Neurofilament light in plasma is a potential biomarker of central nervous system involvement in systemic lupus erythematosus

Autor: Guido Alves, Shunsei Hirohata, Lasse G. Gøransson, Erna Harboe, Anne Bolette Tjensvoll, Roald Omdal, Jan Terje Kvaløy, Ingeborg Kvivik, Ole Jacob Greve, Maria B. Lauvsnes, Mona K. Beyer, Kaj Blennow, Stian Maroni, Henrik Zetterberg
Rok vydání: 2021
Předmět:
Zdroj: Journal of Neurology. 269:3064-3074
ISSN: 1432-1459
0340-5354
Popis: Neuropsychiatric manifestations (NP) are common in systemic lupus erythematosus (SLE). However, the pathophysiological mechanisms are not completely understood. Neurofilament light protein (NfL) is part of the neuronal cytoskeleton. Increased NfL concentrations, reflecting neurodegeneration, is observed in cerebrospinal fluid (CSF) in several neurodegenerative and neuroinflammatory conditions. We aimed to explore if plasma NfL could serve as a biomarker for central nervous system (CNS) involvement in SLE. Sixty-seven patients with SLE underwent neurological examination; 52 underwent lumbar puncture, while 62 underwent cerebral magnetic resonance imaging (MRI). We measured selected auto-antibodies and other laboratory variables postulated to have roles in NP pathophysiology in the blood and/or CSF. We used SPM12 software for MRI voxel-based morphometry. Age-adjusted linear regression analyses revealed increased plasma NfL concentrations with increasing creatinine (β = 0.01, p
Databáze: OpenAIRE