Neurofilament light chain as a blood biomarker to differentiate psychiatric disorders from behavioural variant frontotemporal dementia

The overlapping symptoms of behavioural variant frontotemporal dementia (bvFTD) and primary psychiatric disorders (such as depressive disorder, schizophrenia spectrum, and bipolar disorder) present a challenge for the differential diagnosis of bvFTD in middle and older-aged people. Neurofilaments ar...

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Veröffentlicht in:Journal of psychiatric research 2019-06, Vol.113, p.137-140
Hauptverfasser: Al Shweiki, MHD Rami, Steinacker, Petra, Oeckl, Patrick, Hengerer, Bastian, Danek, Adrian, Fassbender, Klaus, Diehl-Schmid, Janine, Jahn, Holger, Anderl-Straub, Sarah, Ludolph, Albert C., Schönfeldt-Lecuona, Carlos, Otto, Markus
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container_title Journal of psychiatric research
container_volume 113
creator Al Shweiki, MHD Rami
Steinacker, Petra
Oeckl, Patrick
Hengerer, Bastian
Danek, Adrian
Fassbender, Klaus
Diehl-Schmid, Janine
Jahn, Holger
Anderl-Straub, Sarah
Ludolph, Albert C.
Schönfeldt-Lecuona, Carlos
Otto, Markus
description The overlapping symptoms of behavioural variant frontotemporal dementia (bvFTD) and primary psychiatric disorders (such as depressive disorder, schizophrenia spectrum, and bipolar disorder) present a challenge for the differential diagnosis of bvFTD in middle and older-aged people. Neurofilaments are cytoskeletal proteins in the neurons, and several studies have reported elevated levels of neurofilament light chain (NfL) in cerebrospinal fluid of neurodegenerative as well as psychiatric disorders. The study aims to determine the utility of serum NfL levels as a biomarker to differentiate between bvFTD and psychiatric disorder. In our study, we investigated the levels of NfL in the serum of schizophrenia (n = 11), depression (n = 28), bipolar (n = 11), bvFTD (n = 20) patients and controls (n = 27) by single molecule array (Simoa) technology. The schizophrenia, depression and bipolar patients did not show significant changes in serum NfL levels in comparison to the control group (p > 0.99). The serum NfL levels were significantly elevated in bvFTD patients in comparison to the control cohort (p 
doi_str_mv 10.1016/j.jpsychires.2019.03.019
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Neurofilaments are cytoskeletal proteins in the neurons, and several studies have reported elevated levels of neurofilament light chain (NfL) in cerebrospinal fluid of neurodegenerative as well as psychiatric disorders. The study aims to determine the utility of serum NfL levels as a biomarker to differentiate between bvFTD and psychiatric disorder. In our study, we investigated the levels of NfL in the serum of schizophrenia (n = 11), depression (n = 28), bipolar (n = 11), bvFTD (n = 20) patients and controls (n = 27) by single molecule array (Simoa) technology. The schizophrenia, depression and bipolar patients did not show significant changes in serum NfL levels in comparison to the control group (p &gt; 0.99). The serum NfL levels were significantly elevated in bvFTD patients in comparison to the control cohort (p &lt; 0.0001), depression (p &lt; 0.0001), schizophrenia (p &lt; 0.0002) and bipolar patients (p &lt; 0.0083). We propose serum NfL as a biomarker to differentiate bvFTD from psychiatric disorders and to rule out neurodegeneration in the course of psychiatric disorders.</description><identifier>ISSN: 0022-3956</identifier><identifier>EISSN: 1879-1379</identifier><identifier>DOI: 10.1016/j.jpsychires.2019.03.019</identifier><identifier>PMID: 30953863</identifier><language>eng</language><publisher>England: Elsevier Ltd</publisher><subject>Biomarker ; Bipolar ; bvFTD ; Depression ; Frontotemporal dementia ; Psychiatric disorders ; Schizophrenia ; Serum NFL ; Simoa</subject><ispartof>Journal of psychiatric research, 2019-06, Vol.113, p.137-140</ispartof><rights>2019 Elsevier Ltd</rights><rights>Copyright © 2019 Elsevier Ltd. 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Neurofilaments are cytoskeletal proteins in the neurons, and several studies have reported elevated levels of neurofilament light chain (NfL) in cerebrospinal fluid of neurodegenerative as well as psychiatric disorders. The study aims to determine the utility of serum NfL levels as a biomarker to differentiate between bvFTD and psychiatric disorder. In our study, we investigated the levels of NfL in the serum of schizophrenia (n = 11), depression (n = 28), bipolar (n = 11), bvFTD (n = 20) patients and controls (n = 27) by single molecule array (Simoa) technology. The schizophrenia, depression and bipolar patients did not show significant changes in serum NfL levels in comparison to the control group (p &gt; 0.99). The serum NfL levels were significantly elevated in bvFTD patients in comparison to the control cohort (p &lt; 0.0001), depression (p &lt; 0.0001), schizophrenia (p &lt; 0.0002) and bipolar patients (p &lt; 0.0083). We propose serum NfL as a biomarker to differentiate bvFTD from psychiatric disorders and to rule out neurodegeneration in the course of psychiatric disorders.</description><subject>Biomarker</subject><subject>Bipolar</subject><subject>bvFTD</subject><subject>Depression</subject><subject>Frontotemporal dementia</subject><subject>Psychiatric disorders</subject><subject>Schizophrenia</subject><subject>Serum NFL</subject><subject>Simoa</subject><issn>0022-3956</issn><issn>1879-1379</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2019</creationdate><recordtype>article</recordtype><recordid>eNqFUcuO1DAQtBCIHRZ-AfnIJaEd5-UjrFhAWsEFzlbHbjMekniwnZH2B_huPMwCRy5dUnd1ld3FGBdQCxD960N9OKZ7s_eRUt2AUDXIusAjthPjoCohB_WY7QCappKq66_Ys5QOADA0on3KriSoTo693LGfn2iLwfkZF1ozn_23feZmj37lmDjyaQ7B8smHBeN3ijwHbr1zFAvbYyZ-eQfm6E2ZpBAtxcRdDAufaI8nH7aIMz9h9FgMymDNIdNyDOe2peW30HP2xOGc6MUDXrOvt---3Hyo7j6__3jz5q4ycmhzJd1kJWDXCuWmyQyldIa6ZjSudYhk2151LbQKxsEYkEahI9nhiJ2zSjh5zV5ddI8x_NgoZb34ZGiecaWwJd000Pajkv1QqOOFamJIKZLTx-jLFe61AH1OQR_0vxT0OQUNUhcoqy8fXLZpIft38c_ZC-HthUDlrydPUSfjaTVki5bJ2gb_f5dfA9ejwA</recordid><startdate>201906</startdate><enddate>201906</enddate><creator>Al Shweiki, MHD Rami</creator><creator>Steinacker, Petra</creator><creator>Oeckl, Patrick</creator><creator>Hengerer, Bastian</creator><creator>Danek, Adrian</creator><creator>Fassbender, Klaus</creator><creator>Diehl-Schmid, Janine</creator><creator>Jahn, Holger</creator><creator>Anderl-Straub, Sarah</creator><creator>Ludolph, Albert C.</creator><creator>Schönfeldt-Lecuona, Carlos</creator><creator>Otto, Markus</creator><general>Elsevier Ltd</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>201906</creationdate><title>Neurofilament light chain as a blood biomarker to differentiate psychiatric disorders from behavioural variant frontotemporal dementia</title><author>Al Shweiki, MHD Rami ; Steinacker, Petra ; Oeckl, Patrick ; Hengerer, Bastian ; Danek, Adrian ; Fassbender, Klaus ; Diehl-Schmid, Janine ; Jahn, Holger ; Anderl-Straub, Sarah ; Ludolph, Albert C. ; Schönfeldt-Lecuona, Carlos ; Otto, Markus</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c374t-3fbd30a5419fbbc7fbb5ce528cf4faaed46954049087cc03c9afe35a8a5fd91f3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2019</creationdate><topic>Biomarker</topic><topic>Bipolar</topic><topic>bvFTD</topic><topic>Depression</topic><topic>Frontotemporal dementia</topic><topic>Psychiatric disorders</topic><topic>Schizophrenia</topic><topic>Serum NFL</topic><topic>Simoa</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Al Shweiki, MHD Rami</creatorcontrib><creatorcontrib>Steinacker, Petra</creatorcontrib><creatorcontrib>Oeckl, Patrick</creatorcontrib><creatorcontrib>Hengerer, Bastian</creatorcontrib><creatorcontrib>Danek, Adrian</creatorcontrib><creatorcontrib>Fassbender, Klaus</creatorcontrib><creatorcontrib>Diehl-Schmid, Janine</creatorcontrib><creatorcontrib>Jahn, Holger</creatorcontrib><creatorcontrib>Anderl-Straub, Sarah</creatorcontrib><creatorcontrib>Ludolph, Albert C.</creatorcontrib><creatorcontrib>Schönfeldt-Lecuona, Carlos</creatorcontrib><creatorcontrib>Otto, Markus</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of psychiatric research</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Al Shweiki, MHD Rami</au><au>Steinacker, Petra</au><au>Oeckl, Patrick</au><au>Hengerer, Bastian</au><au>Danek, Adrian</au><au>Fassbender, Klaus</au><au>Diehl-Schmid, Janine</au><au>Jahn, Holger</au><au>Anderl-Straub, Sarah</au><au>Ludolph, Albert C.</au><au>Schönfeldt-Lecuona, Carlos</au><au>Otto, Markus</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Neurofilament light chain as a blood biomarker to differentiate psychiatric disorders from behavioural variant frontotemporal dementia</atitle><jtitle>Journal of psychiatric research</jtitle><addtitle>J Psychiatr Res</addtitle><date>2019-06</date><risdate>2019</risdate><volume>113</volume><spage>137</spage><epage>140</epage><pages>137-140</pages><issn>0022-3956</issn><eissn>1879-1379</eissn><abstract>The overlapping symptoms of behavioural variant frontotemporal dementia (bvFTD) and primary psychiatric disorders (such as depressive disorder, schizophrenia spectrum, and bipolar disorder) present a challenge for the differential diagnosis of bvFTD in middle and older-aged people. 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subjects Biomarker
Bipolar
bvFTD
Depression
Frontotemporal dementia
Psychiatric disorders
Schizophrenia
Serum NFL
Simoa
title Neurofilament light chain as a blood biomarker to differentiate psychiatric disorders from behavioural variant frontotemporal dementia
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