Neurofilament light chain in serum of adolescent and adult SMA patients under treatment with nusinersen.
Claudia Diana WursterPetra SteinackerRené GüntherJan C KochPaul LingorZeljko UzelacSimon WitzelKurt WollinskyBenedikt WinterAlma OsmanovicOlivia Schreiber-KatzRami Al ShweikiAlbert C LudolphSusanne PetriAndreas HermannMarkus Ottonull nullPublished in: Journal of neurology (2019)
Diagnostic and monitoring performance of serum NfL measurement seems to differ between SMA subtypes. Unlike to SMA type 1, in adolescent and adult SMA type 2 and 3 patients, neurodegeneration is not reflected by increased NfL levels and short-term therapeutic effects cannot be observed. Long-term follow-up has to be performed to see if even low levels of NfL might be good prognostic markers.