4.7 Article

Lipids, apolipoproteins, and prognosis of amyotrophic lateral sclerosis

Journal

NEUROLOGY
Volume 94, Issue 17, Pages E1835-E1844

Publisher

LIPPINCOTT WILLIAMS & WILKINS
DOI: 10.1212/WNL.0000000000009322

Keywords

-

Funding

  1. European Research Council Starting Grant [802091]
  2. Swedish Research Council [2015-03170]
  3. Karolinska Institutet
  4. Bjorklunds Fund
  5. Ulla-Carin Lindquist Foundation
  6. Neuro Sweden
  7. Swedish Research Council [2015-03170] Funding Source: Swedish Research Council
  8. Vinnova [2015-03170] Funding Source: Vinnova
  9. European Research Council (ERC) [802091] Funding Source: European Research Council (ERC)

Ask authors/readers for more resources

Objective To determine whether lipids and apolipoproteins predict prognosis of patients with amyotrophic lateral sclerosis in a cohort study of 99 patients with amyotrophic lateral sclerosis who were diagnosed during 2015 to 2018 and followed up until October 31, 2018, at the Neurology Clinic in Karolinska University Hospital in Stockholm, Sweden. Methods Total cholesterol, low-density lipoprotein cholesterol, high-density lipoprotein cholesterol, triglycerides, apolipoprotein AI, apolipoprotein B, and lipid ratios were measured at the time of amyotrophic lateral sclerosis diagnosis or shortly thereafter. Death after amyotrophic lateral sclerosis diagnosis was used as the main outcome. The Cox model was used to estimate hazard ratios with 95% confidence intervals of death after amyotrophic lateral sclerosis diagnosis, after controlling for sex, age at diagnosis, site of symptom onset, diagnostic delay, body mass index, Amyotrophic Lateral Sclerosis Functional Rating Scale-Revised score, and progression rate. Results A 1-SD increase of total cholesterol (hazard ratio 0.60, 95% confidence interval 0.41-0.89, p = 0.01), low-density lipoprotein cholesterol (hazard ratio 0.64, 95% confidence interval 0.44-0.92, p = 0.02), low-density lipoprotein cholesterol/high-density lipoprotein cholesterol ratio (hazard ratio 0.65, 95% confidence interval 0.46-0.92, p = 0.02), apolipoprotein B (hazard ratio 0.62, 95% confidence interval 0.44-0.88, p = 0.01), or apolipoprotein B/apolipoprotein AI ratio (hazard ratio 0.61, 95% confidence interval 0.43-0.86, p < 0.01) was associated with a lower risk of death after amyotrophic lateral sclerosis diagnosis. A dose-response relationship was also noted when these biomarkers were analyzed as categorical variables. Conclusions Lipids and apolipoproteins are important prognostic indicators for amyotrophic lateral sclerosis and should be monitored at the diagnosis of amyotrophic lateral sclerosis.

Authors

I am an author on this paper
Click your name to claim this paper and add it to your profile.

Reviews

Primary Rating

4.7
Not enough ratings

Secondary Ratings

Novelty
-
Significance
-
Scientific rigor
-
Rate this paper

Recommended

Article Public, Environmental & Occupational Health

Comparison of two different frailty scales in the longitudinal Swedish Adoption/Twin Study of Aging (SATSA)

Alexandra M. Wennberg, Weiyao Yin, Fang Fang, Nancy L. Pedersen, Sara Hagg, Juulia Jylhava, Karin Modig

Summary: This study evaluated the utility of a code-based frailty score in registry data and found that it may not capture the full spectrum of frailty among community-dwelling individuals, particularly at younger ages.

SCANDINAVIAN JOURNAL OF PUBLIC HEALTH (2023)

Article Clinical Neurology

The path to diagnosis in ALS: delay, referrals, alternate diagnoses, and clinical progression

Stefan Sennfalt, Ulf Klappe, Sebastian Thams, Kristin Samuelsson, Rayomand Press, Fang Fang, Caroline Ingre

Summary: This study aimed to provide a detailed description of the path to a correct diagnosis of amyotrophic lateral sclerosis (ALS), including delays, referrals, alternate diagnoses, and clinical progression. The study found significant variations in the diagnostic pathway based on the clinical phenotype, with substantial delays and clinical progression in all groups.

AMYOTROPHIC LATERAL SCLEROSIS AND FRONTOTEMPORAL DEGENERATION (2023)

Article Clinical Neurology

Dying from ALS in Sweden: clinical status, setting, and symptoms

Stefan Sennfalt, Ulf Klappe, Sebastian Thams, Kristin Samuelsson, Rayomand Press, Fang Fang, Caroline Ingre

Summary: This retrospective cohort study provides a comprehensive account of death in Swedish patients with ALS, including the clinical status preceding death, the death setting, and symptoms. The majority of patients died in their own homes or at a palliative unit in the presence of next of kin, and most symptoms were adequately managed.

AMYOTROPHIC LATERAL SCLEROSIS AND FRONTOTEMPORAL DEGENERATION (2023)

Review Clinical Neurology

UNC13A in amyotrophic lateral sclerosis: from genetic association to therapeutic target

Sean W. Willemse, Peter Harley, Ruben P. A. van Eijk, Koen C. Demaegd, Pavol Zelina, R. Jeroen Pasterkamp, Philip van Damme, Caroline Ingre, Wouter van Rheenen, Jan H. Veldink, Matthew C. Kiernan, Ammar Al-Chalabi, Leonard H. van den Berg, Pietro Fratta, Michael A. van Es

Summary: Amyotrophic lateral sclerosis (ALS) is a deadly neurodegenerative disease with limited treatment options. A specific gene polymorphism in the UNC13A gene has been found to increase the risk of ALS and frontotemporal dementia (FTD), and can modify the disease phenotype in ALS patients. UNC13A is involved in maintaining synaptic active zones and its depletion leads to impaired neurotransmission. Recent discoveries have identified UNC13A as a potential therapeutic target, with ongoing trials using lithium carbonate and considering antisense oligonucleotides. Knowledge of UNC13A's distinct phenotype is important for future clinical trials.

JOURNAL OF NEUROLOGY NEUROSURGERY AND PSYCHIATRY (2023)

Article Endocrinology & Metabolism

Childhood adiposity and novel subtypes of adult-onset diabetes: a Mendelian randomisation and genome-wide genetic correlation study

Yuxia Wei, Tom G. Richardson, Yiqiang Zhan, Sofia Carlsson

Summary: Using Mendelian randomisation, this study investigated whether the effects of childhood adiposity on adult-onset diabetes vary across different diabetes subtypes. The results showed that childhood adiposity had significant genetically predicted effects on severe autoimmune diabetes, severe insulin-deficient diabetes, severe insulin-resistant diabetes, and mild obesity-related diabetes, but not on mild age-related diabetes. These findings highlight the importance of preventing childhood obesity.

DIABETOLOGIA (2023)

Article Clinical Neurology

Diagnostic delay in amyotrophic lateral sclerosis

Kelly G. Gwathmey, Philippe Corcia, Chris J. McDermott, Angela Genge, Stefan Sennfalt, Mamede de Carvalho, Caroline Ingre

Summary: ALS is a fatal neurodegenerative disease with a long delay in diagnosis. This delay is influenced by lack of recognition and misdiagnosis by general practitioners, as well as patient factors such as illness behavior and site of symptom onset.

EUROPEAN JOURNAL OF NEUROLOGY (2023)

Article Clinical Neurology

COURAGE-ALS: a randomized, double-blind phase 3 study designed to improve participant experience and increase the probability of success

Jeremy M. Shefner, Ammar Al-Chalabi, Jinsy A. Andrews, Adriano Chio, Mamede De Carvalho, Bettina M. Cockroft, Philippe Corcia, Philippe Couratier, Merit E. Cudkowicz, Angela Genge, Orla Hardiman, Terry Heiman-Patterson, Robert D. Henderson, Caroline Ingre, Carlayne E. Jackson, Wendy Johnston, Noah Lechtzin, Albert Ludolph, Nicholas J. Maragakis, Timothy M. Miller, Jesus S. Mora Pardina, Susanne Petri, Zachary Simmons, Leonard H. Van Den Berg, Lorne Zinman, Stuart Kupfer, Fady I. Malik, Lisa Meng, Tyrell J. Simkins, Jenny Wei, Andrew A. Wolff, Stacy A. Rudnicki

Summary: The objective of this study is to determine the target population and optimize the study design for the phase 3 clinical trial of reldesemtiv in ALS participants. The phase 2 study, FORTITUDE-ALS, showed that reldesemtiv had a significant effect on participants with intermediate and fast disease progression, leading to the implementation of specific eligibility criteria and design features in the phase 3 trial, COURAGE-ALS, to increase sensitivity in detecting treatment effects and reduce burden on participants and study sites.

AMYOTROPHIC LATERAL SCLEROSIS AND FRONTOTEMPORAL DEGENERATION (2023)

Article Clinical Neurology

PRECISION ALS-an integrated pan European patient data platform for ALS

Robert McFarlane, Miriam Galvin, Mark Heverin, Eanna Mac Domhnaill, Deirdre Murray, Dara Meldrum, Peter Bede, Anthony Bolger, Lucy Hederman, Sinead Impey, Gaye Stephens, Ciara O'Meara, Vincent Wade, Ammar Al Chalabi, Adriano Chio, Phillippe Corcia, Philip van Damme, Caroline Ingre, Christopher McDermott, Monica Povedanos, Leonard Van den Berg, Orla Hardiman

AMYOTROPHIC LATERAL SCLEROSIS AND FRONTOTEMPORAL DEGENERATION (2023)

Article Clinical Neurology

FDG-PET shows weak correlation between focal motor weakness and brain metabolic alterations in ALS

Stefan Sennfalt, Marco Pagani, Fang Fang, Irina Savitcheva, Ulrika Estenberg, Caroline Ingre

Summary: This study aimed to investigate the correlation between focal motor weakness and metabolic alterations in specific areas of the brain in ALS patients using FDG-PET, including longitudinal imaging. The results showed a general pattern of brain metabolic alterations consistent with previous findings in ALS. However, there was no clear correlation between focal motor weakness and specific metabolic alterations. Further research, particularly with larger sample sizes and longitudinal imaging, is needed.

AMYOTROPHIC LATERAL SCLEROSIS AND FRONTOTEMPORAL DEGENERATION (2023)

Meeting Abstract Public, Environmental & Occupational Health

Childhood adiposity and novel subtypes of diabetes in adults: a Mendelian randomisation and genome-wide genetic correlation Study

Yuxia Wei, Yiqiang Zhan, Sofia Carlsson

LANCET GLOBAL HEALTH (2023)

Article Medicine, General & Internal

Genetically and environmentally predicted obesity in relation to cardiovascular disease: a nationwide cohort study

Elsa Ojalehto, Yiqiang Zhan, Juulia Jylhava, Chandra A. Reynolds, Anna K. Dahl Aslan, Ida K. Karlsson

Summary: The study found that the association between obesity and cardiovascular disease (CVD) differs based on genetically predicted BMI. People with genetically predicted lower BMI had a stronger association between midlife obesity and CVD compared to those with genetically predicted high BMI. However, there are additional genetic factors that were not captured by the genetic prediction models.

ECLINICALMEDICINE (2023)

Article Clinical Neurology

Validity and reliability measures of the Swedish Karolinska version of the Edinburgh Cognitive and Behavioral ALS Screen (SK-ECAS)

Juliette Foucher, Ivar Winroth, Aniko Lovik, Stefan Sennfalt, Joana B. B. Pereira, Fang Fang, Dorothee Lule, Peter M. M. Andersen, Caroline Ingre

Summary: This study validates the validity and reliability of SK-ECAS Version A for detecting cognitive impairment in newly diagnosed ALS patients.

AMYOTROPHIC LATERAL SCLEROSIS AND FRONTOTEMPORAL DEGENERATION (2023)

Article Clinical Neurology

Relationship between quantitative strength and functional outcomes in the phase 2 FORTITUDE-ALS trial

Jeremy M. Shefner, Bill Jacobsen, Stuart Kupfer, Fady I. Malik, Lisa Meng, Jenny Wei, Andrew A. Wolff, Stacy A. Rudnicki

Summary: In an ALS clinical trial, the relationship between measurements of strength, function, and quality of life was assessed. The results showed a strong correlation between muscle strength quantified by dynamometry and functional capacity, indicating a direct relationship between muscle strength and specific functions important to ALS patients.

AMYOTROPHIC LATERAL SCLEROSIS AND FRONTOTEMPORAL DEGENERATION (2023)

Article Oncology

Association Between Telomere Length and Risk of Lung Cancer in an Asian Population: A Mendelian Randomization Study

Yi Teng, Dan Qi Huang, Rui Xi Li, Chao Yi, Yi Qiang Zhan

Summary: A study titled "The Impact of DNA Telomere Length on Lung Cancer Risk in the Asian Population" confirms that telomere length has a significant influence on the risk of lung cancer in the Asian population, which is consistent with findings in Western populations.

WORLD JOURNAL OF ONCOLOGY (2023)

No Data Available