Evidence map›Paper›PMID 37349878›Full record

ArticleJournal of the peripheral nervous system : JPNS2023

Serum neurofilament light chain measurements following nerve trauma.

Matthew Wilcox, Melissa L D Rayner, Owein Guillemot-Legris, Isobel Platt, Hazel Brown, Tom Quick, James B Phillips

Erratum issuedAbstract readCase Reports
In one paragraph

Article in Journal of the peripheral nervous system : JPNS, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

6 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
  4. Peripheral nerve repair: innovations and future directions.Journal of translational medicine · 2026
    Review
  5. Article
  6. Serum neurofilament light chain measurements following nerve trauma.Journal of the peripheral nervous system : JPNS · 2023
    Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

7 authors.

Matthew WilcoxUCL School of Pharmacy, University College London, London, UK.ORCID 0000-0001-5817-9072
Melissa L D RaynerUCL School of Pharmacy, University College London, London, UK.
Owein Guillemot-LegrisUCL School of Pharmacy, University College London, London, UK.
Isobel PlattUCL Medical School, University College London, London, UK.
Hazel BrownUCL School of Pharmacy, University College London, London, UK.
Tom QuickUCL Centre for Nerve Engineering, University College London, London, UK.
James B PhillipsUCL School of Pharmacy, University College London, London, UK.ORCID 0000-0001-8117-3074

Funding

Wellcome TrustWellcome Trust 57011
6 · The paper itself

Abstract

backgroundOptimal functional recovery following peripheral nerve injuries (PNIs) is dependent upon early recognition and prompt referral to specialist centres for appropriate surgical intervention. Technologies which facilitate the early detection of PNI would allow faster referral rates and encourage improvements in patient outcomes. Serum Neurofilament light chain (NfL) measurements are cheaper to perform, easier to access and interpret than many conventional methods used for nerve injury diagnosis, such as electromyography and/or magnetic resonance imaging assessments, but changes in serum NfL levels following traumatic PNI have not been investigated. This pre-clinical study aimed to determine whether serum NfL levels can: (1) detect the presence of a nerve trauma and (2) delineate between different severities of nerve trauma.

methodsA rat sciatic nerve crush and common peroneal nerve crush were implemented as controlled animal models of nerve injury. At 1-, 3-, 7- and 21-days post-injury, serum samples were retrieved for analysis using the SIMOA® NfL analyser kit. Nerve samples were also retrieved for histological analysis. Static sciatic index (SSI) was measured at regular time intervals following injury.

resultsSignificant 45-fold and 20-fold increases in NfL serum levels were seen 1-day post-injury following sciatic and common peroneal nerve injury, respectively. This corresponded with an eightfold higher volume of axons injured in the sciatic compared to the common peroneal nerve (p < .001). SSI measurements post-injury revealed greater reduction in function in the sciatic crush group compared with the common peroneal crush group.

conclusionsNfL serum measurements represent a promising method for detecting traumatic PNI and stratifying their severity. Clinical translation of these findings could provide a powerful tool to improve the surgical management of nerve-injured patients.

Indexed as

Intermediate FilamentsPeripheral Nerve InjuriesAnimalsAxonsNerve RegenerationRatsRecovery of FunctionSciatic Nervebiomarkerdiagnosisnerve crushnerve injuryserum

Identifiers

PMID37349878
PMCPMC10659102

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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.