Evidence map›Paper›PMID 34511123›Full record

ArticleJournal of neuroinflammation2021

Plasma neurofilament light chain level predicts outcomes in stroke patients receiving endovascular thrombectomy.

Chih-Hao Chen, Hai-Jui Chu, Yi-Ting Hwang, Yen-Heng Lin, Chung-Wei Lee, Sung-Chun Tang, Jiann-Shing Jeng

Open access · goldAbstract read
In one paragraph

Article in Journal of neuroinflammation, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 1 pooled it
2.6field-weighted citation impact, top 10% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

19 citing papers in PubMed, 1 synthesis or guideline pooled it, 28 citations in OpenAlex.

  1. Pooled it
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  5. Observational
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  9. Modified human mesenchymal stromal/stem cells restore cortical excitability after focal ischemic stroke in rats.Molecular therapy : the journal of the American Society of Gene Therapy · 2025
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  14. Quantification and prospective evaluation of serum NfL and GFAP as blood-derived biomarkers of outcome in acute ischemic stroke patients.Journal of cerebral blood flow and metabolism : official journal of the International Society of Cerebral Blood Flow and Metabolism · 2023
    Observational
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 3 institutions in 1 country.

Chih-Hao Chen *Department of Neurology, National Taiwan University Hospital, Taipei, Taiwan.
Hai-Jui Chu *Department of Neurology, National Taiwan University Hospital, Taipei, Taiwan.
Yi-Ting HwangDepartment of Statistics, National Taipei University, New Taipei City, Taiwan.
Yen-Heng LinDepartment of Medical Imaging, National Taiwan University Hospital, Taipei, Taiwan.
Chung-Wei LeeDepartment of Medical Imaging, National Taiwan University Hospital, Taipei, Taiwan. rad.chungweilee@gmail.com.
Sung-Chun TangDepartment of Neurology, National Taiwan University Hospital, Taipei, Taiwan. sctang@ntuh.gov.tw.ORCID http://orcid.org/0000-0003-3731-5973
Jiann-Shing JengDepartment of Neurology, National Taiwan University Hospital, Taipei, Taiwan.
National Taiwan University Hospital · TWEn Chu Kong Hospital · TWNational Taipei University · TW

Funding

National Taiwan University Hospital 108-S4251
6 · The paper itself

Abstract

backgroundTimely endovascular thrombectomy (EVT) significantly improves outcomes in patients with acute ischemic stroke (AIS) with large vessel occlusion type. However, whether certain central nervous system-specific plasma biomarkers correlate with the outcomes is unknown. We evaluated the temporal changes and prognostic roles of the levels of these biomarkers in patients with AIS undergoing EVT.

methodsWe enrolled 60 patients who received EVT for AIS and 14 controls. The levels of plasma biomarkers, namely neurofilament light chain (NfL), glial fibrillary astrocytic protein (GFAP), tau, and ubiquitin C-terminal hydrolase L1 (UCHL1), were measured with an ultrasensitive single molecule array before, immediately after, and 24 h after EVT (T1, T2, and T3, respectively). The outcomes of interest were death or disability at 90 days (defined as a modified Rankin Scale score of 3-6) and types of hemorrhagic transformation (hemorrhagic infarction or parenchymal hemorrhage).

resultsOf the 180 blood samples from the 60 patients who received EVT, the plasma NfL, GFAP, and UCHL1 levels at T1 were significantly higher than those of the controls, and the levels of all four biomarkers were significantly higher at T3. Patients with parenchymal hemorrhage had a significantly higher rate of increase in GFAP (P

conclusionAmong patients with AIS who received EVT, those with hemorrhagic transformation exhibited significant increase in plasma GFAP and UCHL1 levels over time. Higher plasma NfL were predictive of unfavorable functional outcomes.

Indexed as

Brain IschemiaEndovascular ProceduresIschemic StrokeStrokeHumansIntermediate FilamentsThrombectomyTreatment OutcomeBiomarkersHemorrhageIschemic strokeOutcomeThrombectomy

Identifiers

PMID34511123
PMCPMC8436486
OpenAlexW3201248331

What OpenQuestion holds

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LicenceCC BY
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.