ArticleMolecular therapy. Advances2026
CSF and plasma neuro-biomarker dynamics after gene therapy for cerebral adrenoleukodystrophy.
Article in Molecular therapy. Advances, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Cerebral adrenoleukodystrophy (CALD) is a progressive, immune-inflammatory neurologic disease that can be arrested through allogeneic or gene-corrected hematopoietic cell transplant. Biomarkers of disease during transplant have not been explored. We assessed 20 exploratory biomarkers, consisting of the matrix metalloproteinase (MMP) family, vascular factors, neuroinflammation, and lipids, to determine changes from baseline pre-transplant to 2 years after gene therapy (GT). We found the most robust changes with the plasma neuroinflammatory markers-neurofilament light chain (NfL) and glial fibrillary acidic protein (GFAP). Pre-GT plasma NfL had the strongest correlation with disease burden quantified on MRI by Loes score (R
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