PMID- 37632388 OWN - NLM STAT- MEDLINE DCOM- 20231005 LR - 20231010 IS - 1502-7686 (Electronic) IS - 0036-5513 (Linking) VI - 83 IP - 6 DP - 2023 Oct TI - Neurofilament light chain: serum reference intervals in Danish children aged 0-17 years. PG - 403-407 LID - 10.1080/00365513.2023.2251003 [doi] AB - Elevated levels of neurofilament light chain (NfL) in the blood is an unspecific biomarker for damage to neuronal axons. The measurement of NfL levels in the blood can provide useful information for monitoring and prognostication of various neurological disorders in children, but a reference interval (RI) is needed before the clinical implementation of the biomarker. We aimed to establish a RI for children aged 0-17 years. Serum samples from 292 healthy reference subjects aged 0.4-17.9 years were analysed by a single-molecule array (Simoa(R)) established for routine clinical use. Non-parametric quantile regression was used to model a continuous RI, and a traditional age-partitioned non-parametric RI was established according to Clinical and Laboratory Standard Institute (CLSI) guideline C28-A3. Furthermore, we investigated the effect of hemolysis on assay performance. The traditional age-partitioned non-parametric RI for the age group <3 years was 3.5-16.6 ng/L and 2.1-13.9 ng/L in the age group >/=3 years, respectively. The continuous RI showed an age-dependent decrease in median NfL levels in the first three years of life which was also evident in the age-partitioning of the traditional RI. We found no difference between sexes and no impact of hemolysis on the NfL test results. This study establishes a pediatric RI for serum NfL and lays the groundwork for its future use in clinical practice. FAU - Schjorring, Mia Elbek AU - Schjorring ME AD - Department of Clinical Biochemistry, Aarhus University Hospital, Aarhus, Denmark. FAU - Parkner, Tina AU - Parkner T AD - Department of Clinical Biochemistry, Aarhus University Hospital, Aarhus, Denmark. AD - Department of Clinical Medicine, Aarhus University, Denmark. FAU - Knudsen, Cindy Soendersoe AU - Knudsen CS AD - Department of Clinical Biochemistry, Aarhus University Hospital, Aarhus, Denmark. FAU - Tybirk, Lea AU - Tybirk L AD - Department of Clinical Biochemistry, Aarhus University Hospital, Aarhus, Denmark. FAU - Hviid, Claus Vinter Bodker AU - Hviid CVB AD - Department of Clinical Biochemistry, Aarhus University Hospital, Aarhus, Denmark. AD - Department of Clinical Medicine, Aarhus University, Denmark. AD - Department of Clinical Biochemistry, Aalborg University Hospital, Denmark. AD - Department of Clinical Medicine, Aalborg University, Denmark. LA - eng PT - Journal Article DEP - 20230826 PL - England TA - Scand J Clin Lab Invest JT - Scandinavian journal of clinical and laboratory investigation JID - 0404375 RN - 0 (Biomarkers) SB - IM MH - Humans MH - Child MH - Adolescent MH - *Intermediate Filaments MH - *Hemolysis MH - Biomarkers MH - Denmark OTO - NOTNLM OT - Neurofilament protein L OT - biomarker OT - children OT - hemolysis OT - reference interval OT - serum EDAT- 2023/08/27 05:41 MHDA- 2023/10/05 06:44 CRDT- 2023/08/26 07:43 PHST- 2023/10/05 06:44 [medline] PHST- 2023/08/27 05:41 [pubmed] PHST- 2023/08/26 07:43 [entrez] AID - 10.1080/00365513.2023.2251003 [doi] PST - ppublish SO - Scand J Clin Lab Invest. 2023 Oct;83(6):403-407. doi: 10.1080/00365513.2023.2251003. Epub 2023 Aug 26.