Evidence map›Paper›PMID 42675092›Full record

Trial reportScientific reports2026

Neurofilament light chain dynamics following ischemic stroke and their modulation by transauricular vagus nerve stimulation.

Gansheng Tan, Osvaldo J Laurido-Soto, Anna Huguenard, Rajat Dhar, Jin-Moo Lee, Eric Leuthardt

Registry-linked trialAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Scientific reports, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05390580 (Neuromodulation Using Vagus Nerve Stimulation Following Ischemic Stroke as Therapeutic Adjunct), which is not on this map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–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.

NCT05390580 nacompletednot on this map

Neuromodulation Using Vagus Nerve Stimulation Following Ischemic Stroke as Therapeutic Adjunct

TypeinterventionalSponsorWashington University School of MedicineRan2022 to 2024Enrolled40ConditionsAcute Ischemic StrokeArmstranscutaneous auricular vagal nerve stimulation, Sham transcutaneous vagal nerve stimulation
3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

6 authors.

Gansheng TanDepartment of Biomedical Engineering, Washington University in St. Louis, St. Louis, MO, USA.
Osvaldo J Laurido-SotoDepartment of Neurology, Washington University School of Medicine in St. Louis, St. Louis, MO, USA.
Anna HuguenardDepartment of Neurosurgery, Washington University School of Medicine in St. Louis, St. Louis, MO, USA.
Rajat DharDepartment of Neurology, Washington University School of Medicine in St. Louis, St. Louis, MO, USA.
Jin-Moo LeeDepartment of Biomedical Engineering, Washington University in St. Louis, St. Louis, MO, USA. leejm@wustl.edu.
Eric LeuthardtDepartment of Biomedical Engineering, Washington University in St. Louis, St. Louis, MO, USA. leuthardte@wustl.edu.

Funding

WU INSTITUTE OF CLINICAL AND TRANSLATIONAL SCIENCESUL1TR002345 · NCATS · WASHINGTON UNIVERSITY · PI William G. Powderly · 2017 to 2026
$97.8M
Genetic Architecture of Cerebral Edema after StrokeR01NS121218 · NINDS · WASHINGTON UNIVERSITY · PI Rajat Raj Dhar · 2022 to 2026
$1.9M
Transcriptomics of Stroke Thrombus to Determine Stroke Etiology and Response to Revascularization TherapiesK23NS136843 · NINDS · YALE UNIVERSITY · PI James Anthony Giles · 2025 to 2026
$462k
NCATS NIH HHS UL1 TR002345NIH HHS UL1TR002345NINDS NIH HHS K23 NS136843NINDS NIH HHS K23NS136843NINDS NIH HHS R01 NS121218NINDS NIH HHS R01NS121218
6 · The paper itself

Abstract

Ischemic stroke is a leading cause of death and disability worldwide. Although advances in interventions for acute ischemic stroke (AIS) restore blood flow to ischemic tissue, neuronal injury continues to evolve following recanalization. There is a critical need to develop interventions that can attenuate this progressive injury. This study investigated plasma neurofilament light chain (NfL) as a marker of neuroaxonal damage after AIS. In a prospective, randomized, open-label, blinded-endpoint, sham-controlled trial, 35 AIS patients received twice-daily taVNS or sham stimulation for five days or until discharge. We measured NfL at four time points after last known normal (LKN): Days 0 (within 24 h), 1, 3, and 5. We evaluated whether transauricular vagus nerve stimulation (taVNS) modulates its dynamics after AIS. Plasma NfL level continued to increase during the acute and early subacute periods following AIS. Higher NfL levels predicted poorer modified Rankin Scale scores at day 90. We identified factors that affect NfL levels, including imaging-based measures of cerebral edema and infarct volume, race, IL-10 at admission, and thrombolytic treatment. After regressing NfL on the identified factors, treatment assignment was not significantly associated with overall NfL levels. Nevertheless, NfL-trajectory modeling suggested that taVNS was associated with a less pronounced rise in NfL after AIS and with significantly lower NfL levels on Days 3 and 5 after LKN, compared with sham stimulation. Our findings inform the clinical use of NfL as a biomarker of long-term functional recovery after AIS and warrant evaluation in larger and longer trials to determine whether taVNS can meaningfully mitigate neuroaxonal injury after AIS.Trial registration: NCT05390580, https://clinicaltrials.gov/study/NCT05390580-Study started/registered: 26/09/2022.

Indexed as

Brain IschemiaIschemic StrokeNeurofilament ProteinsVagus Nerve StimulationAgedBiomarkersFemaleHumansMaleMiddle AgedProspective StudiesBiomarkersneurofilament protein LNeurofilament ProteinsAcute ischemic strokeNeurofilament light chainTransauricular vagus nerve stimulation

Identifiers

PMID42675092
PMCPMC13529784

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Registered trials

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.