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Comparison of CSF neurofilament light chain, neurogranin, and tau to MRI markers

Mielke, MM; Przybelski, SA; Lesnick, TG; Kern, S; Zetterberg, H; Blennow, K; Knopman, DS; ... Vemuri, P; + view all (2021) Comparison of CSF neurofilament light chain, neurogranin, and tau to MRI markers. Alzheimer's & Dementia , 17 (5) pp. 801-812. 10.1002/alz.12239. Green open access

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Abstract

INTRODUCTION: We determined whether cerebrospinal fluid (CSF) neurofilament light (NfL), neurogranin (Ng), and total-tau (t-tau) differentially mapped to magnetic resonance imaging (MRI) measures of cortical thickness, microstructural integrity (corpus callosum and cingulum fractional anisotropy [FA]), and white matter hyperintensities (WMH). METHODS: Analyses included 536 non-demented Mayo Clinic Study of Aging participants with CSF NfL, Ng, t-tau, amyloid beta (Aβ)42 and longitudinal MRI scans. Linear mixed models assessed longitudinal associations between CSF markers and MRI changes. RESULTS: Higher CSF NfL was associated with decreasing microstructural integrity and WMH. Higher t-tau was associated with decreasing temporal lobe and Alzheimer's disease (AD) meta region of interest (ROI) cortical thickness. There was no association between Ng and any MRI measure. CSF Aβ42 interacted with Ng for declines in temporal lobe and AD meta ROI cortical thickness and cingulum FA. DISCUSSION: CSF NfL predicts changes in white matter integrity, t-tau reflects non-specific changes in cortical thickness, and Ng reflects AD-specific synaptic and neuronal degeneration.

Type: Article
Title: Comparison of CSF neurofilament light chain, neurogranin, and tau to MRI markers
Location: United States
Open access status: An open access version is available from UCL Discovery
DOI: 10.1002/alz.12239
Publisher version: https://doi.org/10.1002/alz.12239
Language: English
Additional information: This version is the author accepted manuscript. For information on re-use, please refer to the publisher’s terms and conditions.
Keywords: Alzheimer's, amyloid, cerebrospinal fluid, cohort study, cortical thickness, magnetic resonance imaging, neurodegeneration, neurofilament light chain, neurogranin, total tau, white matter integrity
UCL classification: UCL
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences > UCL Queen Square Institute of Neurology
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences > UCL Queen Square Institute of Neurology > Neurodegenerative Diseases
URI: https://discovery-pp.ucl.ac.uk/id/eprint/10125194
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