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Neurofilament Light Chain as a Biomarker for Cognitive Decline in Parkinson Disease

ABSTRACT Background Neurofilament light chain protein (NfL) is a promising biomarker of neurodegeneration. Objectives To determine whether plasma and CSF NfL (1) associate with motor or cognitive status in Parkinson's disease (PD) and (2) predict future motor or cognitive decline in PD. Methods...

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Published in:Movement disorders 2021-12, Vol.36 (12), p.2945-2950
Main Authors: Aamodt, Whitley W., Waligorska, Teresa, Shen, Junchao, Tropea, Thomas F., Siderowf, Andrew, Weintraub, Daniel, Grossman, Murray, Irwin, David, Wolk, David A., Xie, Sharon X., Trojanowski, John Q., Shaw, Leslie M., Chen‐Plotkin, Alice S.
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container_title Movement disorders
container_volume 36
creator Aamodt, Whitley W.
Waligorska, Teresa
Shen, Junchao
Tropea, Thomas F.
Siderowf, Andrew
Weintraub, Daniel
Grossman, Murray
Irwin, David
Wolk, David A.
Xie, Sharon X.
Trojanowski, John Q.
Shaw, Leslie M.
Chen‐Plotkin, Alice S.
description ABSTRACT Background Neurofilament light chain protein (NfL) is a promising biomarker of neurodegeneration. Objectives To determine whether plasma and CSF NfL (1) associate with motor or cognitive status in Parkinson's disease (PD) and (2) predict future motor or cognitive decline in PD. Methods Six hundred and fifteen participants with neurodegenerative diseases, including 152 PD and 200 healthy control participants, provided a plasma and/or cerebrospinal fluid (CSF) NfL sample. Diagnostic groups were compared using the Kruskal−Wallis rank test. Within PD, cross‐sectional associations between NfL and Unified Parkinson's Disease Rating Scale Part III (UPDRS‐III) and Mattis Dementia Rating Scale (DRS‐2) scores were assessed by linear regression; longitudinal analyses were performed using linear mixed‐effects models and Cox regression. Results Plasma and CSF NfL levels correlated substantially (Spearman r = 0.64, P 
doi_str_mv 10.1002/mds.28779
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Objectives To determine whether plasma and CSF NfL (1) associate with motor or cognitive status in Parkinson's disease (PD) and (2) predict future motor or cognitive decline in PD. Methods Six hundred and fifteen participants with neurodegenerative diseases, including 152 PD and 200 healthy control participants, provided a plasma and/or cerebrospinal fluid (CSF) NfL sample. Diagnostic groups were compared using the Kruskal−Wallis rank test. Within PD, cross‐sectional associations between NfL and Unified Parkinson's Disease Rating Scale Part III (UPDRS‐III) and Mattis Dementia Rating Scale (DRS‐2) scores were assessed by linear regression; longitudinal analyses were performed using linear mixed‐effects models and Cox regression. Results Plasma and CSF NfL levels correlated substantially (Spearman r = 0.64, P &lt; 0.001); NfL was highest in neurocognitive disorders. PD participants with high plasma NfL were more likely to develop incident cognitive impairment (HR 5.34, P = 0.005). Conclusions Plasma NfL is a useful prognostic biomarker for PD, predicting clinical conversion to mild cognitive impairment or dementia. © 2021 International Parkinson and Movement Disorder Society</description><identifier>ISSN: 0885-3185</identifier><identifier>EISSN: 1531-8257</identifier><identifier>DOI: 10.1002/mds.28779</identifier><identifier>PMID: 34480363</identifier><language>eng</language><publisher>Hoboken, USA: John Wiley &amp; Sons, Inc</publisher><subject>Biomarkers ; Biomarkers - cerebrospinal fluid ; Cerebrospinal fluid ; Cognition ; Cognitive ability ; Cognitive Dysfunction - cerebrospinal fluid ; Cognitive Dysfunction - diagnosis ; Cognitive Dysfunction - etiology ; Cross-Sectional Studies ; Dementia ; Dementia disorders ; Disease Progression ; Humans ; Intermediate Filaments - metabolism ; Medical prognosis ; Movement disorders ; Neurodegeneration ; Neurodegenerative diseases ; neurofilament light chain protein ; NfL ; Parkinson Disease - complications ; Parkinson Disease - diagnosis ; Parkinson's disease ; Plasma ; prognosis ; Regression analysis</subject><ispartof>Movement disorders, 2021-12, Vol.36 (12), p.2945-2950</ispartof><rights>2021 International Parkinson and Movement Disorder Society</rights><rights>2021 International Parkinson and Movement Disorder Society.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c5099-9738a61298abdb667080dbf71cf82364a2e5ff98d53c4bc0a9191e0f1cb4cd4c3</citedby><cites>FETCH-LOGICAL-c5099-9738a61298abdb667080dbf71cf82364a2e5ff98d53c4bc0a9191e0f1cb4cd4c3</cites><orcidid>0000-0003-0766-1496 ; 0000-0002-5599-5098 ; 0000-0003-0633-7168 ; 0000-0001-8130-2809 ; 0000-0002-3387-2038</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>230,314,777,781,882,27905,27906</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/34480363$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Aamodt, Whitley W.</creatorcontrib><creatorcontrib>Waligorska, Teresa</creatorcontrib><creatorcontrib>Shen, Junchao</creatorcontrib><creatorcontrib>Tropea, Thomas F.</creatorcontrib><creatorcontrib>Siderowf, Andrew</creatorcontrib><creatorcontrib>Weintraub, Daniel</creatorcontrib><creatorcontrib>Grossman, Murray</creatorcontrib><creatorcontrib>Irwin, David</creatorcontrib><creatorcontrib>Wolk, David A.</creatorcontrib><creatorcontrib>Xie, Sharon X.</creatorcontrib><creatorcontrib>Trojanowski, John Q.</creatorcontrib><creatorcontrib>Shaw, Leslie M.</creatorcontrib><creatorcontrib>Chen‐Plotkin, Alice S.</creatorcontrib><title>Neurofilament Light Chain as a Biomarker for Cognitive Decline in Parkinson Disease</title><title>Movement disorders</title><addtitle>Mov Disord</addtitle><description>ABSTRACT Background Neurofilament light chain protein (NfL) is a promising biomarker of neurodegeneration. Objectives To determine whether plasma and CSF NfL (1) associate with motor or cognitive status in Parkinson's disease (PD) and (2) predict future motor or cognitive decline in PD. Methods Six hundred and fifteen participants with neurodegenerative diseases, including 152 PD and 200 healthy control participants, provided a plasma and/or cerebrospinal fluid (CSF) NfL sample. Diagnostic groups were compared using the Kruskal−Wallis rank test. Within PD, cross‐sectional associations between NfL and Unified Parkinson's Disease Rating Scale Part III (UPDRS‐III) and Mattis Dementia Rating Scale (DRS‐2) scores were assessed by linear regression; longitudinal analyses were performed using linear mixed‐effects models and Cox regression. Results Plasma and CSF NfL levels correlated substantially (Spearman r = 0.64, P &lt; 0.001); NfL was highest in neurocognitive disorders. PD participants with high plasma NfL were more likely to develop incident cognitive impairment (HR 5.34, P = 0.005). Conclusions Plasma NfL is a useful prognostic biomarker for PD, predicting clinical conversion to mild cognitive impairment or dementia. © 2021 International Parkinson and Movement Disorder Society</description><subject>Biomarkers</subject><subject>Biomarkers - cerebrospinal fluid</subject><subject>Cerebrospinal fluid</subject><subject>Cognition</subject><subject>Cognitive ability</subject><subject>Cognitive Dysfunction - cerebrospinal fluid</subject><subject>Cognitive Dysfunction - diagnosis</subject><subject>Cognitive Dysfunction - etiology</subject><subject>Cross-Sectional Studies</subject><subject>Dementia</subject><subject>Dementia disorders</subject><subject>Disease Progression</subject><subject>Humans</subject><subject>Intermediate Filaments - metabolism</subject><subject>Medical prognosis</subject><subject>Movement disorders</subject><subject>Neurodegeneration</subject><subject>Neurodegenerative diseases</subject><subject>neurofilament light chain protein</subject><subject>NfL</subject><subject>Parkinson Disease - complications</subject><subject>Parkinson Disease - diagnosis</subject><subject>Parkinson's disease</subject><subject>Plasma</subject><subject>prognosis</subject><subject>Regression analysis</subject><issn>0885-3185</issn><issn>1531-8257</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><recordid>eNp1kUtvEzEUhS0EomlgwR9AltjAYlo_xh57g1QSXlJ4SIW15fFcJy4zdrEzrfrvMaRUgMTqLs6nT-fqIPSEkhNKCDudhnLCVNfpe2hBBaeNYqK7jxZEKdFwqsQROi7lghBKBZUP0RFvW0W45At0_hHmnHwY7QRxjzdhu9vj1c6GiG3BFr8KabL5G2TsU8artI1hH64Ar8GNIQKu3Oeah1hSxOtQwBZ4hB54OxZ4fHuX6Oub119W75rNp7fvV2ebxgmidaM7rqykTCvbD72UHVFk6H1HnVeMy9YyEN5rNQju2t4Rq6mmQDx1feuG1vElennwXs79BIOrD2Q7msscauUbk2wwfycx7Mw2XRkllaJaVcHzW0FO32coezOF4mAcbYQ0F8OE1LzjhIiKPvsHvUhzjvU9wySlhPGuskv04kC5nErJ4O_KUGJ-TmXqVObXVJV9-mf7O_L3NhU4PQDXYYSb_5vMh_X5QfkDt1Wd8w</recordid><startdate>202112</startdate><enddate>202112</enddate><creator>Aamodt, Whitley W.</creator><creator>Waligorska, Teresa</creator><creator>Shen, Junchao</creator><creator>Tropea, Thomas F.</creator><creator>Siderowf, Andrew</creator><creator>Weintraub, Daniel</creator><creator>Grossman, Murray</creator><creator>Irwin, David</creator><creator>Wolk, David A.</creator><creator>Xie, Sharon X.</creator><creator>Trojanowski, John Q.</creator><creator>Shaw, Leslie M.</creator><creator>Chen‐Plotkin, Alice S.</creator><general>John Wiley &amp; 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Objectives To determine whether plasma and CSF NfL (1) associate with motor or cognitive status in Parkinson's disease (PD) and (2) predict future motor or cognitive decline in PD. Methods Six hundred and fifteen participants with neurodegenerative diseases, including 152 PD and 200 healthy control participants, provided a plasma and/or cerebrospinal fluid (CSF) NfL sample. Diagnostic groups were compared using the Kruskal−Wallis rank test. Within PD, cross‐sectional associations between NfL and Unified Parkinson's Disease Rating Scale Part III (UPDRS‐III) and Mattis Dementia Rating Scale (DRS‐2) scores were assessed by linear regression; longitudinal analyses were performed using linear mixed‐effects models and Cox regression. Results Plasma and CSF NfL levels correlated substantially (Spearman r = 0.64, P &lt; 0.001); NfL was highest in neurocognitive disorders. PD participants with high plasma NfL were more likely to develop incident cognitive impairment (HR 5.34, P = 0.005). Conclusions Plasma NfL is a useful prognostic biomarker for PD, predicting clinical conversion to mild cognitive impairment or dementia. © 2021 International Parkinson and Movement Disorder Society</abstract><cop>Hoboken, USA</cop><pub>John Wiley &amp; Sons, Inc</pub><pmid>34480363</pmid><doi>10.1002/mds.28779</doi><tpages>30</tpages><orcidid>https://orcid.org/0000-0003-0766-1496</orcidid><orcidid>https://orcid.org/0000-0002-5599-5098</orcidid><orcidid>https://orcid.org/0000-0003-0633-7168</orcidid><orcidid>https://orcid.org/0000-0001-8130-2809</orcidid><orcidid>https://orcid.org/0000-0002-3387-2038</orcidid><oa>free_for_read</oa></addata></record>
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source Wiley-Blackwell Read & Publish Collection
subjects Biomarkers
Biomarkers - cerebrospinal fluid
Cerebrospinal fluid
Cognition
Cognitive ability
Cognitive Dysfunction - cerebrospinal fluid
Cognitive Dysfunction - diagnosis
Cognitive Dysfunction - etiology
Cross-Sectional Studies
Dementia
Dementia disorders
Disease Progression
Humans
Intermediate Filaments - metabolism
Medical prognosis
Movement disorders
Neurodegeneration
Neurodegenerative diseases
neurofilament light chain protein
NfL
Parkinson Disease - complications
Parkinson Disease - diagnosis
Parkinson's disease
Plasma
prognosis
Regression analysis
title Neurofilament Light Chain as a Biomarker for Cognitive Decline in Parkinson Disease
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