001     280966
005     20250921002014.0
024 7 _ |a 10.1177/13872877251352103
|2 doi
024 7 _ |a pmid:40605462
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024 7 _ |a pmc:PMC12322341
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024 7 _ |a 1387-2877
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024 7 _ |a 1875-8908
|2 ISSN
024 7 _ |a altmetric:179285813
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037 _ _ |a DZNE-2025-01048
041 _ _ |a English
082 _ _ |a 610
100 1 _ |a Liu, Ella
|0 0009-0003-1854-9835
|b 0
245 _ _ |a Accuracy of blood-based neurofilament light to different genetic frontotemporal dementia from primary psychiatric disorders.
260 _ _ |a Amsterdam
|c 2025
|b IOS Press
336 7 _ |a article
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336 7 _ |a Journal Article
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336 7 _ |a ARTICLE
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336 7 _ |a JOURNAL_ARTICLE
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336 7 _ |a Journal Article
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520 _ _ |a BackgroundGenetic frontotemporal dementia (FTD) along with Alzheimer's disease (AD), is one of the most prevalent early-onset dementias. The differential diagnosis of FTD from primary psychiatric disorder (PPD) has been challenging due to significant symptom overlap, particular as FTD often presents with prolonged psychiatric prodromes.ObjectiveThis study aims to evaluate whether blood-based neurofilament light chain (NfL) can differentiate genetic FTD from PPD, and to determine a global clinical cutoff to differentiate genetic FTD carriers from PPD with high specificity and sensitivity.MethodsData (ages 40-81) were obtained from FTD mutation carriers (GENFI; n = 474; n = 120 C9orf72, n = 114 GRN, n = 50 MAPT, n = 190 controls), and PPD (Biobanque Signature; n = 848). Blood-based NfL was measured with SIMOA HD-X (BbS) and SIMOA HD-1 (GENFI).ResultsBlood-based NfL was higher in all symptomatic mutations compared to PPD. Mildly symptomatic (0 < FTLD CDR-SOB-NM < 4) C9orf72 and GRN carriers also had higher NfL. ROC curve revealed an optimal blood-based NfL cutoff of 22.1 pg/mL (J = 0.647) to distinguish symptomatic genetic FTD from PPD (78.5% sensitivity, 86.2% specificity, AUC = 0.908). For mildly symptomatic subjects, a cutoff of 16.2 pg/mL (J = 0.601) differentiated groups with 86.7% sensitivity and 73.5% specificity (AUC = 0.870).ConclusionsNfL holds potential as a blood-based biomarker for symptomatic genetic FTD carriers, with moderate accuracy to distinguish PPD from mild forms including C9orf72.
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650 _ 7 |a Alzheimer's disease
|2 Other
650 _ 7 |a biomarkers
|2 Other
650 _ 7 |a diagnosis
|2 Other
650 _ 7 |a frontotemporal dementia
|2 Other
650 _ 7 |a neurofilament proteins
|2 Other
650 _ 7 |a Neurofilament Proteins
|2 NLM Chemicals
650 _ 7 |a neurofilament protein L
|2 NLM Chemicals
650 _ 7 |a C9orf72 Protein
|2 NLM Chemicals
650 _ 7 |a C9orf72 protein, human
|2 NLM Chemicals
650 _ 7 |a Biomarkers
|2 NLM Chemicals
650 _ 7 |a Progranulins
|2 NLM Chemicals
650 _ 7 |a tau Proteins
|2 NLM Chemicals
650 _ 7 |a GRN protein, human
|2 NLM Chemicals
650 _ 7 |a MAPT protein, human
|2 NLM Chemicals
650 _ 2 |a Humans
|2 MeSH
650 _ 2 |a Frontotemporal Dementia: genetics
|2 MeSH
650 _ 2 |a Frontotemporal Dementia: blood
|2 MeSH
650 _ 2 |a Frontotemporal Dementia: diagnosis
|2 MeSH
650 _ 2 |a Male
|2 MeSH
650 _ 2 |a Female
|2 MeSH
650 _ 2 |a Middle Aged
|2 MeSH
650 _ 2 |a Neurofilament Proteins: blood
|2 MeSH
650 _ 2 |a Aged
|2 MeSH
650 _ 2 |a Adult
|2 MeSH
650 _ 2 |a C9orf72 Protein: genetics
|2 MeSH
650 _ 2 |a Diagnosis, Differential
|2 MeSH
650 _ 2 |a Aged, 80 and over
|2 MeSH
650 _ 2 |a Biomarkers: blood
|2 MeSH
650 _ 2 |a Mental Disorders: blood
|2 MeSH
650 _ 2 |a Mental Disorders: diagnosis
|2 MeSH
650 _ 2 |a Mental Disorders: genetics
|2 MeSH
650 _ 2 |a Progranulins: genetics
|2 MeSH
650 _ 2 |a tau Proteins: genetics
|2 MeSH
650 _ 2 |a Mutation: genetics
|2 MeSH
650 _ 2 |a Sensitivity and Specificity
|2 MeSH
700 1 _ |a Jones, Sherri Lee
|0 0000-0003-0511-7198
|b 1
700 1 _ |a Light, Victoria
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700 1 _ |a Teunissen, Charlotte
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700 1 _ |a Bouzigues, Arabella
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700 1 _ |a Russell, Lucy L
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700 1 _ |a Foster, Phoebe H
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700 1 _ |a Ferry-Bolder, Eve
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700 1 _ |a van Swieten, John C
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700 1 _ |a Jiskoot, Lize C
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700 1 _ |a Seelaar, Harro
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700 1 _ |a Sanchez-Valle, Raquel
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700 1 _ |a Laforce, Robert
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700 1 _ |a Graff, Caroline
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700 1 _ |a Galimberti, Daniela
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700 1 _ |a Vandenberghe, Rik
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700 1 _ |a de Mendonça, Alexandre
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700 1 _ |a Tiraboschi, Pietro
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700 1 _ |a Santana, Isabel
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700 1 _ |a Gerhard, Alexander
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700 1 _ |a Levin, Johannes
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700 1 _ |a Sorbi, Sandro
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700 1 _ |a Otto, Markus
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700 1 _ |a Butler, Chris R
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700 1 _ |a Ber, Isabelle Le
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700 1 _ |a Finger, Elizabeth
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700 1 _ |a Tartaglia, Maria Carmela
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700 1 _ |a Masellis, Mario
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700 1 _ |a Rowe, James B
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700 1 _ |a Synofzik, Matthis
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700 1 _ |a Moreno, Fermin
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700 1 _ |a Borroni, Barbara
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700 1 _ |a Zetterberg, Henrik
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700 1 _ |a Rohrer, Jonathan D
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700 1 _ |a Ducharme, Simon
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700 1 _ |a Initiative, Genetic Frontotemporal Dementia
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700 1 _ |a Signature, Banque
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773 _ _ |a 10.1177/13872877251352103
|g Vol. 106, no. 4, p. 1337 - 1354
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