Neurology:遗传性周围神经病患者血浆神经丝轻链蛋白浓度变化!

2018-01-11 xing.T MedSci原创

由此可见,目前还没有明确的周围神经病变的血液生物标志物。CMT患者的血浆NfL浓度显著升高及其与疾病严重程度的相关性表明,血浆NfL有希望成为疾病活动的生物标志物,不仅用于遗传性神经病变,而且对于一般周围神经病变。

近日,神经病学领域权威取杂志Neurology上发表了一篇研究文章,研究人员进行了一项横断面研究以明确腓骨肌萎缩症(CMT)患者的血浆中神经丝轻链蛋白(NfL)浓度是否升高,并与疾病严重程度相关。

研究人员收集了75例CMT患者和67例年龄匹配的健康对照者1年内的血液样本,并使用Rasch改良的CMT评估和神经病评分来衡量疾病严重程度。研究人员采用家用Simoa实验来测量了血浆NfL浓度。

CMT患者的血浆NfL浓度(中位数为26.0pg/mL)显著高于健康对照者(中位数为14.6pg/mL,P<0.0001),且与使用Rasch改良CMT评估所测得的疾病严重程度(r=0.43,P<0.0001)和神经病变评分(r=0.37,P=0.044)相关。与健康对照者相比,按照基因亚型(CMT1A、SPTLC1和GJB1)或脱髓鞘或轴突类型将患者进行分组,患者的NfL浓度也显著增高。

由此可见,目前还没有明确的周围神经病变的血液生物标志物。CMT患者的血浆NfL浓度显著升高及其与疾病严重程度的相关性表明,血浆NfL有希望成为疾病活动的生物标志物,不仅用于遗传性神经病变,而且对于一般周围神经病变。

原始出处:


Åsa Sandelius,et al.Plasma neurofilament light chain concentration in the inherited peripheral neuropathies.Neurology. 2018. https://doi.org/10.1212/WNL.0000000000004932
 
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    2018-03-06 yinhl1978
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  5. 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  6. 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href='/topic/show?id=9619e4148ef' target=_blank style='color:#2F92EE;'>#神经丝轻链蛋白#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=53, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=74148, encryptionId=9619e4148ef, topicName=神经丝轻链蛋白)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=8dec19785391, createdName=HinsMax, createdTime=Sat Jan 13 02:39:00 CST 2018, time=2018-01-13, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=277517, encodeId=2a4b2e7517bb, content=学习了.涨知识, beContent=null, objectType=article, channel=null, level=null, likeNumber=47, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20220115/46bcf39c32de4aa6b45c5f9d66c8ee77/6cb4a20c55bb4b7691122f47747bfca2.jpg, createdBy=9dad1662329, createdName=1ddf0692m34(暂无匿称), createdTime=Thu Jan 11 12:11:55 CST 2018, time=2018-01-11, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=277513, encodeId=ebf92e7513df, content=vvvv不好解决几, beContent=null, objectType=article, channel=null, level=null, likeNumber=35, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=b0171930782, createdName=为你把脉, createdTime=Thu Jan 11 11:43:39 CST 2018, time=2018-01-11, status=1, ipAttribution=)]
    2018-01-13 axin012
  7. 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ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=277513, encodeId=ebf92e7513df, content=vvvv不好解决几, beContent=null, objectType=article, channel=null, level=null, likeNumber=35, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=b0171930782, createdName=为你把脉, createdTime=Thu Jan 11 11:43:39 CST 2018, time=2018-01-11, status=1, ipAttribution=)]
  8. 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  9. 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ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=277513, encodeId=ebf92e7513df, content=vvvv不好解决几, beContent=null, objectType=article, channel=null, level=null, likeNumber=35, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=b0171930782, createdName=为你把脉, createdTime=Thu Jan 11 11:43:39 CST 2018, time=2018-01-11, status=1, ipAttribution=)]
    2018-01-11 1ddf0692m34(暂无匿称)

    学习了.涨知识

    0

  10. 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ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=277513, encodeId=ebf92e7513df, content=vvvv不好解决几, beContent=null, objectType=article, channel=null, level=null, likeNumber=35, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=b0171930782, createdName=为你把脉, createdTime=Thu Jan 11 11:43:39 CST 2018, time=2018-01-11, status=1, ipAttribution=)]
    2018-01-11 为你把脉

    vvvv不好解决几

    0