Evidence map›Paper›PMID 41635479›Full record

ArticlePain reports2026

Serum tumor necrosis factor-α levels in migraine: a registry for migraine (REFORM) study.

Betel Tesfay, William K Karlsson, Håkan Ashina, Rune H Christensen, Haidar M Al-Khazali, Dorte A Olsen, Jonna S Madsen, Messoud Ashina

Abstract read
In one paragraph

Article in Pain reports, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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.

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

1 citing paper in PubMed.

  1. Observational
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

8 authors.

Betel TesfayDepartment of Neurology, Danish Headache Center, Copenhagen University Hospital-Rigshospitalet, Copenhagen, Denmark.ORCID https://orcid.org/0009-0006-3251-9052
William K KarlssonDepartment of Neurology, Danish Headache Center, Copenhagen University Hospital-Rigshospitalet, Copenhagen, Denmark.
Håkan AshinaDepartment of Neurology, Danish Headache Center, Copenhagen University Hospital-Rigshospitalet, Copenhagen, Denmark.
Rune H ChristensenDepartment of Neurology, Danish Headache Center, Copenhagen University Hospital-Rigshospitalet, Copenhagen, Denmark.
Haidar M Al-KhazaliDepartment of Neurology, Danish Headache Center, Copenhagen University Hospital-Rigshospitalet, Copenhagen, Denmark.
Dorte A OlsenDepartment of Biochemistry and Immunology, Lillebaelt Hospital, University Hospital of Southern Denmark, Vejle, Denmark.
Jonna S MadsenDepartment of Biochemistry and Immunology, Lillebaelt Hospital, University Hospital of Southern Denmark, Vejle, Denmark.
Messoud AshinaDepartment of Neurology, Danish Headache Center, Copenhagen University Hospital-Rigshospitalet, Copenhagen, Denmark.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: Tumor necrosis factor alpha (TNF-α) has been implicated in neurobiologic mechanisms of migraine, yet its role across migraine subtypes remains insufficiently characterized. Objectives: To compare serum TNF-α levels in adults with migraine, including specific subgroups, and healthy controls (HCs). Methods: In this cross-sectional, single-center study, adults diagnosed with migraine and sex-matched HCs were enrolled. Blood was drawn once from the antecubital vein, and serum TNF-α concentrations were measured using an ultrasensitive immunoassay. The primary outcome was the difference in TNF-α levels between all participants with migraine and HCs. Secondary outcomes included comparisons across migraine subgroups by aura (with vs without aura), chronicity (episodic vs chronic), and headache status at sampling (ictal vs interictal), as well as between each subgroup and HCs. Analysis of covariance models were adjusted for age, sex, body mass index, smoking, and other potential confounders. Results: In total, 633 participants with migraine and 154 sex-matched HCs provided eligible samples. No significant difference in serum TNF-α levels was observed between the overall migraine group and HCs ( Conclusions: Elevated TNF-α levels in migraine with aura suggest an inflammatory component unique to this subtype. These findings support the hypothesis that migraine aura might be linked to a persistent, low-grade inflammatory process.

Indexed as

CytokinesInflammationMigraineMigraine with auraTumor necrosis factor-α

Identifiers

PMID41635479
PMCPMC12863914

What Socratic holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

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 Socratic graph.