Current State and Future Directions in the Diagnosis of Amyotrophic Lateral Sclerosis DOI Creative Commons
Maximilian Vidovic, Lars Hendrik Müschen, Svenja Brakemeier

et al.

Cells, Journal Year: 2023, Volume and Issue: 12(5), P. 736 - 736

Published: Feb. 24, 2023

Amyotrophic lateral sclerosis (ALS) is a fatal neurodegenerative disease characterized by loss of upper and lower motor neurons, resulting in progressive weakness all voluntary muscles eventual respiratory failure. Non-motor symptoms, such as cognitive behavioral changes, frequently occur over the course disease. Considering its poor prognosis with median survival time 2 to 4 years limited causal treatment options, an early diagnosis ALS plays essential role. In past, has primarily been determined clinical findings supported electrophysiological laboratory measurements. To increase diagnostic accuracy, reduce delay, optimize stratification trials provide quantitative monitoring progression responsivity, research on disease-specific feasible fluid biomarkers, neurofilaments, intensely pursued. Advances imaging techniques have additionally yielded benefits. Growing perception greater availability genetic testing facilitate identification pathogenic ALS-related gene mutations, predictive access novel therapeutic agents addressing disease-modified therapies before advent first symptoms. Lately, personalized prediction models proposed offer more detailed disclosure for patient. this review, established procedures future directions diagnostics are summarized serve practical guideline improve pathway burdensome

Language: Английский

Neurofilament Light Regulates Axon Caliber, Synaptic Activity, and Organelle Trafficking in Cultured Human Motor Neurons DOI Creative Commons
Markus T. Sainio,

Tiina Rasila,

Svetlana M. Molchanova

et al.

Frontiers in Cell and Developmental Biology, Journal Year: 2022, Volume and Issue: 9

Published: Feb. 14, 2022

Neurofilament light (NFL) is one of the proteins forming multimeric neuron-specific intermediate filaments, neurofilaments, which fill axonal cytoplasm, establish caliber growth, and provide structural support. Dominant missense mutations recessive nonsense in neurofilament gene (

Language: Английский

Citations

41

Development of Alzheimer’s Disease Biomarkers: From CSF- to Blood-Based Biomarkers DOI Creative Commons
Sakulrat Mankhong, Sujin Kim, Seongju Lee

et al.

Biomedicines, Journal Year: 2022, Volume and Issue: 10(4), P. 850 - 850

Published: April 5, 2022

In the 115 years since discovery of Alzheimer’s disease (AD), our knowledge, diagnosis, and therapeutics have significantly improved. Biomarkers are primary tools for clinical research, diagnostics, therapeutic monitoring in trials. They provide much insightful information, while they not clinically used routinely, help us to understand mechanisms this disease. This review charts journey AD biomarker development from cerebrospinal fluid (CSF) amyloid-beta 1-42 (Aβ42), total tau (T-tau), phosphorylated (p-tau) biomarkers imaging technologies next generation biomarkers. We also discuss advanced high-sensitivity assay platforms CSF Aβ42, T-tau, p-tau, blood analysis. The recently proposed Aβ deposition/tau biomarker/neurodegeneration or neuronal injury (ATN) scheme might facilitate definition biological status underpinning offer a common language among researchers across biochemical imaging. Moreover, we highlight blood-based that scalable alternative through cost-saving reduced invasiveness, may an understanding initiation development. different groups candidates, their advantages limitations, paths forward, identification analysis validation. valid implementation future diagnostics.

Language: Английский

Citations

40

Neurofilament Light Chain Levels in Multiple Sclerosis Correlate With Lesions Containing Foamy Macrophages and With Acute Axonal Damage DOI Creative Commons
Aletta M.R. van den Bosch, Nina L. Fransen, Matthew R. J. Mason

et al.

Neurology Neuroimmunology & Neuroinflammation, Journal Year: 2022, Volume and Issue: 9(3)

Published: March 3, 2022

Background and Objectives

To investigate whether white matter lesion activity, acute axonal damage, density in MS associate with CSF neurofilament light chain (NfL) levels.

Methods

Of 101 brain donors (n = 92 progressive MS, n 9 relapsing-remitting MS), ventricular was collected, NfL levels were measured. White lesions classified as active, mixed, inactive, or remyelinated, microglia/macrophage morphology active mixed ramified, ameboid, foamy. In addition, damage assessed using Bielschowsky amyloid precursor protein (APP) (immune)histochemistry.

Results

measurements of recent (<1 year) clinically silent stroke excluded. correlated negatively disease duration (p = 6.9e-3, r 0.31). without atrophy, positively the proportion containing foamy microglia/macrophages 9.85e-10 p 1.75e-3, respectively), but not those ramified microglia. proportions inactive 5.66e-3) remyelinated 0.03). normal appearing pyramid tract, (Bielschowsky, 0.02, −0.31), presence related to higher (APP, 1.17e-6). The amount rim when compared 4.6e-3 center border (center: 4.6e-3, border, n.s., p 0.03 0.04, respectively).

Discussion

Our results demonstrated that microglia show high correlate elevated data support use this biomarker monitor inflammatory demyelinating activity MS.

Language: Английский

Citations

40

Biomarkers of aging in frailty and age-associated disorders: State of the art and future perspective DOI Creative Commons
Stefano Salvioli, Maria Sofia Basile, Leonardo Bencivenga

et al.

Ageing Research Reviews, Journal Year: 2023, Volume and Issue: 91, P. 102044 - 102044

Published: Aug. 28, 2023

According to the Geroscience concept that organismal aging and age-associated diseases share same basic molecular mechanisms, identification of biomarkers age can efficiently classify people as biologically older (or younger) than their chronological (i.e. calendar) is becoming paramount importance. These will be in fact at higher lower) risk for many different diseases, including cardiovascular neurodegeneration, cancer, etc. In turn, patients suffering from these are healthy age-matched individuals. Many correlate with have been described so far. The aim present review discuss usefulness some (especially soluble, circulating ones) order identify frail patients, possibly before appearance clinical symptoms, well diseases. An overview selected discussed this regard, particular we focus on related metabolic stress response, inflammation, cell death (in neurodegeneration), all phenomena connected inflammaging (chronic, low-grade, inflammation). second part review, next-generation markers such extracellular vesicles cargos, epigenetic gut microbiota composition, discussed. Since recent progresses omics techniques allowed an exponential increase production laboratory data also field age, making it difficult extract biological meaning huge mass available data, Artificial Intelligence (AI) approaches increasingly important strategy extracting knowledge raw providing practitioners actionable information treat patients.

Language: Английский

Citations

28

Current State and Future Directions in the Diagnosis of Amyotrophic Lateral Sclerosis DOI Creative Commons
Maximilian Vidovic, Lars Hendrik Müschen, Svenja Brakemeier

et al.

Cells, Journal Year: 2023, Volume and Issue: 12(5), P. 736 - 736

Published: Feb. 24, 2023

Amyotrophic lateral sclerosis (ALS) is a fatal neurodegenerative disease characterized by loss of upper and lower motor neurons, resulting in progressive weakness all voluntary muscles eventual respiratory failure. Non-motor symptoms, such as cognitive behavioral changes, frequently occur over the course disease. Considering its poor prognosis with median survival time 2 to 4 years limited causal treatment options, an early diagnosis ALS plays essential role. In past, has primarily been determined clinical findings supported electrophysiological laboratory measurements. To increase diagnostic accuracy, reduce delay, optimize stratification trials provide quantitative monitoring progression responsivity, research on disease-specific feasible fluid biomarkers, neurofilaments, intensely pursued. Advances imaging techniques have additionally yielded benefits. Growing perception greater availability genetic testing facilitate identification pathogenic ALS-related gene mutations, predictive access novel therapeutic agents addressing disease-modified therapies before advent first symptoms. Lately, personalized prediction models proposed offer more detailed disclosure for patient. this review, established procedures future directions diagnostics are summarized serve practical guideline improve pathway burdensome

Language: Английский

Citations

25