Evidence map›Paper›PMID 41180593›Full record

ReviewBiomarker insights2025

Advancing Clinical Use of Neurofilament Light Chain: Translational Insights From Research to Routine Practice.

Evelina La Civita, Valerio Nicolella, Mariano Fiorenza, Vincenzo Cosimato, Giuseppe Castaldo, Vincenzo Brescia Morra, Marcello Moccia, Daniela Terracciano

Abstract readReview
In one paragraph

Review in Biomarker insights, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 1 pooled it
–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

12 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Real-world Roche ElecsysJournal of neurology · 2026
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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

8 authors.

Evelina La CivitaDepartment of Translational Medical Sciences, Federico II University of Naples, Italy.
Valerio NicolellaDepartment of Neuroscience, Reproductive Science and Odontostomatology, Federico II University of Naples, Italy.
Mariano FiorenzaDepartment of Translational Medical Sciences, Federico II University of Naples, Italy.
Vincenzo CosimatoDivision of Laboratory Medicine - Civil Hospital "Maria SS. Addolorata"- Eboli, Salerno, Italy.
Giuseppe CastaldoDepartment of Molecular Medicine and Medical Biotechnology, Federico II University of Naples, Italy.
Vincenzo Brescia MorraDepartment of Neuroscience, Reproductive Science and Odontostomatology, Federico II University of Naples, Italy.
Marcello MocciaDepartment of Molecular Medicine and Medical Biotechnology, Federico II University of Naples, Italy.
Daniela TerraccianoDepartment of Translational Medical Sciences, Federico II University of Naples, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Neurofilament Light Chain (NfL) has emerged as a promising biomarker for neurological diseases. NfL, a structural component of axons, is released into cerebrospinal fluid (CSF) and blood following neuro-axonal damage. Highly sensitive immunometric assays have enabled its reliable quantification in blood, facilitating non-invasive monitoring. Several studies demonstrated strong correlations between NfL levels and the risk of developing different neurological diseases and, in individuals already living with a neurological disease, with the risk of worsening. However, interpretation is affected by factors like age, BMI, renal function, and comorbidities. NfL is already utilized as a diagnostic and prognostic biomarker in clinical practice, particularly in specialized centers and research settings, although no FDA-cleared assay is currently available for routine use. Recent research has highlighted that NfL may represent the first of a new generation of neurological biomarkers, with many more ready to come, such as glial fibrillary acidic protein (GFAP), further improving diagnostic and prognostic accuracy. Despite its promising role in the landscape of biomarkers, challenges remain to implement NfL in daily clinical practice, including standardization of assays, defining reference values, and ensuring methodological consistency. Addressing these limitations will be essential for integrating NfL into routine clinical practice, ultimately advancing precision medicine in neurology.

Indexed as

biomarker standardizationblood-based biomarkersclinical implementationdiagnostic biomarkersmultiple sclerosisneurodegenerationneurofilament light chainneurological biomarkersprecision medicinetranslational neurology

Identifiers

PMID41180593
PMCPMC12575937

What OpenQuestion holds

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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.