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两种分析方法定量检测多发性硬化症轴索损伤生物标志物神经丝轻链的比较。

A Comparison of Two Analytical Approaches for the Quantification of Neurofilament Light Chain, a Biomarker of Axonal Damage in Multiple Sclerosis.

机构信息

Postgraduate School, The Cyprus Institute of Neurology and Genetics, Nicosia 2371, Cyprus.

Neuroimmunology Department, The Cyprus Institute of Neurology and Genetics, Nicosia 2371, Cyprus.

出版信息

Int J Mol Sci. 2023 Jun 28;24(13):10787. doi: 10.3390/ijms241310787.


DOI:10.3390/ijms241310787
PMID:37445963
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10341477/
Abstract

Neurofilament light chain (NfL), is a neuron-specific cytoskeletal protein detected in extracellular fluid following axonal damage. Extensive research has focused on NfL quantification in CSF, establishing it as a prognostic biomarker of disability progression in Multiple Sclerosis (MS). Our study used a new commercially available Enzyme-Linked Immunosorbent Assay (ELISA) kit and Single Molecular Array (Simoa) advanced technology to assess serum NfL levels in MS patients and Healthy Controls (HC). Verifying the most accurate, cost-effective methodology will benefit its application in clinical settings. Blood samples were collected from 54 MS patients and 30 HC. Protocols accompanying the kits were followed. The ELISA thershold was set as 3 S.D. above the mean of the HC. For Simoa, the Z-score calculation created by Jens Kuhle's group was applied (with permission). Samples exceeding the threshold or z-score ≥1.5 indicated subclinical disease activity. To our knowledge, this is the first study to find strong-positive correlation between ELISA and Simoa for the quantification of NfL in serum (r = 0.919). Despite the strong correlation, Simoa has better analytical sensitivity and can detect small changes in samples making it valuable in clinical settings. Further research is required to evaluate whether serum NfL quantification using ELISA could be utilized to predict disability progression.

摘要

神经丝轻链(NfL)是一种神经元特异性细胞骨架蛋白,在轴突损伤后可在细胞外液中检测到。大量研究集中在 CSF 中 NfL 的定量,将其确立为多发性硬化症(MS)残疾进展的预后生物标志物。我们的研究使用了一种新的商业上可用的酶联免疫吸附测定(ELISA)试剂盒和单分子阵列(Simoa)先进技术来评估 MS 患者和健康对照(HC)的血清 NfL 水平。验证最准确、最具成本效益的方法将有利于其在临床环境中的应用。从 54 名 MS 患者和 30 名 HC 中采集了血液样本。试剂盒附带的方案得到了遵循。ELISA 的阈值设定为 HC 平均值的 3 个标准差以上。对于 Simoa,应用了 Jens Kuhle 小组创建的 Z 分数计算(经许可)。超过阈值或 z 分数≥1.5 的样本表明存在亚临床疾病活动。据我们所知,这是第一项发现 ELISA 和 Simoa 之间用于定量血清 NfL 的强正相关的研究(r = 0.919)。尽管存在很强的相关性,但 Simoa 具有更好的分析灵敏度,可以检测到样本中的微小变化,使其在临床环境中具有价值。需要进一步研究来评估使用 ELISA 定量血清 NfL 是否可用于预测残疾进展。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a278/10341477/9cb7052ddfca/ijms-24-10787-g008.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a278/10341477/690dff4a0216/ijms-24-10787-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a278/10341477/ca1ced4d7eb2/ijms-24-10787-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a278/10341477/457d0e8bcb8f/ijms-24-10787-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a278/10341477/d71134bf2fa3/ijms-24-10787-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a278/10341477/60d70a7d3804/ijms-24-10787-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a278/10341477/92ad541ac007/ijms-24-10787-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a278/10341477/e45c05856bc5/ijms-24-10787-g007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a278/10341477/9cb7052ddfca/ijms-24-10787-g008.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a278/10341477/690dff4a0216/ijms-24-10787-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a278/10341477/ca1ced4d7eb2/ijms-24-10787-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a278/10341477/457d0e8bcb8f/ijms-24-10787-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a278/10341477/d71134bf2fa3/ijms-24-10787-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a278/10341477/60d70a7d3804/ijms-24-10787-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a278/10341477/92ad541ac007/ijms-24-10787-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a278/10341477/e45c05856bc5/ijms-24-10787-g007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a278/10341477/9cb7052ddfca/ijms-24-10787-g008.jpg

相似文献

[1]
A Comparison of Two Analytical Approaches for the Quantification of Neurofilament Light Chain, a Biomarker of Axonal Damage in Multiple Sclerosis.

Int J Mol Sci. 2023-6-28

[2]
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[3]
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[4]
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[5]
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[6]
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[7]
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[8]
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[9]
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[10]
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引用本文的文献

[1]
Profiling Blood-Based Neural Biomarkers and Cytokines in Experimental Autoimmune Encephalomyelitis Model of Multiple Sclerosis Using Single-Molecule Array Technology.

Int J Mol Sci. 2025-4-1

[2]
Establishing Normal Serum Values of Neurofilament Light Chains and Glial Fibrillary Acidic Protein Considering the Effects of Age and Other Demographic Factors in Healthy Adults.

Int J Mol Sci. 2024-7-17

[3]
Profiling blood-based neural biomarkers and cytokines in experimental autoimmune encephalomyelitis model of multiple sclerosis using single-molecule array technology.

bioRxiv. 2025-3-19

[4]
Comparison of CSF and plasma NfL and pNfH for Alzheimer's disease diagnosis: a memory clinic study.

J Neurol. 2024-3

[5]
Neurofilament light chain: A potential biomarker for cerebrovascular disease in children with sickle cell anaemia.

Br J Haematol. 2023-11

本文引用的文献

[1]
Neurofilaments contribution in clinic: state of the art.

Front Aging Neurosci. 2022-11-1

[2]
Serum neurofilament levels in patients with multiple sclerosis: A comparison of SIMOA and high sensitivity ELISA assays and contributing factors to ELISA levels.

Mult Scler Relat Disord. 2022-11

[3]
Neurofilaments in neurologic disorders and beyond.

J Neurol Sci. 2022-10-15

[4]
Current and Future Biomarkers in Multiple Sclerosis.

Int J Mol Sci. 2022-5-24

[5]
Serum-Based Biomarkers in Neurodegeneration and Multiple Sclerosis.

Biomedicines. 2022-5-6

[6]
Prognostic value of neurofilament light chain in natalizumab therapy for different phases of multiple sclerosis: A systematic review and meta-analysis.

J Clin Neurosci. 2022-7

[7]
Antibodies to blood coagulation components are implicated in patients with multiple sclerosis.

Mult Scler Relat Disord. 2022-6

[8]
Emerging Biomarkers of Multiple Sclerosis in the Blood and the CSF: A Focus on Neurofilaments and Therapeutic Considerations.

Int J Mol Sci. 2022-3-21

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Serum neurofilament light chain for individual prognostication of disease activity in people with multiple sclerosis: a retrospective modelling and validation study.

Lancet Neurol. 2022-3

[10]
The dazzling rise of neurofilaments: Physiological functions and roles as biomarkers.

Curr Opin Cell Biol. 2021-2

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