Neurofilament light chain concentration in an aging population

Background Neurofilament light chain (NF-L) concentration is recognized to be modified in neurological diseases and traumatic brain injuries, but studies in the normal aging population are lacking. It is, therefore, urgent to identify influencing factors of NF-L concentration in the aging population...

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Veröffentlicht in:Aging clinical and experimental research 2022-02, Vol.34 (2), p.331-339
Hauptverfasser: Ladang, Aurélie, Kovacs, Stéphanie, Lengelé, Laetitia, Locquet, Médéa, Reginster, Jean-Yves, Bruyère, Olivier, Cavalier, Etienne
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container_issue 2
container_start_page 331
container_title Aging clinical and experimental research
container_volume 34
creator Ladang, Aurélie
Kovacs, Stéphanie
Lengelé, Laetitia
Locquet, Médéa
Reginster, Jean-Yves
Bruyère, Olivier
Cavalier, Etienne
description Background Neurofilament light chain (NF-L) concentration is recognized to be modified in neurological diseases and traumatic brain injuries, but studies in the normal aging population are lacking. It is, therefore, urgent to identify influencing factors of NF-L concentration in the aging population. Method We assessed NF-L concentration in sera of a large cohort of 409 community-dwelling adults aged over 65 years. We studied the association between NF-L and various physiological factors but also with self-reported comorbidities or life-style habits. Results We showed that NF-L concentration in serum was tightly associated with cystatin C concentration ( r  = 0.501, p  
doi_str_mv 10.1007/s40520-021-02054-z
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It is, therefore, urgent to identify influencing factors of NF-L concentration in the aging population. Method We assessed NF-L concentration in sera of a large cohort of 409 community-dwelling adults aged over 65 years. We studied the association between NF-L and various physiological factors but also with self-reported comorbidities or life-style habits. Results We showed that NF-L concentration in serum was tightly associated with cystatin C concentration ( r  = 0.501, p  &lt; 0.0001) and consequently, to the estimated glomerular filtration rate (eGFR) ( r  = − 0.492; p  &lt; 0.0001). Additionally, NF-L concentration was dependent on age and body mass index (BMI) but not sex. Among the self-reported comorbidities, subjects who reported neurological disorders, cardiovascular diseases or history of fracture had higher NF-L concentration in univariate analysis, whereas it was only the case for subjects who reported neurological disorders in the multivariate analysis. NF-L concentration was also increased when Mini-Mental State Examination (MMSE) was decreased (≤ 25 points) but not when geriatric depression score (GDS) was increased (&gt; 5 points) in both univariate and multivariate analysis. Finally, we are providing reference ranges by age categories for subjects with or without altered renal function. Conclusion NF-L concentration in the aging population is not driven by the increasing number of comorbidities or depression. Yet, NF-L blood concentration is dependent on kidney function and NF-L interpretation in patients suffering from renal failure should be taken with caution.</description><identifier>ISSN: 1720-8319</identifier><identifier>ISSN: 1594-0667</identifier><identifier>EISSN: 1720-8319</identifier><identifier>DOI: 10.1007/s40520-021-02054-z</identifier><identifier>PMID: 35018623</identifier><language>eng</language><publisher>Cham: Springer International Publishing</publisher><subject>Aged ; Aging ; Biomarkers ; Blood-based biomarkers ; Chemistry ; Chimie ; Geriatrics/Gerontology ; Glomerular Filtration Rate ; Human health sciences ; Humans ; Independent Living ; Intermediate Filaments ; Life Sciences ; Medicine ; Medicine &amp; Public Health ; Mental Status and Dementia Tests ; Multivariate analysis ; Neurological disorders ; Neurology ; NF-L ; Original ; Original Article ; Physical, chemical, mathematical &amp; earth Sciences ; Physique, chimie, mathématiques &amp; sciences de la terre ; Population ; Public health, health care sciences &amp; services ; Reference ranges ; Santé publique, services médicaux &amp; soins de santé ; Sciences de la santé humaine</subject><ispartof>Aging clinical and experimental research, 2022-02, Vol.34 (2), p.331-339</ispartof><rights>The Author(s) 2022</rights><rights>2022. 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It is, therefore, urgent to identify influencing factors of NF-L concentration in the aging population. Method We assessed NF-L concentration in sera of a large cohort of 409 community-dwelling adults aged over 65 years. We studied the association between NF-L and various physiological factors but also with self-reported comorbidities or life-style habits. Results We showed that NF-L concentration in serum was tightly associated with cystatin C concentration ( r  = 0.501, p  &lt; 0.0001) and consequently, to the estimated glomerular filtration rate (eGFR) ( r  = − 0.492; p  &lt; 0.0001). Additionally, NF-L concentration was dependent on age and body mass index (BMI) but not sex. Among the self-reported comorbidities, subjects who reported neurological disorders, cardiovascular diseases or history of fracture had higher NF-L concentration in univariate analysis, whereas it was only the case for subjects who reported neurological disorders in the multivariate analysis. NF-L concentration was also increased when Mini-Mental State Examination (MMSE) was decreased (≤ 25 points) but not when geriatric depression score (GDS) was increased (&gt; 5 points) in both univariate and multivariate analysis. Finally, we are providing reference ranges by age categories for subjects with or without altered renal function. Conclusion NF-L concentration in the aging population is not driven by the increasing number of comorbidities or depression. 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It is, therefore, urgent to identify influencing factors of NF-L concentration in the aging population. Method We assessed NF-L concentration in sera of a large cohort of 409 community-dwelling adults aged over 65 years. We studied the association between NF-L and various physiological factors but also with self-reported comorbidities or life-style habits. Results We showed that NF-L concentration in serum was tightly associated with cystatin C concentration ( r  = 0.501, p  &lt; 0.0001) and consequently, to the estimated glomerular filtration rate (eGFR) ( r  = − 0.492; p  &lt; 0.0001). Additionally, NF-L concentration was dependent on age and body mass index (BMI) but not sex. Among the self-reported comorbidities, subjects who reported neurological disorders, cardiovascular diseases or history of fracture had higher NF-L concentration in univariate analysis, whereas it was only the case for subjects who reported neurological disorders in the multivariate analysis. NF-L concentration was also increased when Mini-Mental State Examination (MMSE) was decreased (≤ 25 points) but not when geriatric depression score (GDS) was increased (&gt; 5 points) in both univariate and multivariate analysis. Finally, we are providing reference ranges by age categories for subjects with or without altered renal function. Conclusion NF-L concentration in the aging population is not driven by the increasing number of comorbidities or depression. Yet, NF-L blood concentration is dependent on kidney function and NF-L interpretation in patients suffering from renal failure should be taken with caution.</abstract><cop>Cham</cop><pub>Springer International Publishing</pub><pmid>35018623</pmid><doi>10.1007/s40520-021-02054-z</doi><tpages>9</tpages><orcidid>https://orcid.org/0000-0002-5316-3108</orcidid><oa>free_for_read</oa></addata></record>
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subjects Aged
Aging
Biomarkers
Blood-based biomarkers
Chemistry
Chimie
Geriatrics/Gerontology
Glomerular Filtration Rate
Human health sciences
Humans
Independent Living
Intermediate Filaments
Life Sciences
Medicine
Medicine & Public Health
Mental Status and Dementia Tests
Multivariate analysis
Neurological disorders
Neurology
NF-L
Original
Original Article
Physical, chemical, mathematical & earth Sciences
Physique, chimie, mathématiques & sciences de la terre
Population
Public health, health care sciences & services
Reference ranges
Santé publique, services médicaux & soins de santé
Sciences de la santé humaine
title Neurofilament light chain concentration in an aging population
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