Evidence map›Paper›PMID 40472292›Full record

ArticleNeurology(R) neuroimmunology & neuroinflammation2025

Serum Neurofilament Light Chain as a Biomarker for CIDP Diagnosis, Severity, and Treatment Outcome.

Rafael Klimas, Felix Kohle, Lea Horstkemper, Pascal Benkert, Adriana Rehm, Aylin Seibert, Moritz Riesner, Melissa Sgodzai, Thomas Grüter, Niklas Rilke and 10 more

Abstract readMulticenter Study
In one paragraph

Article in Neurology(R) neuroimmunology & neuroinflammation, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
–field-weighted citation impact
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

6 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Review
  5. Article
  6. 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

20 authors.

Rafael KlimasDepartment of Neurology, St. Josef-Hospital, Ruhr-University Bochum, Germany.ORCID 0000-0001-5989-2195
Felix KohleDepartment of Neurology, Faculty of Medicine, University of Cologne and University Hospital Cologne, Germany.ORCID 0000-0002-4429-0367
Lea HorstkemperDepartment of Neurology, St. Josef-Hospital, Ruhr-University Bochum, Germany.ORCID 0009-0003-9234-706X
Pascal BenkertDepartment of Clinical Research, University Basel, Switzerland.ORCID 0000-0001-6525-8174
Adriana RehmDepartment of Neurology, St. Josef-Hospital, Ruhr-University Bochum, Germany.
Aylin SeibertDepartment of Neurology, St. Josef-Hospital, Ruhr-University Bochum, Germany.
Moritz RiesnerDepartment of Neurology, St. Josef-Hospital, Ruhr-University Bochum, Germany.
Melissa SgodzaiDepartment of Neurology, St. Josef-Hospital, Ruhr-University Bochum, Germany.
Thomas GrüterImmunmediated Neuropathies Biobank (INHIBIT), Ruhr-University Bochum, Germany.ORCID 0000-0001-8927-9818
Niklas RilkeDepartment of Neurology, St. Josef-Hospital, Ruhr-University Bochum, Germany.
Barbara GiseviusDepartment of Neurology, St. Josef-Hospital, Ruhr-University Bochum, Germany.
Léon BeyerDepartment of Biophysics, Ruhr-University Bochum, Germany.ORCID 0000-0002-5889-6044
Klaus GerwertDepartment of Biophysics, Ruhr-University Bochum, Germany.ORCID 0000-0001-8759-5964
Jens KuhleDepartment of Neurology, University Hospital Basel, Switzerland; and.ORCID 0000-0002-6963-8892
Michael SchroeterDepartment of Neurology, Faculty of Medicine, University of Cologne and University Hospital Cologne, Germany.ORCID 0000-0001-8441-4793
Helmar C LehmannDepartment of Neurology, Klinikum Leverkusen, Germany.
Ralf GoldDepartment of Neurology, St. Josef-Hospital, Ruhr-University Bochum, Germany.ORCID 0000-0002-7223-3052
Anna Lena FisseDepartment of Neurology, St. Josef-Hospital, Ruhr-University Bochum, Germany.ORCID 0000-0003-0493-8656
Jeremias MotteDepartment of Neurology, St. Josef-Hospital, Ruhr-University Bochum, Germany.ORCID 0000-0002-6624-8565
Kalliopi PitarokoiliDepartment of Neurology, St. Josef-Hospital, Ruhr-University Bochum, Germany.ORCID 0000-0002-2483-4929

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND AND

objectivesThe aim of this study was to characterize serum neurofilament light chain (sNFL) levels in a large cohort of patients with autoimmune neuropathies to provide every-day clinical practice recommendations.

methodsIn this retrospective cohort study, we recruited 191 patients with immune-mediated neuropathies from 2 referral centers. sNFL was measured using the Simoa NF-light kit (Quanterix), and age-corrected and BMI-corrected z-scores (zNFL) were calculated. Clinical data were correlated with zNFL and adjusted for different disease subsets. A receiver operator characteristic analysis was performed. Treatments and longitudinal disease course of patients with typical chronic inflammatory demyelinating polyneuropathy (CIDP) in early disease stage were analyzed.

resultsOne hundred ten patients had typical CIDP, and 67 had atypical CIDP. Fourteen patients had other immune neuropathies. zNFL of all patients correlated significantly with the Inflammatory Neuropathy Cause and Treatment Scale-overall disability sum score ( DISCUSSION: We established sNFL as a promising biomarker for assessing disease activity in patients with typical CIDP. Elevated zNFL in early-stage typical CIDP indicate severe inflammatory-mediated axonal damage that requires aggressive immunotherapy.

Indexed as

Neurofilament ProteinsPolyradiculoneuropathy, Chronic Inflammatory DemyelinatingAdultAgedBiomarkersFemaleHumansMaleMiddle AgedRetrospective StudiesSeverity of Illness IndexBiomarkersneurofilament protein LNeurofilament Proteins

Identifiers

PMID40472292
PMCPMC12153944

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.