Disease biomarkers in multiple sclerosis: current serum neurofilament light chain perspectives.
Dejan JakimovskiMichael G DwyerNiels P BergslandBianca Weinstock-GuttmanRobert ZivadinovPublished in: Neurodegenerative disease management (2021)
The continuous neuroinflammatory and neurodegenerative pathology in multiple sclerosis (MS) results in irreversible accumulation of physical and cognitive disability. Reliable early detection of MS disease processes can aid in the diagnosis, monitoring and treatment management of MS patients. Recent assay technological advancements now allow reliable quantification of serum-based neurofilament light chain (sNfL) levels, which provide temporal information regarding the degree of neuroaxonal damage. The relationship and predictive value of sNfL with clinical and cognitive outcomes, other paraclinical measures and treatment response is reviewed. sNfL measurement is an emerging, noninvasive and disease-responsive MS biomarker that is currently utilized in research and clinical trial settings. Understanding sNfL confounders and further assay standardization will allow clinical implementation of this biomarker.
Keyphrases
- multiple sclerosis
- mass spectrometry
- clinical trial
- white matter
- ms ms
- end stage renal disease
- high throughput
- primary care
- healthcare
- chronic kidney disease
- ejection fraction
- newly diagnosed
- mental health
- physical activity
- prognostic factors
- drug delivery
- oxidative stress
- cancer therapy
- open label
- study protocol
- social media
- randomized controlled trial
- health information
- phase iii
- single cell