Neurofilament light chain dynamics following ischemic stroke and their modulation by transauricular vagus nerve stimulation.
Gansheng Tan, Osvaldo J Laurido-Soto, Anna Huguenard et al.
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In 30 seconds
This randomized controlled trial examined the dynamics of plasma neurofilament light chain (NfL) in 35 patients after acute ischemic stroke (AIS) and the effects of transauricular vagus nerve stimulation (taVNS). Results indicated that NfL levels increased post-stroke, with higher levels correlating with poorer outcomes. Notably, taVNS was associated with significantly lower NfL levels on Days 3 and 5 compared to sham stimulation.
Key findings
- NfL levels increased during the acute and early subacute periods after AIS.
- Higher NfL levels predicted poorer modified Rankin Scale scores at day 90.
- taVNS was associated with significantly lower NfL levels on Days 3 and 5 compared to sham stimulation.
Why it matters
Understanding the dynamics of NfL as a biomarker for neuroaxonal damage can help clinicians assess long-term recovery in AIS patients. The potential modulation of NfL levels by taVNS may offer insights into new therapeutic strategies to mitigate neuronal injury.