Evidence map›Paper›PMID 41097004›Full record

ReviewInternational journal of molecular sciences2025

Neurofilament Biomarkers in Neurology: From Neuroinflammation to Neurodegeneration, Bridging Established and Novel Analytical Advances with Clinical Practice.

Ariadne Daponte, Christos Koros, Charalampos Skarlis, Daphne Siozios, Michail Rentzos, Sokratis G Papageorgiou, Maria Anagnostouli

Abstract readReview
In one paragraph

Review in International journal of molecular sciences, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

20 citing papers in PubMed.

  1. Article
  2. Review
  3. Neurofilament Light Chain in Cerebrospinal Fluid and Blood Identifies Patients With Minimal and Overt Hepatic Encephalopathy.Liver international : official journal of the International Association for the Study of the Liver · 2026
    Article
  4. Review
  5. Article
  6. Article
  7. Article
  8. Review
  9. Article
  10. Review
  11. Review
  12. Article
  13. Review
  14. Article
  15. Review
  16. Review
  17. Review
  18. Article
  19. Review
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Ariadne DaponteNeuromuscular Diseases Unit, First Department of Neurology, School of Medicine, National and Kapodistrian University of Athens (NKUA), Aeginition University Hospital, Vas. Sofias 72-74, 11528 Athens, Greece.ORCID 0000-0002-6292-858X
Christos KorosNeurodegenerative Diseases and Rare Dementias Unit, First Department of Neurology, School of Medicine, National and Kapodistrian University of Athens (NKUA), Aeginition University Hospital, Vas. Sofias 72-74, 11528 Athens, Greece.ORCID 0000-0001-5806-0717
Charalampos SkarlisMultiple Sclerosis and Demyelinating Diseases Unit, Center of Expertise for Rare Demyelinating and Autoinflammatory Diseases of CNS, First Department of Neurology, School of Medicine, National and Kapodistrian University of Athens (NKUA), Aeginition University Hospital, Vas. Sofias 72-74, 11528 Athens, Greece.ORCID 0000-0002-1781-2799
Daphne SioziosMedical Degree English Program, Athens School of Medicine, National and Kapodistrian University of Athens (NKUA), 10679 Athens, Greece.ORCID 0009-0006-7362-9610
Michail RentzosNeuromuscular Diseases Unit, First Department of Neurology, School of Medicine, National and Kapodistrian University of Athens (NKUA), Aeginition University Hospital, Vas. Sofias 72-74, 11528 Athens, Greece.
Sokratis G PapageorgiouNeurodegenerative Diseases and Rare Dementias Unit, First Department of Neurology, School of Medicine, National and Kapodistrian University of Athens (NKUA), Aeginition University Hospital, Vas. Sofias 72-74, 11528 Athens, Greece.ORCID 0000-0001-8863-3635
Maria AnagnostouliMultiple Sclerosis and Demyelinating Diseases Unit, Center of Expertise for Rare Demyelinating and Autoinflammatory Diseases of CNS, First Department of Neurology, School of Medicine, National and Kapodistrian University of Athens (NKUA), Aeginition University Hospital, Vas. Sofias 72-74, 11528 Athens, Greece.ORCID 0000-0001-8934-670X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Neuroaxonal damage underlies permanent disability in various neurological conditions, both neuroautoimmune and neurodegenerative. It is crucial to accurately quantify and monitor axonal injury using biomarkers to evaluate disease progression and treatment effectiveness and offer prognostic insights. Neurofilaments (NFs), and especially neurofilament light chain (NfL), show promise for this purpose, as their levels increase with neuroaxonal damage in both cerebrospinal fluid and blood, independent of specific causal pathways. Recent advances in ultrasensitive immunoassays enable the reliable detection of NFs in blood, transforming them from research tools into clinically applicable measures. In multiple sclerosis (MS), serum NfL correlates with disease activity, treatment response, and long-term disability, and may complement MRI in monitoring subclinical progression. In MS, NfL is primarily emerging as a marker of disease activity and treatment response; in amyotrophic lateral sclerosis (ALS), it has progressed further, being integrated into clinical trials as a pharmacodynamic endpoint and considered by regulatory agencies as a drug development tool. Additionally, NFs are increasingly being investigated in Alzheimer's disease, frontotemporal dementia, and other neurodegenerative disorders, though their disease specificity is limited. Ongoing challenges include older and novel assay harmonization, normative range interpretation, biological and analytical variability, and integration with other molecular and imaging biomarkers. This critical narrative review synthesizes the existing literature on NFs as diagnostic, prognostic, predictive, and pharmacodynamic biomarkers and discusses their role in therapeutic development and precision medicine in neuroautoimmune and neurodegenerative diseases.

Indexed as

BiomarkersNeurodegenerative DiseasesNeurofilament ProteinsNeuroinflammatory DiseasesAnimalsHumansBiomarkersneurofilament protein LNeurofilament ProteinsAlzheimer’s diseaseamyotrophic lateral sclerosisbiomarkersimmunotherapiesmultiple sclerosisneurodegenerationneurofilamentsneuroinflammationParkinson’s disease

Identifiers

PMID41097004
PMCPMC12525295

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.