Serum NfL and GFAP are associated with incident dementia and dementia mortality in older adults: The cardiovascular health study
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Serum NfL and GFAP are associated with incident dementia and dementia mortality in older adults : The cardiovascular health study. / Cronjé, Héléne T.; Liu, Xiaojuan; Odden, Michelle C.; Moseholm, Kristine F.; Seshadri, Sudha; Satizabal, Claudia L.; Lopez, Oscar L.; Bis, Joshua C.; Djoussé, Luc; Fohner, Alison E.; Psaty, Bruce M.; Tracy, Russell P.; Longstreth, W. T.; Jensen, Majken K.; Mukamal, Kenneth J.
In: Alzheimer's and Dementia, Vol. 19, No. 12, 2023, p. 5672-5680.Research output: Contribution to journal › Journal article › Research › peer-review
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TY - JOUR
T1 - Serum NfL and GFAP are associated with incident dementia and dementia mortality in older adults
T2 - The cardiovascular health study
AU - Cronjé, Héléne T.
AU - Liu, Xiaojuan
AU - Odden, Michelle C.
AU - Moseholm, Kristine F.
AU - Seshadri, Sudha
AU - Satizabal, Claudia L.
AU - Lopez, Oscar L.
AU - Bis, Joshua C.
AU - Djoussé, Luc
AU - Fohner, Alison E.
AU - Psaty, Bruce M.
AU - Tracy, Russell P.
AU - Longstreth, W. T.
AU - Jensen, Majken K.
AU - Mukamal, Kenneth J.
N1 - Publisher Copyright: © 2023 The Authors. Alzheimer's & Dementia published by Wiley Periodicals LLC on behalf of Alzheimer's Association.
PY - 2023
Y1 - 2023
N2 - INTRODUCTION: Circulating neurofilament light chain (NfL) and glial fibrillary acidic protein (GFAP) have been independently associated with dementia risk. Their additive association, and their associations with dementia-specific mortality, have not been investigated. METHODS: We associated serum NfL, GFAP, total tau, and ubiquitin carboxyl-terminal hydrolase-L1, measured in 1712 dementia-free adults, with 19-year incident dementia and dementia-specific mortality risk, and with 3-year cognitive decline. RESULTS: In adjusted models, being in the highest versus lowest tertile of NfL or GFAP associated with a hazard ratio (HR) of 1.49 (1.20–1.84) and 1.38 (1.15–1.66) for incident dementia, and 2.87 (1.79–4.61) and 2.76 (1.73–4.40) for dementia-specific mortality. Joint third versus first tertile exposure further increased risk; HR = 2.06 (1.60–2.67) and 9.22 (4.48–18.9). NfL was independently associated with accelerated cognitive decline. DISCUSSION: Circulating NfL and GFAP may, independently and jointly, provide useful clinical insight regarding dementia risk and prognosis.
AB - INTRODUCTION: Circulating neurofilament light chain (NfL) and glial fibrillary acidic protein (GFAP) have been independently associated with dementia risk. Their additive association, and their associations with dementia-specific mortality, have not been investigated. METHODS: We associated serum NfL, GFAP, total tau, and ubiquitin carboxyl-terminal hydrolase-L1, measured in 1712 dementia-free adults, with 19-year incident dementia and dementia-specific mortality risk, and with 3-year cognitive decline. RESULTS: In adjusted models, being in the highest versus lowest tertile of NfL or GFAP associated with a hazard ratio (HR) of 1.49 (1.20–1.84) and 1.38 (1.15–1.66) for incident dementia, and 2.87 (1.79–4.61) and 2.76 (1.73–4.40) for dementia-specific mortality. Joint third versus first tertile exposure further increased risk; HR = 2.06 (1.60–2.67) and 9.22 (4.48–18.9). NfL was independently associated with accelerated cognitive decline. DISCUSSION: Circulating NfL and GFAP may, independently and jointly, provide useful clinical insight regarding dementia risk and prognosis.
KW - blood-based biomarkers
KW - cognition
KW - dementia
KW - longitudinal
KW - Modified Mini-Mental State Examination
KW - mortality
KW - risk factor
KW - serum
U2 - 10.1002/alz.13367
DO - 10.1002/alz.13367
M3 - Journal article
C2 - 37392405
AN - SCOPUS:85164166520
VL - 19
SP - 5672
EP - 5680
JO - Alzheimer's & Dementia
JF - Alzheimer's & Dementia
SN - 1552-5260
IS - 12
ER -
ID: 359850679