Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2024 Sep 12;13(18):5416.
doi: 10.3390/jcm13185416.

Neurofilament Light Chain as Biomarker in Encephalitis

Affiliations

Neurofilament Light Chain as Biomarker in Encephalitis

Sven Wellmann et al. J Clin Med. .

Abstract

Inflammation of the brain is called encephalitis and may result in acute and chronic brain damage. Encephalitis can be caused by various pathogens, especially neurotropic viruses, or can occur in the context of autoimmune diseases. Encephalitis is often difficult to diagnose and to monitor precisely during the course of the disease. Thanks to highly specific detection technology, components of the neuron skeleton, such as neurofilaments, can now be reliably quantified in the peripheral blood besides cerebrospinal fluid (CSF). Among them, neurofilament light chain (NfL) has demonstrated wide utility due to high preanalytical stability, robust diagnostic technology, and excellent reproducibility. We provide an overview of how NfL has advanced diagnostics in encephalitis and outline future avenues in research needs and possible clinical applicability of NfL in adults and children.

Keywords: NfL; brain; children; encephalitis; neurofilament; neuron.

PubMed Disclaimer

Conflict of interest statement

The authors declare no conflicts of interest.

Figures

Figure 1
Figure 1
Neurofilament from neuronal scaffold to biomarker in cerebrospinal fluid and peripheral blood.
Figure 2
Figure 2
Serum neurofilament light chain (sNfL) percentiles derived from a pediatric cohort aged 0 to 20 years and from an adult cohort aged 20 to 60 years [8,12].

References

    1. Tyler K.L. Acute Viral Encephalitis. New Engl. J. Med. 2018;379:557–566. doi: 10.1056/NEJMra1708714. - DOI - PubMed
    1. Dalmau J., Graus F. Antibody-Mediated Encephalitis. N. Engl. J. Med. 2018;378:840–851. doi: 10.1056/NEJMra1708712. - DOI - PubMed
    1. Khalil M., Teunissen C.E., Lehmann S., Otto M., Piehl F., Ziemssen T., Bittner S., Sormani M.P., Gattringer T., Abu-Rumeileh S., et al. Neurofilaments as biomarkers in neurological disorders—Towards clinical application. Nat. Rev. Neurol. 2024;20:269–287. doi: 10.1038/s41582-024-00955-x. - DOI - PubMed
    1. Altmann P., Ponleitner M., Rommer P.S., Haslacher H., Mucher P., Leutmezer F., Petzold A., Wotawa C., Lanzenberger R., Berger T., et al. Seven day pre-analytical stability of serum and plasma neurofilament light chain. Sci. Rep. 2021;11:11034. doi: 10.1038/s41598-021-90639-z. - DOI - PMC - PubMed
    1. Huber H., Huber H., Blennow K., Blennow K., Zetterberg H., Zetterberg H., Boada M., Boada M., Jeromin A., Jeromin A., et al. Biomarkers of Alzheimer’s disease and neurodegeneration in dried blood spots—A new collection method for remote settings. Alzheimer’s Dement. 2024;20:2340–2352. doi: 10.1002/alz.13697. - DOI - PMC - PubMed

LinkOut - more resources