| Home > Publications Database > CSF levels of the somatodendritic protein MAP2 are increased in ALS and predict shorter survival. > print |
| 001 | 282295 | ||
| 005 | 20251212103343.0 | ||
| 024 | 7 | _ | |a 10.1136/jnnp-2025-336208 |2 doi |
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| 041 | _ | _ | |a English |
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| 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 |2 DRIVER |
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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) |0 G:(DE-HGF)POF4-353 |c POF4-353 |f POF IV |x 0 |
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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 |0 P:(DE-HGF)0 |b 1 |e First author |
| 700 | 1 | _ | |a Dorst, J. |0 P:(DE-2719)9001951 |b 2 |u dzne |
| 700 | 1 | _ | |a Elmas, Zeynep |b 3 |
| 700 | 1 | _ | |a Wiesenfarth, Maximilian |b 4 |
| 700 | 1 | _ | |a De Gobbi, Anna |b 5 |
| 700 | 1 | _ | |a Ratti, Antonia |b 6 |
| 700 | 1 | _ | |a Poletti, Barbara |0 0000-0003-4398-2051 |b 7 |
| 700 | 1 | _ | |a Tumani, Hayrettin |0 P:(DE-2719)9002007 |b 8 |
| 700 | 1 | _ | |a Weishaupt, Jochen |0 P:(DE-2719)9000455 |b 9 |
| 700 | 1 | _ | |a Silani, Vincenzo |0 0000-0002-7698-3854 |b 10 |
| 700 | 1 | _ | |a Ticozzi, Nicola |0 0000-0001-5963-7426 |b 11 |
| 700 | 1 | _ | |a Otto, Markus |0 0000-0003-4273-4267 |b 12 |
| 700 | 1 | _ | |a Ludolph, Albert C |0 P:(DE-2719)2812633 |b 13 |u dzne |
| 700 | 1 | _ | |a Oeckl, Patrick |0 P:(DE-2719)9001560 |b 14 |e Last author |
| 773 | _ | _ | |a 10.1136/jnnp-2025-336208 |g Vol. 96, no. 12, p. jnnp-2025-336208 - |0 PERI:(DE-600)1480429-3 |n 12 |p 1132 - 1143 |t Journal of neurology, neurosurgery, and psychiatry |v 96 |y 2025 |x 0022-3050 |
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