Serum neurofilament light chain levels in migraine patients: a monocentric case–control study in China

Abstract Purpose Serum neurofilament light chain (sNfL) can reflect nerve damage. Whether migraine can cause neurological damage remain unclear. This study assesses sNfL levels in migraine patients and explores whether there is nerve damage in migraine. Methods A case–control study was conducted in...

Full description

Bibliographic Details
Main Authors: Jie Fang, Jielong Wu, Tengkun Zhang, Xiaodong Yuan, Jiedong Zhao, Liangcheng Zheng, Ganji Hong, Lu Yu, Qing Lin, Xingkai An, Chuya Jing, Qiuhong Zhang, Chen Wang, Zhanxiang Wang, Qilin Ma
Format: Article
Language:English
Published: BMC 2023-11-01
Series:The Journal of Headache and Pain
Subjects:
Online Access:https://doi.org/10.1186/s10194-023-01674-2
_version_ 1797630123264966656
author Jie Fang
Jielong Wu
Tengkun Zhang
Xiaodong Yuan
Jiedong Zhao
Liangcheng Zheng
Ganji Hong
Lu Yu
Qing Lin
Xingkai An
Chuya Jing
Qiuhong Zhang
Chen Wang
Zhanxiang Wang
Qilin Ma
author_facet Jie Fang
Jielong Wu
Tengkun Zhang
Xiaodong Yuan
Jiedong Zhao
Liangcheng Zheng
Ganji Hong
Lu Yu
Qing Lin
Xingkai An
Chuya Jing
Qiuhong Zhang
Chen Wang
Zhanxiang Wang
Qilin Ma
author_sort Jie Fang
collection DOAJ
description Abstract Purpose Serum neurofilament light chain (sNfL) can reflect nerve damage. Whether migraine can cause neurological damage remain unclear. This study assesses sNfL levels in migraine patients and explores whether there is nerve damage in migraine. Methods A case–control study was conducted in Xiamen, China. A total of 138 migraine patients and 70 healthy controls were recruited. sNfL (pg/mL) was measured on the single-molecule array platform. Univariate, Pearson correlation and linear regression analysis were used to assess the relationship between migraine and sNfL levels, with further subgroup analysis by migraine characteristics. Results Overall, 85.10% of the 208 subjects were female, with a median age of 36 years. sNfL levels were higher in the migraine group than in the control group (4.85 (3.49, 6.62) vs. 4.11 (3.22, 5.59)), but the difference was not significant (P = 0.133). The two groups showed an almost consistent trend in which sNfL levels increased significantly with age. Subgroup analysis showed a significant increase in sNfL levels in patients with a migraine course ≥ 10 years (β = 0.693 (0.168, 1.220), P = 0.010). Regression analysis results show that age and migraine course are independent risk factors for elevated sNfL levels, and there is an interaction between the two factors. Patients aged < 45 years and with a migraine course ≥ 10 years have significantly increased sNfL levels. Conclusions This is the first study to evaluate sNfL levels in migraine patients. The sNfL levels significantly increased in patients with a migraine course ≥ 10 years. More attention to nerve damage in young patients with a long course of migraine is required.
first_indexed 2024-03-11T11:02:27Z
format Article
id doaj.art-abdec2402243405b8e7ea24e7cf94023
institution Directory Open Access Journal
issn 1129-2377
language English
last_indexed 2024-03-11T11:02:27Z
publishDate 2023-11-01
publisher BMC
record_format Article
series The Journal of Headache and Pain
spelling doaj.art-abdec2402243405b8e7ea24e7cf940232023-11-12T12:24:53ZengBMCThe Journal of Headache and Pain1129-23772023-11-012411910.1186/s10194-023-01674-2Serum neurofilament light chain levels in migraine patients: a monocentric case–control study in ChinaJie Fang0Jielong Wu1Tengkun Zhang2Xiaodong Yuan3Jiedong Zhao4Liangcheng Zheng5Ganji Hong6Lu Yu7Qing Lin8Xingkai An9Chuya Jing10Qiuhong Zhang11Chen Wang12Zhanxiang Wang13Qilin Ma14Department of Neurology and Department of Neuroscience, The First Affiliated Hospital of Xiamen University, School of Medicine, Xiamen UniversityDepartment of Neurology and Department of Neuroscience, The First Affiliated Hospital of Xiamen University, School of Medicine, Xiamen UniversityDepartment of Neurology, The Fifth Hospital of XiamenDepartment of Gynecology, Xiamen Maternal and Child Health Care HospitalThe School of Clinical Medicine, Fujian Medical UniversityDepartment of Neurology and Department of Neuroscience, The First Affiliated Hospital of Xiamen University, School of Medicine, Xiamen UniversityCerebrovascular Interventional Department, Zhangzhou Hospital of Fujian ProvinceDepartment of Neurology, Changxing People’s HospitalDepartment of Neurology and Department of Neuroscience, The First Affiliated Hospital of Xiamen University, School of Medicine, Xiamen UniversityDepartment of Neurology and Department of Neuroscience, The First Affiliated Hospital of Xiamen University, School of Medicine, Xiamen UniversityDepartment of Neurology and Department of Neuroscience, The First Affiliated Hospital of Xiamen University, School of Medicine, Xiamen UniversityDepartment of Neurology and Department of Neuroscience, The First Affiliated Hospital of Xiamen University, School of Medicine, Xiamen UniversityDepartment of Neurology and Department of Neuroscience, The First Affiliated Hospital of Xiamen University, School of Medicine, Xiamen UniversityThe School of Clinical Medicine, Fujian Medical UniversityDepartment of Neurology and Department of Neuroscience, The First Affiliated Hospital of Xiamen University, School of Medicine, Xiamen UniversityAbstract Purpose Serum neurofilament light chain (sNfL) can reflect nerve damage. Whether migraine can cause neurological damage remain unclear. This study assesses sNfL levels in migraine patients and explores whether there is nerve damage in migraine. Methods A case–control study was conducted in Xiamen, China. A total of 138 migraine patients and 70 healthy controls were recruited. sNfL (pg/mL) was measured on the single-molecule array platform. Univariate, Pearson correlation and linear regression analysis were used to assess the relationship between migraine and sNfL levels, with further subgroup analysis by migraine characteristics. Results Overall, 85.10% of the 208 subjects were female, with a median age of 36 years. sNfL levels were higher in the migraine group than in the control group (4.85 (3.49, 6.62) vs. 4.11 (3.22, 5.59)), but the difference was not significant (P = 0.133). The two groups showed an almost consistent trend in which sNfL levels increased significantly with age. Subgroup analysis showed a significant increase in sNfL levels in patients with a migraine course ≥ 10 years (β = 0.693 (0.168, 1.220), P = 0.010). Regression analysis results show that age and migraine course are independent risk factors for elevated sNfL levels, and there is an interaction between the two factors. Patients aged < 45 years and with a migraine course ≥ 10 years have significantly increased sNfL levels. Conclusions This is the first study to evaluate sNfL levels in migraine patients. The sNfL levels significantly increased in patients with a migraine course ≥ 10 years. More attention to nerve damage in young patients with a long course of migraine is required.https://doi.org/10.1186/s10194-023-01674-2Serum neurofilament light chainMigraineMigraine disease courseNeurological damage
spellingShingle Jie Fang
Jielong Wu
Tengkun Zhang
Xiaodong Yuan
Jiedong Zhao
Liangcheng Zheng
Ganji Hong
Lu Yu
Qing Lin
Xingkai An
Chuya Jing
Qiuhong Zhang
Chen Wang
Zhanxiang Wang
Qilin Ma
Serum neurofilament light chain levels in migraine patients: a monocentric case–control study in China
The Journal of Headache and Pain
Serum neurofilament light chain
Migraine
Migraine disease course
Neurological damage
title Serum neurofilament light chain levels in migraine patients: a monocentric case–control study in China
title_full Serum neurofilament light chain levels in migraine patients: a monocentric case–control study in China
title_fullStr Serum neurofilament light chain levels in migraine patients: a monocentric case–control study in China
title_full_unstemmed Serum neurofilament light chain levels in migraine patients: a monocentric case–control study in China
title_short Serum neurofilament light chain levels in migraine patients: a monocentric case–control study in China
title_sort serum neurofilament light chain levels in migraine patients a monocentric case control study in china
topic Serum neurofilament light chain
Migraine
Migraine disease course
Neurological damage
url https://doi.org/10.1186/s10194-023-01674-2
work_keys_str_mv AT jiefang serumneurofilamentlightchainlevelsinmigrainepatientsamonocentriccasecontrolstudyinchina
AT jielongwu serumneurofilamentlightchainlevelsinmigrainepatientsamonocentriccasecontrolstudyinchina
AT tengkunzhang serumneurofilamentlightchainlevelsinmigrainepatientsamonocentriccasecontrolstudyinchina
AT xiaodongyuan serumneurofilamentlightchainlevelsinmigrainepatientsamonocentriccasecontrolstudyinchina
AT jiedongzhao serumneurofilamentlightchainlevelsinmigrainepatientsamonocentriccasecontrolstudyinchina
AT liangchengzheng serumneurofilamentlightchainlevelsinmigrainepatientsamonocentriccasecontrolstudyinchina
AT ganjihong serumneurofilamentlightchainlevelsinmigrainepatientsamonocentriccasecontrolstudyinchina
AT luyu serumneurofilamentlightchainlevelsinmigrainepatientsamonocentriccasecontrolstudyinchina
AT qinglin serumneurofilamentlightchainlevelsinmigrainepatientsamonocentriccasecontrolstudyinchina
AT xingkaian serumneurofilamentlightchainlevelsinmigrainepatientsamonocentriccasecontrolstudyinchina
AT chuyajing serumneurofilamentlightchainlevelsinmigrainepatientsamonocentriccasecontrolstudyinchina
AT qiuhongzhang serumneurofilamentlightchainlevelsinmigrainepatientsamonocentriccasecontrolstudyinchina
AT chenwang serumneurofilamentlightchainlevelsinmigrainepatientsamonocentriccasecontrolstudyinchina
AT zhanxiangwang serumneurofilamentlightchainlevelsinmigrainepatientsamonocentriccasecontrolstudyinchina
AT qilinma serumneurofilamentlightchainlevelsinmigrainepatientsamonocentriccasecontrolstudyinchina