Blood biomarker shows 'great promise' predicting progression to Alzheimer's disease in at-risk population

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Blood biomarker shows 'great promise' predicting progression to Alzheimer's disease in at-risk population
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Neuroscience researchers at Wayne State University published a review article that confirms the usefulness of neurofilament light (NfL) blood levels to predict the likelihood and rate of progression of neurodegeneration in Alzheimer's disease. The review article, 'The Potential of Blood Neurofilament Light as a Marker of Neurodegeneration in Alzheimer's disease,' is published in the journal Brain.

," Damoiseaux said."It could be especially useful in persons who show Alzheimer's pathology but are at present cognitively unimpaired, or in people who are highly likely to develop Alzheimer's disease due to having the APOE ε4 allele or higher Aβ load."

Longitudinal studies also consistently found significant relationships between blood NfL and atrophy in brain regions vulnerable to Alzheimer's disease pathology."We found that an increase in blood NfL may precede Alzheimer's disease-related changes in cortical atrophy and may be elevated in the preclinical stages of Alzheimer's disease," Damoiseaux said.

The review of the cross-sectional and longitudinal literature showed that blood NfL levels consistently predicted the severity of atrophy andThe work by Jung and Damoiseaux highlights that blood NfL is a useful prognostic marker for predicting the progression of neurodegeneration, as well as being a useful marker to assess the risk that a cognitively unimpaired person with a higher risk for Alzheimer's disease will show abnormal changes in brain structure and function.

Jung warns that there are still knowledge gaps to be filled for the appropriate use of blood NfL as a biomarker."We need more studies on how blood NfL is related to different aspects of neuronal damage," she said,"and the field should seek to learn more about potential factors that may affect the NfL concentration in the blood."

Jung is a doctoral student in the Behavioral and Cognitive Neuroscience program and a trainee at WSU's Institute of Gerontology. Damoiseaux is an associate professor in the Institute of Gerontology and the Department of Psychology.Youjin Jung et al, The potential of blood neurofilament light as a marker of neurodegeneration for Alzheimer's disease,

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