Evidence map›Paper›PMID 42802281›Full record

ArticleJournal of neurology2026

Evaluating the neurofilament light chain-derived gap between biological and chronological age in multiple sclerosis and controls.

Valerio Nicolella, Carmela Polito, Vincenzo Criscuolo, Marco Varelli, Stefania Fasano, Mariano Fiorenza, Gennaro Pascarella, Antonio Carotenuto, Maria Petracca, Roberta Lanzillo and 5 more

Abstract read
In one paragraph

Article in Journal of neurology, 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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1 · What the graph read from it

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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

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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

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0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

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5 · Who and what money

Authors and funding

15 authors.

Valerio NicolellaDepartment of Neuroscience, Reproductive Science and Odontostomatology, Federico II University of Naples, Naples, Italy.
Carmela PolitoDepartment of Translational Medical Sciences, Federico II University of Naples, Naples, Italy.
Vincenzo CriscuoloDepartment of Neuroscience, Reproductive Science and Odontostomatology, Federico II University of Naples, Naples, Italy.
Marco VarelliIstituto Diagnostico Varelli, Naples, Italy.
Stefania FasanoIstituto Diagnostico Varelli, Naples, Italy.
Mariano FiorenzaDepartment of Translational Medical Sciences, Federico II University of Naples, Naples, Italy.
Gennaro PascarellaDepartment of Molecular Medicine and Medical Biotechnology, Federico II University of Naples, Naples, Italy.
Antonio CarotenutoDepartment of Neuroscience, Reproductive Science and Odontostomatology, Federico II University of Naples, Naples, Italy.
Maria PetraccaDepartment of Human Neuroscience, Sapienza University of Rome, Rome, Italy.
Roberta LanzilloDepartment of Neuroscience, Reproductive Science and Odontostomatology, Federico II University of Naples, Naples, Italy.
Giuseppe CastaldoDepartment of Molecular Medicine and Medical Biotechnology, Federico II University of Naples, Naples, Italy.
Vincenzo Brescia MorraDepartment of Neuroscience, Reproductive Science and Odontostomatology, Federico II University of Naples, Naples, Italy.
Francesco SalvatoreDepartment of Molecular Medicine and Medical Biotechnology, Federico II University of Naples, Naples, Italy.
Daniela TerraccianoDepartment of Translational Medical Sciences, Federico II University of Naples, Naples, Italy.
Marcello MocciaDepartment of Molecular Medicine and Medical Biotechnology, Federico II University of Naples, Naples, Italy. marcello.moccia@unina.it.ORCID http://orcid.org/0000-0003-2613-3090

Funding

Campania Region NeuroDiaTE Project CUP E65E24002260002MUR PNRR Extended Partnership DHEAL-COM no. PNC-E3- 2022-23683267MUR PNRR Extended Partnership MNESYS no. PE00000006
6 · The paper itself

Abstract

objectiveTo compare chronological age and neurofilament light chain (NfL)-derived age in people with multiple sclerosis (pwMS) and controls, and to explore clinical correlates of the NfL age gap.

methodsWe conducted a real-world, retrospective analysis including 792 pwMS (without evidence of clinical or MRI activity in the previous year and during follow-up) and 302 controls. NfL-derived age was computed using established age-adjusted reference. We used logistic regression models to compare pwMS and controls in chronological and NfL-derived age groups, and linear regression models to evaluate the associations of chronological age and NfL-derived age with clinical variables (Expanded Disability Status Scale (EDSS), disease duration, disease course, disease modifying treatment (DMT) class, number of previous DMTs) and the associations between the NfL age gap (difference between biological and chronological age) and clinical variables.

resultsPwMS showed a higher likelihood than controls of having a NfL-derived age above their chronological age (OR = 1.44;95%CI 1.10-1.87; p = 0.007). EDSS, disease duration, and progressive disease course were associated with both chronological and NfL-derived age (all p < 0.001). The NfL age gap showed independent associations with EDSS (Coeff = 0.147; 95%CI 0.097-0.197; p < 0.001), progressive disease course (Coeff = 0.34; 95%CI 0.16-0.53; p < 0.001), and number of previous DMTs (Coeff = 0.06; 95% CI 0.01-0.11; p = 0.028), but not with disease duration or DMT class. Similar results were observed in a sub-analysis excluding pwMS with EDSS progression.

conclusionsMS is associated with a shift in age-associated NfL trajectory, with an older biological profile especially in pwMS with greater disability and progressive course.

Indexed as

AgingMultiple SclerosisNeurofilament ProteinsAdultAge FactorsDisease ProgressionFemaleHumansMaleMiddle AgedRetrospective Studiesneurofilament protein LNeurofilament ProteinsageingMultiple sclerosisneurofilament light chain

Identifiers

PMID42802281
PMCPMC13616846

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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.