{
    "assessed_biomarker_entity": "Neurofilament light chain (NEFL)",
    "assessed_entity_type": "protein",
    "components": {
        "protein": [
            {
                "accession": "P07196-1",
                "name": "Neurofilament light polypeptide",
                "evidence": [
                    {
                        "id": "GLY_000625",
                        "database": "GlyGen",
                        "url": "https://data.glygen.org/GLY_000625"
                    },
                    {
                        "id": "33875374",
                        "database": "PubMed",
                        "url": "https://glygen.org/publication/PubMed/33875374"
                    },
                    {
                        "id": "33023150",
                        "database": "PubMed",
                        "url": "https://glygen.org/publication/PubMed/33023150"
                    }
                ]
            }
        ],
        "glycan": []
    },
    "instances": [
        {
            "best_biomarker_type": "prognostic",
            "status": "increased NEFL level",
            "notes": "Measured in plasma (UN:0001969) as well.",
            "literature_evidence": "COVID-19 patients who later developed intensive care unit acquired weakness had significantly higher NfL and GFAp in the early phase of ICU care. [PMID:33875374]",
            "loinc_code": "",
            "tissue": {
                "name": "blood",
                "namespace": "UBERON",
                "id": "0000178",
                "url": "http://purl.obolibrary.org/obo/UBERON_0000178"
            },
            "disease": {
                "disease_id": "DOID:0080600",
                "recommended_name": {
                    "id": "DOID:0080600",
                    "resource": "Disease Ontology",
                    "url": "http://disease-ontology.org/term/DOID:0080600",
                    "name": "COVID-19",
                    "description": "A Coronavirus infection that is characterized by fever, cough and shortness of breath and that has_material_basis_in SARS-CoV-2."
                },
                "synonyms": [
                    {
                        "id": "DOID:0080600",
                        "resource": "Disease Ontology",
                        "url": "http://disease-ontology.org/term/DOID:0080600",
                        "name": "2019 Novel Coronavirus (2019-nCoV)",
                        "description": ""
                    },
                    {
                        "id": "DOID:0080600",
                        "resource": "Disease Ontology",
                        "url": "http://disease-ontology.org/term/DOID:0080600",
                        "name": "2019-nCoV infection",
                        "description": ""
                    },
                    {
                        "id": "DOID:0080600",
                        "resource": "Disease Ontology",
                        "url": "http://disease-ontology.org/term/DOID:0080600",
                        "name": "Wuhan coronavirus infection",
                        "description": ""
                    },
                    {
                        "id": "DOID:0080600",
                        "resource": "Disease Ontology",
                        "url": "http://disease-ontology.org/term/DOID:0080600",
                        "name": "Wuhan seafood market pneumonia virus infection",
                        "description": ""
                    },
                    {
                        "id": "DOID:0080600",
                        "resource": "Disease Ontology",
                        "url": "http://disease-ontology.org/term/DOID:0080600",
                        "name": "COVID19",
                        "description": ""
                    },
                    {
                        "id": "DOID:0080600",
                        "resource": "Disease Ontology",
                        "url": "http://disease-ontology.org/term/DOID:0080600",
                        "name": "SARS-CoV-2 infection",
                        "description": ""
                    }
                ]
            },
            "evidence": [
                {
                    "id": "GLY_000625",
                    "database": "GlyGen",
                    "url": "https://data.glygen.org/GLY_000625"
                },
                {
                    "id": "33875374",
                    "database": "PubMed",
                    "url": "https://glygen.org/publication/PubMed/33875374"
                }
            ]
        },
        {
            "best_biomarker_type": "diagnostic",
            "status": "increased NEFL level",
            "notes": "Measured in serum (UN:0001977) as well|glioblastoma (DOID:3068)",
            "literature_evidence": "The median NfL level was significantly higher in patients with brain metastases than in patients without (35 versus 16 pg/mL, p = 0.001) and separated patients with an area under the curve of 0.77 (0.66-0.89). An increase in NfL could be measured median 3 months (range: 1-5) before the brain metastasis diagnosis. Further, a high level of NfL at time of brain metastasis diagnosis correlated with an inferior survival (hazard ratio: 2.10 (95% confidence interval: 1.11-3.98)). [PMID:33023150]",
            "loinc_code": "",
            "tissue": {
                "name": "blood",
                "namespace": "UBERON",
                "id": "0000178",
                "url": "http://purl.obolibrary.org/obo/UBERON_0000178"
            },
            "disease": {
                "disease_id": "DOID:1319",
                "recommended_name": {
                    "id": "DOID:1319",
                    "resource": "Disease Ontology",
                    "url": "http://disease-ontology.org/term/DOID:1319",
                    "name": "brain cancer",
                    "description": "A central nervous system cancer that is characterized by the growth of abnormal cells in the tissues of the brain."
                },
                "synonyms": [
                    {
                        "id": "DOID:1319",
                        "resource": "Disease Ontology",
                        "url": "http://disease-ontology.org/term/DOID:1319",
                        "name": "BT - Brain tumour",
                        "description": ""
                    },
                    {
                        "id": "DOID:1319",
                        "resource": "Disease Ontology",
                        "url": "http://disease-ontology.org/term/DOID:1319",
                        "name": "adult brain tumor",
                        "description": ""
                    },
                    {
                        "id": "DOID:1319",
                        "resource": "Disease Ontology",
                        "url": "http://disease-ontology.org/term/DOID:1319",
                        "name": "adult malignant brain neoplasm",
                        "description": ""
                    },
                    {
                        "id": "DOID:1319",
                        "resource": "Disease Ontology",
                        "url": "http://disease-ontology.org/term/DOID:1319",
                        "name": "brain neoplasm",
                        "description": ""
                    },
                    {
                        "id": "DOID:1319",
                        "resource": "Disease Ontology",
                        "url": "http://disease-ontology.org/term/DOID:1319",
                        "name": "brain neoplasm, adult",
                        "description": ""
                    },
                    {
                        "id": "DOID:1319",
                        "resource": "Disease Ontology",
                        "url": "http://disease-ontology.org/term/DOID:1319",
                        "name": "malignant brain tumour",
                        "description": ""
                    },
                    {
                        "id": "DOID:1319",
                        "resource": "Disease Ontology",
                        "url": "http://disease-ontology.org/term/DOID:1319",
                        "name": "malignant primary brain neoplasm",
                        "description": ""
                    },
                    {
                        "id": "DOID:1319",
                        "resource": "Disease Ontology",
                        "url": "http://disease-ontology.org/term/DOID:1319",
                        "name": "malignant primary brain tumor",
                        "description": ""
                    },
                    {
                        "id": "DOID:1319",
                        "resource": "Disease Ontology",
                        "url": "http://disease-ontology.org/term/DOID:1319",
                        "name": "malignant tumor of Brain",
                        "description": ""
                    },
                    {
                        "id": "DOID:1319",
                        "resource": "Disease Ontology",
                        "url": "http://disease-ontology.org/term/DOID:1319",
                        "name": "malignant tumor of adult brain",
                        "description": ""
                    },
                    {
                        "id": "DOID:1319",
                        "resource": "Disease Ontology",
                        "url": "http://disease-ontology.org/term/DOID:1319",
                        "name": "neoplasm of brain",
                        "description": ""
                    },
                    {
                        "id": "DOID:1319",
                        "resource": "Disease Ontology",
                        "url": "http://disease-ontology.org/term/DOID:1319",
                        "name": "primary brain neoplasm",
                        "description": ""
                    },
                    {
                        "id": "DOID:1319",
                        "resource": "Disease Ontology",
                        "url": "http://disease-ontology.org/term/DOID:1319",
                        "name": "primary brain tumor",
                        "description": ""
                    },
                    {
                        "id": "DOID:1319",
                        "resource": "Disease Ontology",
                        "url": "http://disease-ontology.org/term/DOID:1319",
                        "name": "primary malignant neoplasm of brain",
                        "description": ""
                    },
                    {
                        "id": "DOID:1319",
                        "resource": "Disease Ontology",
                        "url": "http://disease-ontology.org/term/DOID:1319",
                        "name": "tumor of the Brain",
                        "description": ""
                    }
                ]
            },
            "evidence": [
                {
                    "id": "GLY_000625",
                    "database": "GlyGen",
                    "url": "https://data.glygen.org/GLY_000625"
                },
                {
                    "id": "33023150",
                    "database": "PubMed",
                    "url": "https://glygen.org/publication/PubMed/33023150"
                }
            ]
        }
    ],
    "publication": [
        {
            "title": "Critical illness polyneuropathy, myopathy and neuronal biomarkers in COVID-19 patients: A prospective study.",
            "journal": "Clinical neurophysiology : official journal of the International Federation of Clinical Neurophysiology",
            "authors": "Frithiof Robert, Rostami Elham, Kumlien Eva, Virhammar Johan, F\u00e4llmar David, Hultstr\u00f6m Michael, Lipcsey Mikl\u00f3s, Ashton Nicholas, Blennow Kaj, Zetterberg Henrik, Punga Anna Rostedt",
            "date": "2021-07",
            "reference": [
                {
                    "type": "PubMed",
                    "id": "33875374",
                    "url": "https://glygen.org/publication/PubMed/33875374"
                }
            ],
            "evidence": [
                {
                    "id": "GLY_000625",
                    "database": "GlyGen",
                    "url": "https://data.glygen.org/GLY_000625"
                }
            ]
        },
        {
            "title": "Neurofilament Light Chain as A Biomarker for Brain Metastases.",
            "journal": "Cancers",
            "authors": "Winther-Larsen A, Hviid CVB, Meldgaard P, Sorensen BS, Sandfeld-Paulsen B",
            "date": "2020",
            "reference": [
                {
                    "type": "PubMed",
                    "id": "33023150",
                    "url": "https://glygen.org/publication/PubMed/33023150"
                }
            ],
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                    "id": "GLY_000625",
                    "database": "GlyGen",
                    "url": "https://data.glygen.org/GLY_000625"
                }
            ]
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    ],
    "evidence": [
        {
            "id": "GLY_000625",
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            "id": "33875374",
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        {
            "id": "33023150",
            "database": "PubMed",
            "url": "https://glygen.org/publication/PubMed/33023150"
        }
    ],
    "biomarker_id": "A0135",
    "aclist": [
        "P07196-1"
    ],
    "crossref": [],
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