Postgraduate School, The Cyprus Institute of Neurology and Genetics, Nicosia 2371, Cyprus.
Neuroimmunology Department, The Cyprus Institute of Neurology and Genetics, Nicosia 2371, Cyprus.
Int J Mol Sci. 2023 Jun 28;24(13):10787. doi: 10.3390/ijms241310787.
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.
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。
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