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Plasma nerve growth factor level is associated with functional outcome after ischemic stroke
Yiming Jia1, Lulu Sun2, Mengyao Shi2
1Suzhou Vocational Health College, Suzhou, Jiangsu, China; Department of Epidemiology, School of Public Health, Jiangsu Key Laboratory of Preventive and Translational Medicine for Major Chronic Non-communicable Diseases, MOE Key Laboratory of Geriatric Diseases and Immunology, Suzhou Medical College of Soochow University, Suzhou, Jiangsu, China.
High plasma nerve growth factor (NGF) levels within 48 hours of ischemic stroke indicate a higher risk of poor functional outcomes one year later. This suggests NGF may serve as a key prognostic biomarker for stroke recovery.
Area of Science:
- Neuroscience
- Biomarkers
- Stroke Research
Background:
- Nerve growth factor (NGF) influences neurogenesis, neuroplasticity, and neuroinflammation.
- The prognostic role of NGF in ischemic stroke outcomes is not well-established.
Purpose of the Study:
- To investigate the association between plasma NGF levels and functional outcomes following ischemic stroke.
- To determine if NGF can serve as a prognostic biomarker for ischemic stroke.
Main Methods:
- Plasma NGF levels were measured in 3527 ischemic stroke patients within 48 hours of symptom onset.
- Patients were followed for one year to assess poor functional outcome (death or major disability, mRS 3-6).
- Multivariate logistic regression and restricted cubic splines analyzed the relationship between NGF levels and outcomes.
Main Results:
- Elevated plasma NGF levels were significantly associated with an increased risk of poor functional outcome at one year.
- Each standard deviation increase in NGF was linked to an 11% higher risk of poor outcomes.
- A positive linear relationship was observed between plasma NGF and the risk of poor functional outcome.
Conclusions:
- High plasma NGF levels within 48 hours post-stroke are linked to poorer functional outcomes at one year.
- Plasma NGF shows potential as a prognostic biomarker for ischemic stroke.
- Further validation in diverse patient cohorts is recommended.
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