AUTHOR=Collins Jessica M. , Bindoff Aidan D. , Roccati Eddy , Alty Jane E. , Vickers James C. , King Anna E. 

TITLE=Does serum neurofilament light help predict accelerated cognitive ageing in unimpaired older adults?

JOURNAL=Frontiers in Neuroscience

VOLUME=17

YEAR=2023

URL=https://www.frontiersin.org/journals/neuroscience/articles/10.3389/fnins.2023.1237284

DOI=10.3389/fnins.2023.1237284

ISSN=1662-453X

ABSTRACT=<sec id="sec1000"><title>Introduction</title><p>Neurofilament light (NfL) is a blood biomarker of neurodegeneration. While serum NfL levels have been demonstrated to increase with normal ageing, the relationship between serum NfL levels and normal age-related changes in cognitive functions is less well understood.</p></sec><sec id="sec2000"><title>Methods</title><p>The current study investigated whether cross-sectional serum NfL levels measured by single molecule array technology (Simoa®) mediated the effect of age on cognition, measured by a battery of neuropsychological tests administered biannually for 8 years, in a cohort of 174 unimpaired older adults (≥50 years) from the Tasmanian Healthy Brain Project. Mediation analysis was conducted using latent variables representing cognitive test performance on three cognitive domains - episodic memory, executive function, and language (vocabulary, comprehension, naming). Cognitive test scores for the three domains were estimated for each participant, coincident with blood collection in 2018 using linear Bayesian hierarchical models.</p></sec><sec id="sec3000"><title>Results</title><p>Higher serum NfL levels were significantly positively associated with age (<italic>p</italic> &lt; 0.001 for all domains). Cognitive test scores were significantly negatively associated with age across the domains of executive function (<italic>p</italic> &lt; 0.001), episodic memory (<italic>p</italic> &lt; 0.001) and language (<italic>p</italic> &lt; 0.05). However, serum NfL levels did not significantly mediate the relationship between age and cognitive test scores across any of the domains.</p></sec><sec id="sec4000"><title>Discussion</title><p>This study adds to the literature on the relationship between serum NfL levels and cognition in unimpaired older adults and suggests that serum NfL is not a pre-clinical biomarker of ensuing cognitive decline in unimpaired older adults.</p></sec>