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Parameter
Biomarker pNfH Full name Phosphorylated Neurofilament Heavy Chain Molecular Type Protein
Molecular Formula / Molecular Weight / Core Functional Dimensions Diagnosis, Prognosis
Disease Amyotrophic Lateral Sclerosis Disease Subtypes /
Organ Brain Test Sample / Technology Platform CSF/Plasma (ELISA, Luminex, Single-Molecule Array)
Pathobiological Mechanisms NfH is hyperphosphorylated after axonal injury, with enhanced stability; released to reflect the degree of neuronal injury.
Clinical Availability Status Under clinical validation
Notes and Dynamics Plasma pNfH levels in spinal onset ALS patients are 28% higher than in bulbar onset, positively correlated with the annual progression rate of ALSFRS-R; can distinguish ALS from Spinal Muscular Atrophy (SMA).

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This study was supported by the Scientific Research Innovation Capability Support Project for Young Faculty (SRICSPYF-ZY2025112), the Fundamental and Interdisciplinary Disciplines Breakthrough Plan of the Ministry of Education of China (JYB2025XDXM612)

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