001     282906
005     20251215104313.0
024 7 _ |a 10.1007/s00415-025-13555-6
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024 7 _ |a pmid:41388206
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024 7 _ |a pmc:PMC12700978
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024 7 _ |a 0367-004X
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024 7 _ |a 0012-1037
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024 7 _ |a 0340-5354
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024 7 _ |a 1432-1459
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037 _ _ |a DZNE-2025-01367
041 _ _ |a English
082 _ _ |a 610
100 1 _ |a Schmitt, Philipp
|0 0009-0008-1643-0079
|b 0
245 _ _ |a Motor phenotypes and neurofilament light chain in genetic amyotrophic lateral sclerosis-results from a multicenter screening program.
260 _ _ |a [Darmstadt]
|c 2025
|b Steinkopff
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 In genetic amyotrophic lateral sclerosis (ALS), the clinical phenotypes, disease progression and neurofilament light chain (NfL) levels are incompletely characterized.In a total cohort of 1988 ALS patients, a subcohort of genetic ALS linked to C9orf72 (n = 137), SOD1 (n = 54), TARDBP (n = 27), and FUS (n = 19) was investigated. The phenotypes of onset region, propagation and motor neuron involvement were analyzed according to the OPM classification. Serum NfL (sNfL) was measured and related to ALS progression (ALSPR, monthly change of ALS Functional Rating Scale-Revised). To quantify NfL elevation relative to ALSPR, the logNfL(index), the log-transformed ratio of sNfL to ALSPR was calculated.C9orf72-associated ALS showed frequent bulbar onset (n = 42.6%), higher ALSPR (0.95, SD 0.84), highest NfL (116.3, SD 72.7 pg/mL) and logNfL(index) (5.02, SD 0.88). SOD1-ALS had mostly limb onset (n = 96.1%), slower ALSPR (0.57, SD 0.60), high NfL (76.1, SD 61.4 pg/mL) and a comparably high logNfL(index) (4.94, SD 1.03). FUS-ALS exhibited mostly limb onset (82.4%), lower motor neuron dysfunction (70.6%), a wide range of faster (22.2%) to slower ALSPR (55.6%), lower NfL (66.2, SD 32.9) and logNfL(4.65, SD 0.9). TARDBP-ALS displayed the lowest ALSPR (0.53, SD 0.52), the lowest NfL (43.3, SD 31.8 pg/mL) and the lowest logNfL(index) (4.40, SD 0.7).In C9orf72-ALS, the phenotype and NfL profile are close to typical ALS. The finding of distinct phenotypes and NfL patterns in SOD1-, FUS- and TARDBP-associated ALS underscores the relevance of genetic ALS for prognostic counseling, clinical trial design, treatment expectations and unraveling of pathogenic mechanisms in ALS.
536 _ _ |a 353 - Clinical and Health Care Research (POF4-353)
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650 _ 7 |a ALS progression
|2 Other
650 _ 7 |a Genetic ALS
|2 Other
650 _ 7 |a Neurofilament
|2 Other
650 _ 7 |a Phenotype
|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 RNA-Binding Protein FUS
|2 NLM Chemicals
650 _ 7 |a Superoxide Dismutase-1
|0 EC 1.15.1.1
|2 NLM Chemicals
650 _ 7 |a TARDBP protein, human
|2 NLM Chemicals
650 _ 7 |a FUS protein, human
|2 NLM Chemicals
650 _ 7 |a SOD1 protein, human
|2 NLM Chemicals
650 _ 7 |a DNA-Binding Proteins
|2 NLM Chemicals
650 _ 2 |a Humans
|2 MeSH
650 _ 2 |a Amyotrophic Lateral Sclerosis: genetics
|2 MeSH
650 _ 2 |a Amyotrophic Lateral Sclerosis: blood
|2 MeSH
650 _ 2 |a Amyotrophic Lateral Sclerosis: physiopathology
|2 MeSH
650 _ 2 |a Amyotrophic Lateral Sclerosis: diagnosis
|2 MeSH
650 _ 2 |a Neurofilament Proteins: blood
|2 MeSH
650 _ 2 |a Male
|2 MeSH
650 _ 2 |a Female
|2 MeSH
650 _ 2 |a Middle Aged
|2 MeSH
650 _ 2 |a C9orf72 Protein: genetics
|2 MeSH
650 _ 2 |a Phenotype
|2 MeSH
650 _ 2 |a Aged
|2 MeSH
650 _ 2 |a RNA-Binding Protein FUS: genetics
|2 MeSH
650 _ 2 |a Superoxide Dismutase-1: genetics
|2 MeSH
650 _ 2 |a Adult
|2 MeSH
650 _ 2 |a Disease Progression
|2 MeSH
650 _ 2 |a Cohort Studies
|2 MeSH
650 _ 2 |a DNA-Binding Proteins: genetics
|2 MeSH
700 1 _ |a Schumann, Peggy
|b 1
700 1 _ |a Koerbs, Alexander
|b 2
700 1 _ |a Lin, Hsuen-Ju
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700 1 _ |a Grehl, Torsten
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700 1 _ |a Weyen, Ute
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700 1 _ |a Petri, Susanne
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700 1 _ |a Rödiger, Annekathrin
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700 1 _ |a Steinbach, Robert
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700 1 _ |a Großkreutz, Julian
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700 1 _ |a Weydt, Patrick
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700 1 _ |a Wolf, Joachim
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700 1 _ |a Günther, René
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700 1 _ |a Baum, Petra
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700 1 _ |a Metelmann, Moritz
|b 15
700 1 _ |a Weishaupt, Jochen H
|b 16
700 1 _ |a Streubel, Berthold
|b 17
700 1 _ |a Kasper, David C
|b 18
700 1 _ |a Koc, Yasemin
|b 19
700 1 _ |a Kettemann, Dagmar
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700 1 _ |a Norden, Jenny
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700 1 _ |a Walter, Bertram
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700 1 _ |a Münch, Christoph
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700 1 _ |a Spittel, Susanne
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700 1 _ |a Maier, André
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700 1 _ |a Körtvelyessy, Peter
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700 1 _ |a Meyer, Thomas
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773 _ _ |a 10.1007/s00415-025-13555-6
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