Serum amyloid A, fetuin-A, and pentraxin-3 levels in patients with ischemic stroke: novel prognostic biomarkers?

Inflammation plays an important role in acute ischemic stroke. In this study we aimed to investigate the relationship between acute ischemic stroke and serum amyloid A, fetuin-A, and pentraxin-3 which are inflammation markers. Materials and methods: We enrolled 52 patients with acute ischemic stroke and 30 sex-matched control subjects in the study. The patients were followed for 3 months. We evaluated the common risk factors, laboratory variables, and neurological examination of stroke patients according to prognosis scales. Results: The median serum amyloid A, fetuin-A, and pentraxin-3 levels in the stroke patients were higher than in control subjects (respectively, P = 0.000, P = 0.002, and P = 0.037). National Institutes of Health Stroke Scale scores, glucose, C-reactive protein, fibrinogen, and white blood cell count showed differences within the group in terms of the serum amyloid A tertiles statistically. Conclusion: Pentraxin-3, fetuin-A, and serum amyloid A all arise together as novel prognostic factors in a group of patients with ischemic stroke. Relationships between higher levels of inflammation markers, especially serum amyloid A, and the severity of acute ischemic stroke were shown.

Serum amyloid A, fetuin-A, and pentraxin-3 levels in patients with ischemic stroke: novel prognostic biomarkers?

Inflammation plays an important role in acute ischemic stroke. In this study we aimed to investigate the relationship between acute ischemic stroke and serum amyloid A, fetuin-A, and pentraxin-3 which are inflammation markers. Materials and methods: We enrolled 52 patients with acute ischemic stroke and 30 sex-matched control subjects in the study. The patients were followed for 3 months. We evaluated the common risk factors, laboratory variables, and neurological examination of stroke patients according to prognosis scales. Results: The median serum amyloid A, fetuin-A, and pentraxin-3 levels in the stroke patients were higher than in control subjects (respectively, P = 0.000, P = 0.002, and P = 0.037). National Institutes of Health Stroke Scale scores, glucose, C-reactive protein, fibrinogen, and white blood cell count showed differences within the group in terms of the serum amyloid A tertiles statistically. Conclusion: Pentraxin-3, fetuin-A, and serum amyloid A all arise together as novel prognostic factors in a group of patients with ischemic stroke. Relationships between higher levels of inflammation markers, especially serum amyloid A, and the severity of acute ischemic stroke were shown.

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  • Ormstad H, Aass HCD, Lund-Sİrensen N, Amthor KF, Sandvik L. Serum levels of cytokines and C-reactive protein in acute ischemic stroke patients, and their relationship to stroke lateralization, type, and infarct volume. J Neurol 2011; 258: 677–685.
  • den Hertog HM, van den Herik EG, Dippel DW, Koudstaal PJ, de Maat MP. Variation in the C-reactive protein gene is associated with serum levels of CRP in patients with acute ischemic stroke. Cerebrovasc Dis 2010; 29: 372–375.
  • Song IU, Kim JS, Kim YI, Lee KS, Jeong DS, Chung SW. Relationship between high-sensitivity C-reactive protein and clinical functional outcome after acute ischemic stroke in a Korean population. Cerebrovasc Dis 2009; 28: 545–550.
  • Tuttolomondo A, Di Raimondo D, Di Sciacca R, Casuccio A, Bivona G, Bellia C, Barreca L, Serio A, D’Aguanno G, Ciaccio M et al. Fetuin-A and CD40 L plasma levels in acute ischemic stroke: differences in relation to TOAST subtype and correlation with clinical and laboratory variables. Atherosclerosis 2010; 208: 290–296.
  • Brea D, Sobrino T, Blanco M, Fraga M, Agulla J, Rodríguez- Yáñez M, Rodríguez-González R, Pérez de la Ossa N, Leira R, Forteza J et al. Usefulness of haptoglobin and serum amyloid A proteins as biomarkers for atherothrombotic ischemic stroke diagnosis confirmation. Atherosclerosis 2009; 205: 561–567.
  • Uhlar CM, Whitehead AS. Serum amyloid A, the major vertebrate acute-phase reactant. Eur J Biochem 1999; 265: 501–523.
  • Johnson BD,  Kip KE,  Marroquin OC,  Ridker PM,  Kelsey SF, Shaw LJ, Pepine CJ, Sharaf B, Bairey Merz CN, Sopko G et al. Serum amyloid A as a predictor of coronary artery disease and cardiovascular outcome in women: the National Heart, Lung, and Blood Institute-Sponsored Women’s Ischemia Syndrome Evaluation (WISE). Circulation 2004; 109: 726–732.
  • Idicula TT, Waje-Andreassen U, Brogger J, Naess H, Thomassen L. Serum albumin in ischemic stroke patients: the higher the better. Cerebrovasc Dis 2009; 28: 13–17.
  • Chen PH, Gao S, Wang YJ, Xu AD, Li YS, Wang D. Classifying ischemic stroke, from  TOAST  to CISS. CNS Neurosci Ther 2012; 18: 452–456.
  • Sunnerhagen KS,  Olver J,  Francisco GE. Assessing and treating functional impairment in poststroke spasticity. Neurology 2013; 80: 35–44.
  • Somford DM,  Marks MP,  Thijs VN,  Tong DC. Association of early CT abnormalities, infarct  size, and apparent diffusion coefficient reduction in acute ischemic stroke. Am J Neuroradiol 2004; 25: 933–938.
  • Xu C, Yi C, Guo H, Liu Q, Wang L, Li H. Limb remote ischemic postconditioning is effective but also time-course-limited in protecting the brain from I/R injury. Turk J Med Sci 2012; 42: 918–929.
  • Vila N, Castillo J, Dávalos A, Chamorro Á. Proinflammatory cytokines and early neurological worsening in ischemic stroke. Stroke 2000; 31: 2325–2329.
  • Zeljkovic A,  Vekic J,  Spasojevic-Kalimanovska V,  Jelic- Ivanovic Z, Bogavac-Stanojevic N, Gulan B, Spasic S. LDL and HDL subclasses in acute ischemic stroke: prediction of risk and short-term mortality. Atherosclerosis 2010; 210: 548–554.
  • Süt N, Çelik Y. Prediction of mortality in stroke patients using multilayer perceptron neural networks. Turk J Med Sci 2012; 42: 886–893.
  • Jin R, Yang G, Li G. Inflammatory mechanisms in ischemic stroke: role of inflammatory cells. J Leukoc Biol 2010; 87: 779– 789.
  • Kisialiou A,  Pelone G,  Carrizzo A,  Grillea G,  Trimarco V, Marino M, Bartolo M, De Nunzio AM, Grella R, Landolfi A et al. Blood biomarkers role in acute ischemic stroke patients: higher is worse or better? Immun Ageing 2012; 9: 22.
  • Kumar AD, Boehme AK, Siegler JE, Gillette M, Albright KC, Martin-Schild S. Leukocytosis in patients with neurologic deterioration after acute ischemic stroke is associated with poor outcomes. J Stroke Cerebrovasc Dis 2013; 22: e111–e117.
  • Rallidis LS,  Vikelis M,  Panagiotakos DB,  Rizos I,  Zolindaki MG, Kaliva K, Kremastinos DT. Inflammatory markers and in- hospital mortality in acute ischaemic stroke. Atherosclerosis 2006; 189: 193–197.
  • den Hertog HM,  van Rossum JA,  van der Worp HB,  van Gemert HM, de Jonge R, Koudstaal PJ, Dippel DW. C-reactive protein in the very early phase of acute ischemic stroke: association with poor outcome and death. J Neurol 2009; 256: 2003–2008.
Turkish Journal of Medical Sciences-Cover
  • ISSN: 1300-0144
  • Yayın Aralığı: Yılda 6 Sayı
  • Yayıncı: TÜBİTAK
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