFAP as biomarkers for neuroaxonal damage and astrocytosis in CAA.

methodsFor this cross-sectional study serum and cerebrospinal fluid (CSF) samples were collected between 2010 and 2020 from controls, (pre)symptomatic Dutch-type hereditary (D-CAA) mutation-carriers and participants with sporadic CAA (sCAA) from two prospective CAA studies at two University hospitals in the Netherlands. NFL and GFAP levels were measured with Simoa-assays. The association between NFL and GFAP levels and age, cognitive performance (MoCA), CAA-related MRI markers (CAA-CSVD-burden) and Aβ40 and Aβ42 levels in CSF were assessed with linear regression adjusted for confounders. The control group was divided in age < 55 and ≥55 years to match the specific groups.

resultsWe included 187 participants: 28 presymptomatic D-CAA mutation-carriers (mean age 40 years), 29 symptomatic D-CAA participants (mean age 58 years), 59 sCAA participants (mean age 72 years), 33 controls < 55 years (mean age 42 years) and 38 controls ≥ 55 years (mean age 65 years). In presymptomatic D-CAA, only GFAP in CSF (7.7*10

conclusionsGFAP level in CSF is an early biomarker for CAA and is increased years before symptom onset. NFL and GFAP levels in serum and CSF are biomarkers for advanced CAA.

Indexed as

BiomarkersCerebral Amyloid AngiopathyGlial Fibrillary Acidic ProteinNeurofilament ProteinsAdultAgedAmyloid beta-PeptidesCross-Sectional StudiesFemaleHumansMagnetic Resonance ImagingMaleMiddle AgedProspective StudiesAmyloid beta-PeptidesBiomarkersGFAP protein, humanGlial Fibrillary Acidic Proteinneurofilament protein LNeurofilament ProteinsCAA CSVD scoreCerebral amyloid angiopathyGlial fibrillary acidic protein (GFAP)MoCANeurofilament light chain (NFL)

Identifiers

PMID38654326
PMCPMC11036675
OpenAlexW4395044047

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.