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Plasma NfL and GFAP for predicting VCI and related brain changes in community and clinical cohorts
Sheelakumari Raghavan, Jonathan Graff-Radford, Ekaterina Hofrenning, Angela J Fought, Robert I Reid, Michael G Kamykowski, Alicia Algeciras-Schimnich, B Gwen Windham et al.. Alzheimer's & dementia : the journal of the Alzheimer's Association, 2025-06
Topic: Plasma and spinal-fluid biomarkers
Plasma NfL and GFAP were associated with vascular brain damage and differed across states (VCI > vascular CU > non-vascular CI > non-vascular CU). In a population-based sample, these biomarkers distinguished vascular CU and VCI from non-vascular CU groups with greater separation in amyloid negative participants. Pathway analyses showed NfL was primarily influenced by systemic/brain vascular health, whereas amyloid contributed to GFAP variability. Plasma biomarkers, particularly NfL, capture vascular brain changes and show promise for VCI identification. HIGHLIGHTS: Plasma NfL and glial fibrillary acidic protein (GFAP) were associated with vascular brain indices. Plasma biomarkers differed across diagnostic states (VCI > vascular CU > non-vascular CI > non-vascular CU). Plasma markers discriminated vascular from non-vascular states with greater separation in Aβ- participants. NfL was linked to vascular health, while amyloid influenced GFAP variability in the population-based sample. Future longitudinal frameworks should consider systemic inflammation markers along with these plasma markers to better understand VCID-related brain changes and cognitive decline.
Key findings
- Plasma NfL and GFAP were associated with vascular brain damage and differed across states (VCI > vascular CU > non-vascular CI > non-vascular CU).
- In a population-based sample, these biomarkers distinguished vascular CU and VCI from non-vascular CU groups with greater separation in amyloid negative participants.
- Pathway analyses showed NfL was primarily influenced by systemic/brain vascular health, whereas amyloid contributed to GFAP variability.
- Plasma biomarkers, particularly NfL, capture vascular brain changes and show promise for VCI identification.
- HIGHLIGHTS: Plasma NfL and glial fibrillary acidic protein (GFAP) were associated with vascular brain indices.
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Study details
- Study designlongitudinal study
- Participants1,810
- Effect size1.3%
- Evidence strengthModerate
How this study scored 77/100
Published in a leading specialty journal, and it is a longitudinal study following the same people over time. Scored zero for randomised / blinded because the record does not state it. We have no data on journal's citation record, times cited, citations per year, impact for its field and year, cited by studies here, still being cited, senior author's track record, institution's track record, multi-centre collaboration and free to read, so those were left out: it earned 43 of the 56 points we could judge it on, which is 77 out of 100.
| Component | Points | Why |
|---|---|---|
| Journal tier | 9 / 10 | Tier 2 — leading specialty journal (Alzheimer's & dementia : the journal of the Alzheimer's Association) |
| Journal's citation record | — / 4 | No journal record from OpenAlex — left out of this score |
| Study design | 7 / 12 | A longitudinal study following the same people over time |
| Strength of evidence | 3 / 5 | Rated “moderate” in our summary |
| Peer-review validation | 10 / 10 | Peer-reviewed. Published as an article in a named peer-reviewed journal. |
| How recent | 4 / 5 | 2025 — within 3 year(s) of the newest study here |
| Sample size | 3 / 4 | 1,810 participants |
| Effect reported | 2 / 3 | Effect reported as a number, without an interval or test |
| Studied in people | 3 / 3 | Studied in people (participant count stated) |
| Randomised / blinded | 0 / 2 | No randomisation or blinding stated — scores zero (not stated in the record — scored 0) |
| Times cited | — / 7 | No citation count (not found in OpenAlex) — left out of this score |
| Citations per year | — / 5 | No citation count or no year — left out of this score |
| Impact for its field and year | — / 6 | No field-weighted citation impact (OpenAlex has none yet) — left out of this score |
| Cited by studies here | — / 6 | Not yet checked against this library's citation graph — left out of this score |
| Still being cited | — / 4 | No yearly citation counts — left out of this score |
| Senior author's track record | — / 4 | Senior author's record not available — left out of this score |
| Institution's track record | — / 3 | No institution listed in OpenAlex — left out of this score |
| Multi-centre collaboration | — / 3 | Institutions not listed — left out of this score |
| Indexed in PubMed | 2 / 2 | Indexed in PubMed (PMID 40566826) |
| Free to read | — / 2 | Access not recorded — left out of this score |
| Points | 43 / 56 | Scored on 10 of 20 parts. We have no data for the rest, so they are left out: 43 of the 56 points we could judge it on is 77 out of 100. |
| Total | 77 / 100 | — |
What each of these 20 components measures, and what this score is not →
Read the original
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Cite this study APA, Vancouver, BibTeX · download .bib or .ris
Built from the record alzhub holds for this paper, not looked up. Volume, issue and page numbers are not held in the record. The record's author list ends in “et al.”, so not every author is named. Check the citation against the original before you use it.
APA 7th
Raghavan, S., Graff-Radford, J., Hofrenning, E., Fought, A. J., Reid, R. I., Kamykowski, M. G., et al. (2025). Plasma NfL and GFAP for predicting VCI and related brain changes in community and clinical cohorts. Alzheimer's & dementia : the journal of the Alzheimer's Association. https://doi.org/10.1002/alz.70381
Vancouver
Raghavan S, Graff-Radford J, Hofrenning E, Fought AJ, Reid RI, Kamykowski MG, et al. Plasma NfL and GFAP for predicting VCI and related brain changes in community and clinical cohorts. Alzheimer's & dementia : the journal of the Alzheimer's Association. 2025. doi:10.1002/alz.70381. PMID: 40566826.
BibTeX
@article{raghavan2025-40566826,
author = {Raghavan, Sheelakumari and Graff-Radford, Jonathan and Hofrenning, Ekaterina and Fought, Angela J and Reid, Robert I and Kamykowski, Michael G and Algeciras-Schimnich, Alicia and Windham, B Gwen and others},
title = {{Plasma NfL and GFAP for predicting VCI and related brain changes in community and clinical cohorts}},
journal = {Alzheimer's \& dementia : the journal of the Alzheimer's Association},
year = {2025},
doi = {10.1002/alz.70381},
pmid = {40566826},
url = {https://doi.org/10.1002/alz.70381}
}
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