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Published in: Alzheimer's Research & Therapy 1/2018

Open Access 01-12-2018 | Research

Neurofilament light as a blood biomarker for neurodegeneration in Down syndrome

Authors: Andre Strydom, Amanda Heslegrave, Carla M. Startin, Kin Y. Mok, John Hardy, Jurgen Groet, Dean Nizetic, Henrik Zetterberg, The LonDownS Consortium

Published in: Alzheimer's Research & Therapy | Issue 1/2018

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Abstract

Background

Down syndrome (DS) may be considered a genetic form of Alzheimer’s disease (AD) due to universal development of AD neuropathology, but diagnosis and treatment trials are hampered by a lack of reliable blood biomarkers. A potential biomarker is neurofilament light (NF-L), due to its association with axonal damage in neurodegenerative conditions.

Methods

We measured blood NF-L concentrations in 100 adults with DS using Simoa NF-light® assays, and we examined relationships with age as well as cross-sectional and longitudinal dementia diagnosis.

Results

NF-L concentrations increased with age (Spearman’s rho = 0.789, p < 0.001), with a steep increase after age 40, and they were predictive of dementia status (p = 0.022 adjusting for age, sex, and APOE4), but they showed no relationship with long-standing epilepsy or premorbid ability. Baseline NF-L concentrations were associated with longitudinal dementia status.

Conclusions

NF-L is a biomarker for neurodegeneration in DS with potential for use in future clinical trials to prevent or delay dementia.
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Metadata
Title
Neurofilament light as a blood biomarker for neurodegeneration in Down syndrome
Authors
Andre Strydom
Amanda Heslegrave
Carla M. Startin
Kin Y. Mok
John Hardy
Jurgen Groet
Dean Nizetic
Henrik Zetterberg
The LonDownS Consortium
Publication date
01-12-2018
Publisher
BioMed Central
Published in
Alzheimer's Research & Therapy / Issue 1/2018
Electronic ISSN: 1758-9193
DOI
https://doi.org/10.1186/s13195-018-0367-x

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