DIAGNOSTIC TEST PANEL 580

Amyotrophic Lateral Sclerosis (ALS) Biomarkers

Diagnostic test panel for pNfH and NfL. For suspicion of progressive ALS (amyotrophic lateral sclerosis).

Indication

Suspicion of progressive ALS (amyotrophic lateral sclerosis)

Clinical background

Increased levels of phosphorylated neurofilament heavy protein (pNfH) in CSF can be found in several diseases with neuronal/axonal damage in the central nervous system and correlates with levels of neurofilament light protein (NfL). High levels have been reported in ALS (amyotrophic lateral sclerosis) and in the early phase it may support the diagnosis and predict a more rapid disease progression.

Elevated levels of neurofilament light protein (NfL) are a nonspecific marker of neuronal degeneration and do not tell about the underlying cause. Significantly elevated levels indicate widespread diffuse axonal injury and can be seen at e.g. encephalitis. High levels can also be seen in ALS with upper motor neuron damage.

References

  • Disanto, G. et al., Serum Neurofilament light: A biomarker of neuronal damage in multiple sclerosis. Annals of neurology 2017, 81(6), 857–870.
  • Chen X, Chen Y, Wei Q, et al. Assessment of a multiple biomarker panel for diagnosis of amyotrophic lateral sclerosis. BMC Neurol. 2016,16:173.

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How to order

This test panel is available worldwide for hospitals, clinics, and physicians.

  1. Print and complete the request form

    Download the request form. Clearly state the name and phone number of the referring hospital, clinic, or physician.
  2. Prepare your samples

    CSF: At least 2 tubes x 0.5 mL CSF (polypropylene tubes).
  3. Send samples and request form

    Within Sweden
    Send samples frozen to:
    Envelopes and smaller boxes:
    Wieslab AB, Box 50117, 20211 Malmö, Sweden

    Larger boxes and frozen samples:
    Wieslab AB, Lundavägen 151, 21224 Malmö, Sweden

    International
    Send samples frozen to:
    Wieslab AB, Lundavägen 151, 21224 Malmö, Sweden

Read our sampling instructions for more information

Last updated: 2025-08-18