EVALUATING AXONAL DAMAGE PLASMA BIOMARKERS NFL AND GFAP, AS INDICATORS OF DISEASE SEVERITY IN CHARCOT-MARIE-TOOTH PATIENTS

Dace Pretkalniņa (Corresponding Author), Elizabete Ķēniņa, Viktorija Ķēniņa

Research output: Contribution to conferenceAbstractpeer-review

Abstract

Objectives
Charcot-Marie-Tooth disease (CMT) represents the most prevalent form of inherited neuropathy. Monitoring its progression
and assessing the severity of the condition requires the identification of potential molecular markers. Potential biomarkers
suggested to access nerve damage are neurofilament light chain (NfL) and glial fibrillary acid protein (GFAP). Our primary
goal is to determine whether these biomarker levels are related to the severity of the disease.
Materials and Methods
Initially, 44 patients with CMT and 44 controls participated in this study. Disease severity was assessed through clinical
evaluations using the CMT Neuropathy Score version 2 (CMTNSv2). NfL and GFAP were measured using a
single-molecule array.
Funding
This research has been developed with funding from the Latvian Science Council, Project Discovering biomarkers of
disease progression and variability in Charcot-Marie-Tooth neuropathy, No lzp-2021/1-0327.
Results
The group of CMT patients was stratified into subgroups, namely demyelinating CMT and axonal CMT, based on the
findings of nerve conduction studies. There were no significant difference in sex (χ2 = 0.0455, p = 0.831) or age (p = 0.95)
between the CMT and control groups. In the group of patients with CMT, the concentrations of NfL, and GFAP were
significantly higher than in the control group (p<0.05). NfL and GFAP levels were correlated with the CMTNSv2 score
(rs=0.46, p=0.002; rs=0.31, p=0.04).
Conclusions
Our study has provided confirmation that plasma concentrations of NfL and GFAP are significantly elevated in patients with
CMT compared to controls. Furthermore, NfL and GFAP levels were correlated with the clinical severity of CMT. These
findings suggest that NfL and GFAP could be used as reliable disease indicators in future studies.
Original languageEnglish
Pages8 -8
Number of pages1
Publication statusPublished - 2024
Externally publishedYes
Event17th Conference of Baltic Child Neurology Association - Jurmala , Latvia
Duration: 23 May 202425 May 2024
Conference number: 17
https://www.bcna2024.lv/

Conference

Conference17th Conference of Baltic Child Neurology Association
Country/TerritoryLatvia
CityJurmala
Period23/05/2425/05/24
Internet address

Keywords*

  • neurology
  • Charcot Marie Tooth
  • biomarker

Field of Science*

  • 3.2 Clinical medicine

Publication Type*

  • 3.4. Other publications in conference proceedings (including local)

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