偏头痛患者血清GFAP和NfL水平:一项偏头痛登记(REFORM)研究。

IF 4.6 2区 医学 Q1 CLINICAL NEUROLOGY
Cephalalgia Pub Date : 2025-05-01 Epub Date: 2025-05-23 DOI:10.1177/03331024251338178
Emil Gozalov, William K Karlsson, Rune H Christensen, Haidar M Al-Khazali, Malene B Hansen, Dorte A Olsen, Helle B Søndergaard, Finn Sellebjerg, Jonna S Madsen, Messoud Ashina, Håkan Ashina
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引用次数: 0

摘要

目的探讨成人偏头痛患者血清胶质原纤维酸性蛋白(GFAP)和神经丝轻链(NfL)浓度与健康对照组的差异。方法本研究于2020年9月至2022年6月进行单中心横断面研究。被诊断为偏头痛的成年人和健康对照组被纳入研究。采用超灵敏单分子阵列平台定量血清GFAP和NfL浓度。分析对潜在的混杂因素进行了调整,包括年龄、性别、体重指数和吸烟状况。结果:我们评估了603名偏头痛患者和154名对照组的血清样本。总体偏头痛组的血清GFAP浓度比对照组高6.8%(95%可信区间= 0.4-13.5%;p = 0.036)。相反,血清NfL浓度在偏头痛患者和对照组之间没有差异(差异:-1.4%;95%置信区间= -7.9 ~ 5.6%;p = 0.68)。血清GFAP和NfL浓度都不会因偏头痛亚型或采血时的头痛状态而变化。结论:我们的研究结果表明,成人偏头痛患者血清GFAP有适度但具有统计学意义的增加,与偏头痛亚型无关,而血清NfL水平与对照组相当。需要进一步的研究来阐明偏头痛患者血清GFAP升高的神经生物学机制。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Serum GFAP and NfL levels in migraine: A registry for migraine (REFORM) study.

ObjectiveTo determine whether serum glial fibrillary acidic protein (GFAP) and neurofilament light chain (NfL) concentrations differ between adults with migraine and healthy controls.MethodsThis single-center, cross-sectional study was conducted from September 2020 to June 2022. Adults diagnosed with migraine and healthy controls were enrolled. Serum GFAP and NfL concentrations were quantified using an ultra-sensitive single-molecule array platform. Analyses were adjusted for potential confounders, including age, sex, body mass index and smoking status.ResultsWe assessed serum samples from 603 participants with migraine and 154 controls. Serum GFAP concentrations were 6.8% higher in the overall migraine group compared to controls (95% confidence interval = 0.4-13.5%; P = 0.036). Conversely, serum NfL concentrations did not differ between participants with migraine and controls (difference: -1.4%; 95% confidence interval = -7.9 to 5.6%; p = 0.68). Neither serum GFAP, nor NfL concentrations varied according to migraine subtype or headache status at the time of blood sampling.ConclusionsOur findings demonstrate a modest yet statistically significant increase in serum GFAP among adults with migraine, independent of migraine subtype, whereas serum NfL levels were comparable to those of controls. Further research is needed to clarify the neurobiological mechanisms underlying elevated serum GFAP in migraine.

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来源期刊
Cephalalgia
Cephalalgia 医学-临床神经学
CiteScore
10.10
自引率
6.10%
发文量
108
审稿时长
4-8 weeks
期刊介绍: Cephalalgia contains original peer reviewed papers on all aspects of headache. The journal provides an international forum for original research papers, review articles and short communications. Published monthly on behalf of the International Headache Society, Cephalalgia''s rapid review averages 5 ½ weeks from author submission to first decision.
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