Blood neurofilament light chain measurements in adults with CNS histiocytic neoplasms - Summary - MDSpire

Blood neurofilament light chain measurements in adults with CNS histiocytic neoplasms

  • By

  • Samantha A. Banks

  • Paul Decker

  • Eoin P. Flanagan

  • Anastasia Zekeridou

  • Ronald S. Go

  • Jithma P. Abeykoon

  • Gaurav Goyal

  • Jason R. Young

  • Matthew J. Koster

  • Robert Vassallo

  • Jay H. Ryu

  • Caroline J. Davidge-Pitts

  • Aishwarya Ravindran

  • Julio C. Sartori Valinotti

  • N. Nora Bennani

  • Mithun V. Shah

  • Karen L. Rech

  • Corrie R. Bach

  • Jeanette E. Eckel-Passow

  • W. Oliver Tobin

  • September 5, 2024

  • 0 min

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Objective:

To evaluate if elevated neurofilament light chain (NfL) levels in patients with specific types of histiocytic neoplasms are associated with CNS involvement and active CNS disease.

Key Findings:
  • NfL levels were significantly elevated in patients with CNS histiocytosis compared to those without (P < 0.0001).
  • Patients with parenchymal CNS involvement had higher NfL levels than those without CNS involvement (P < 0.0001).
  • BRAF V600E mutation was present in 43% of tested patients, with a higher prevalence in those with CNS involvement.
Interpretation:

Elevated NfL levels correlate with CNS involvement and disease activity in patients with histiocytic neoplasms, suggesting its potential as a biomarker for monitoring disease progression.

Limitations:
  • The study's retrospective design may limit the ability to establish causation, potentially affecting the reliability of the findings.
  • Sample size may restrict the generalizability of findings, suggesting caution in applying results to broader populations.
Conclusion:

NfL is a promising biomarker for assessing CNS involvement in histiocytic neoplasms, warranting further investigation for clinical application and potential integration into monitoring protocols.

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