Characterizing plasma NfL in a community-dwelling multi-ethnic cohort: Results from the HABLE study.
Alzheimer's disease
Hispanic
Mexican American
diversity
plasma NfL
Journal
Alzheimer's & dementia : the journal of the Alzheimer's Association
ISSN: 1552-5279
Titre abrégé: Alzheimers Dement
Pays: United States
ID NLM: 101231978
Informations de publication
Date de publication:
02 2022
02 2022
Historique:
revised:
29
04
2021
received:
04
01
2021
accepted:
02
05
2021
pubmed:
27
7
2021
medline:
26
4
2022
entrez:
26
7
2021
Statut:
ppublish
Résumé
No large-scale characterizations of neurofilament light chain (NfL) have been conducted in diverse populations. Baseline data were analyzed among n = 890 Mexican Americans and n = 813 non-Hispanic Whites from the multi-ethnic Health & Aging Brain among Latino Elders (HABLE) study. Plasma NfL was measured on the Simoa platform. In unadjusted models, NfL was significantly associated with age (P < .001), hypertension (P < .001), dyslipidemia (P = .02), and diabetes (P < .001). Covarying for age and sex, NfL was associated with neurodegeneration (P < .001) and global amyloid burden levels (P = .02) in a subset with available data. NfL levels were significantly associated with diagnostic groups (Normal Cognition [NC], mild cognitive impairment [MCI], Dementia; P < .001); however, there was no cut-score that yielded acceptable diagnostic accuracy. NfL levels produced a sensitivity of 0.60 and specificity of 0.78 with negative predictive value of 89% for detecting amyloid positivity. Plasma NfL levels are significantly impacted by age and medical co-morbidities that are common among older adults, which complicate its utility as a diagnostic biomarker.
Identifiants
pubmed: 34310015
doi: 10.1002/alz.12404
pmc: PMC9228481
mid: NIHMS1779248
doi:
Substances chimiques
Biomarkers
0
Types de publication
Journal Article
Research Support, N.I.H., Extramural
Langues
eng
Sous-ensembles de citation
IM
Pagination
240-250Subventions
Organisme : NIA NIH HHS
ID : P30 AG066530
Pays : United States
Organisme : NIBIB NIH HHS
ID : P41 EB015922
Pays : United States
Organisme : NIA NIH HHS
ID : R01 AG054073
Pays : United States
Organisme : NIA NIH HHS
ID : R01 AG058533
Pays : United States
Informations de copyright
© 2021 The Authors. Alzheimer's & Dementia published by Wiley Periodicals LLC on behalf of Alzheimer's Association.
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