001     282295
005     20251212103343.0
024 7 _ |a 10.1136/jnnp-2025-336208
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024 7 _ |a pmid:40537251
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024 7 _ |a 0022-3050
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024 7 _ |a 0266-8637
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024 7 _ |a 0368-329X
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024 7 _ |a 1468-330X
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024 7 _ |a 2753-0477
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024 7 _ |a 2753-0485
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037 _ _ |a DZNE-2025-01265
041 _ _ |a English
082 _ _ |a 610
100 1 _ |a Verde, Federico
|0 0000-0002-3977-6995
|b 0
245 _ _ |a CSF levels of the somatodendritic protein MAP2 are increased in ALS and predict shorter survival.
260 _ _ |a London
|c 2025
|b BMJ Publishing Group
336 7 _ |a article
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336 7 _ |a Journal Article
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520 _ _ |a Previous proteomic work has identified the somatodendritic protein MAP2 as a new candidate cerebrospinal fluid (CSF) biomarker for amyotrophic lateral sclerosis (ALS).We measured CSF levels of MAP2 and neurofilament light chain (NFL) in a retrospective cohort of 251 patients with ALS and 108 neurological controls (NCs).Patients with ALS had a higher median CSF MAP2 level compared with NCs, leading to an area under the curve (AUC) of 0.7080 (p<0.0001). They also had a higher median CSF NFL level (p<0.0001), resulting in an excellent diagnostic performance (AUC=0.9641; p<0.0001). Among patients with ALS, CSF MAP2 correlated with disease progression rate (DPR) (r=0.3099; p<0.0001) and was negatively associated with survival (HR=3.174). CSF NFL also correlated with DPR (r=0.4936; p<0.0001) and was negatively associated with survival (HR=2.759). The association of MAP2 with DPR was independent from NFL (p=0.0037). Stratifying patients based on median levels of both biomarkers resulted in significant differences in median survival times (low NFL/low MAP2, 66 months; high NFL/low MAP2 and vice versa, 35 months; high NFL/high MAP2, 26 months; p<0.0001). MAP2 was also associated with genetic status in patients with ALS, as patients with no mutations in C9ORF72 or in SOD1, as well as C9ORF72-positive ones, had higher median levels compared with NCs (p<0.0001), while patients with SOD1 mutations did not significantly differ from NCs (p>0.9999).Our study shows that the somatodendritic protein MAP2 is a promising candidate CSF biomarker for ALS.
536 _ _ |a 353 - Clinical and Health Care Research (POF4-353)
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650 _ 7 |a ALS
|2 Other
650 _ 7 |a CSF
|2 Other
650 _ 7 |a MOTOR NEURON DISEASE
|2 Other
650 _ 7 |a Biomarkers
|2 NLM Chemicals
650 _ 7 |a Neurofilament Proteins
|2 NLM Chemicals
650 _ 7 |a neurofilament protein L
|2 NLM Chemicals
650 _ 7 |a Microtubule-Associated Proteins
|2 NLM Chemicals
650 _ 7 |a MAP2 protein, human
|2 NLM Chemicals
650 _ 7 |a C9orf72 Protein
|2 NLM Chemicals
650 _ 7 |a Superoxide Dismutase-1
|0 EC 1.15.1.1
|2 NLM Chemicals
650 _ 7 |a C9orf72 protein, human
|2 NLM Chemicals
650 _ 2 |a Humans
|2 MeSH
650 _ 2 |a Amyotrophic Lateral Sclerosis: cerebrospinal fluid
|2 MeSH
650 _ 2 |a Amyotrophic Lateral Sclerosis: mortality
|2 MeSH
650 _ 2 |a Amyotrophic Lateral Sclerosis: genetics
|2 MeSH
650 _ 2 |a Male
|2 MeSH
650 _ 2 |a Female
|2 MeSH
650 _ 2 |a Middle Aged
|2 MeSH
650 _ 2 |a Biomarkers: cerebrospinal fluid
|2 MeSH
650 _ 2 |a Neurofilament Proteins: cerebrospinal fluid
|2 MeSH
650 _ 2 |a Aged
|2 MeSH
650 _ 2 |a Retrospective Studies
|2 MeSH
650 _ 2 |a Microtubule-Associated Proteins: cerebrospinal fluid
|2 MeSH
650 _ 2 |a Disease Progression
|2 MeSH
650 _ 2 |a C9orf72 Protein: genetics
|2 MeSH
650 _ 2 |a Adult
|2 MeSH
650 _ 2 |a Superoxide Dismutase-1: genetics
|2 MeSH
700 1 _ |a Vávra, Jakub
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700 1 _ |a Dorst, J.
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700 1 _ |a Elmas, Zeynep
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700 1 _ |a Wiesenfarth, Maximilian
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700 1 _ |a De Gobbi, Anna
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700 1 _ |a Ratti, Antonia
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700 1 _ |a Poletti, Barbara
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700 1 _ |a Tumani, Hayrettin
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700 1 _ |a Weishaupt, Jochen
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700 1 _ |a Silani, Vincenzo
|0 0000-0002-7698-3854
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700 1 _ |a Ticozzi, Nicola
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700 1 _ |a Otto, Markus
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700 1 _ |a Ludolph, Albert C
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700 1 _ |a Oeckl, Patrick
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773 _ _ |a 10.1136/jnnp-2025-336208
|g Vol. 96, no. 12, p. jnnp-2025-336208 -
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|t Journal of neurology, neurosurgery, and psychiatry
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|y 2025
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