Serum adropin levels in patients with acute ischemic stroke

Stroke is one of the principal diseases leading to death and permanent disability worldwide. One of the main causes of stroke is atherosclerosis. A decrease in Adropin levels has been identified as an independent predictor of atherosclerosis development. The purpose of this study was to determine serum Adropin levels in patients with acute ischemic stroke (AIS) and to investigate the relation between Adropin levels and stroke. Fifty-nine patients presenting to the emergency department with symptoms of stroke and diagnosed with AIS, and 51 healthy individuals representing the control group, were included in the study. Patient and control group demographic data and clinical characteristics were recorded. Serum Adropin levels were studied in blood specimens collected from both groups. The results were then compared. Patient group serum Adropin levels were significantly lower than those of the control group (2.16±0.76, and 2.72±1.01, respectively p=0.002). Multivariate logistic regression analysis identified a low serum Adropin level as an independent predictor of stroke (OR=0.420, 95% Cl=0.221-0.801, p=0.008). We also determined significant inverse correlation between serum Adropin levels and glucose levels (r= -0.345, p=0.013). Our study suggested that, low serum Adropin levels are associated with AIS. Adropin may be used as a screening tool for AIS

___

1. Khoshnam SE, Winlow W, Farzaneh M, et al. Pathogenic mechanisms following ischemic stroke. Neurol Sci. 2017;38:1167-86

2. Hui C, Tadi P, Patti L. Ischemic Stroke. Updated 2019 Mar 19. In: StatPearls Internet. Treasure Island (FL): StatPearls Publishing; 2019 Jan.

3. XH Yu, K Qian, N Jiang, et al. ABCG5/ABCG8 in cholesterol excretion and atherosclerosis. Clin Chim Acta 2014;428:82-8.

4. Titov BV, Matveeva NA, Martynov MY, et al. Ischemic stroke as a complex polygenic disease. Mol Biol (Mosk). 2015;49:224-48.

5. Manzano JJ, De Silva DA, Pascual JL, et al. Associations of ankle-brachial index (ABI) with cerebral arterial disease and vascular events following ischemic stroke. Atherosclerosis. 2012;223:219–22.

6. Kumar KG, Trevaskis JL, Lam DD, et al. Identification of adropin as a secreted factor linking dietary macronutrient intake with energy homeostasis and lipid metabolism. Cell Metab. 2008;8:468–81.

7. Lovren F, Pan Y, Quan A, et al. Adropin is a novel regulator of endothelial function. Circulation. 2010;122:185–92.

8. Kathir K, Adams MR. Endothelial dysfunction as a predictor of acute coronary syndromes. Semin Vasc Med. 2003;3:355–62.

9. Wu L, Fang J, Chen L, et al. Low serum adropin is associated with coronary atherosclerosis in type 2 diabetic and non-diabetic patients. Clin Chem Lab Med. 2014;52:751–8.

10. Yu HY, Zhao P, Wu MC, et al. Serum adropin levels are decreased in patients with acute myocardial infarction. Regul Pept. 2014;190-191:46-9.

11. Ertem AG, Ünal S, Efe TH, et al. Association between serum adropin level and burden of coronary artery disease in patients with non-ST elevation myocardial infarction. Anatol J Cardiol. 2017;17:119-124.

12. Shahjouei S, Ansari S, Pourmotabbed T, et al. Potential roles of adropin in central nervous system: review of current literature. Front Mol Biosci. 2016;3:25.

13. Alp NJ, Channon KM. Regulation of endothelial nitric oxide synthase by tetrahydrobiopterin in vascular disease. Arterioscler Thromb Vasc Biol. 2004;24:413–20.

14. Zhao LP, You T, Chan SP, et al. Adropin is associated with hyperhomocysteine and coronary atherosclerosis. Exp Ther Med. 2016;11:1065-70

15. Yang C, DeMars KM, Hawkins KE, et al. Adropin reduces paracellular permeability of rat brain endothelial cells exposed to ischemia-like conditions. Peptides. 2016;81:29-37.

16. Szewczak K, Niespialowska M, Solarska BJ, et al. Prospective of ischemic stroke biomarkers. Curr Issues Pharm Med Sci. 2017;30:69-74.

17. Monbailliu T, Goossens J, Hachimi-Idrissi S. Blood protein biomarkers as diagnostic tool for ischemic stroke: a systematic review. Biomark Med. 2017;11:503-12.

18. Aydin S. Three new players in energy regulation: preptin, adropin and irisin. Peptides. 2014;56:94–110.

19. Butler AA, Tam CS, Stanhope KL, et al. Low circulating adropin concentrations with obesity and aging correlate with risk factors for metabolic disease and increase after gastric bypass surgery in humans. J Clin Endocrinol Metab. 2012;97:3783–91.

20. Lian W, Gu X, Qin Y, et al. Elevated plasma levels of adropin in heart failure patients. Intern Med. 2011;50:1523–7.
Medicine Science-Cover
  • ISSN: 2147-0634
  • Yayın Aralığı: 4
  • Başlangıç: 2012
  • Yayıncı: Effect Publishing Agency ( EPA )
Sayıdaki Diğer Makaleler

The evaluation of the effect of coronary collateral formation on left ventricular function by using strain echocardiography

Nuray Kahraman AY, Cihan OREM

Postural stability and the relationship with enthesitis in ankylosing spondylitis:A cross-sectional study

Sena TOLU, Nurbanu HİNDİOGLU, İbrahim Ethem KİRAZ, Merve Calkin KORKMAZ

Diffusion weighted magnetic resonance imaging in differentiation of small focal liver lesions (≤ 10 mm) detected in patients with extrahepatic primary malignancy

Ahmet SOYUCOK, Kerim ASLAN, Murat DANACI, Ilkay CAMLİDAG

Migrated thrombus extending from right atrium to left atrium through patent foramen ovale: Two case reports

Ozcan ORSCELİK, Emre Ertan SAHİN, Emrah YESİL, Bugra OZKAN, Hakan UYAR, Dilek Cicek YİLMAZ, İsmail Turkay OZCAN

Posterior fossa emissary venous canal prevelance and visibility on standart computed tomography

Pinar Gulmez CAKMAK, Duygu EREK, Furkan UFUK, Ergin SAGTAS, Muhammet ARSLAN

In vitro investigation of anti-cancer activity of propolis on hepatocellular carcinoma cells

Kurtulus GOKDUMAN

Can neutrophil-lymphocyte, platelet-lymphocyte ratio and mean platelet volume be marker in tonsil hemorrhage?

Erkan YİLDİZ, Orhan Kemal KAHVECİ, Sahin ULU, Halit Bugra KOCA

Successful use of spinal anesthesia for incarcerated inguinal hernia repair in a patient with Hunter syndrome

Neslihan ALTUNKAYA, Duygu Demiroz ASLAN

Our laparoscopic gynecological surgery experience through a single incision

Görker SEL

Clinical features and responses to eculizumab of paroxysmal nocturnal hemoglobinuria patients: A single-center experience

Omer EKİNCİ, Sinan DEMİRCİOGLU, Gulcin Miyase SONMEZ, Cengiz DEMİR