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.

___

  • 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
Sayıdaki Diğer Makaleler

Attachment style and perceived social support as predictors of biopsychosocial adjustment to cancer

Ayşe Gül YILMAZ ÖZPOLAT, Tuğba AYAZ, Özlem KONAĞ, Asiye ÖZKAN

The diagnostic value of ischemia-modified albumin in the diagnosis of aortic pathology

Oğuz EROĞLU, Süha TÜRKMEN, Ahmet MENTEŞE, Gökalp ALTUN, Süleyman TÜREDİ, Umut ERYİĞİT, Süleyman Caner KARAHAN, Abdülkadir GÜNDÜZ

Folate and homocysteine metabolisms and their roles in the biochemical basis of neuropsychiatry

Alpaslan COŞAR, Osman Metin İPÇİOĞLU, Ömer ÖZCAN, Mustafa GÜLTEPE

Epistaxis in geriatric patients

Alper YÜKSEL, Hanifi KURTARAN, Ekrem Said KANKILIÇ, Nebil ARK, Kadriye Şerife UĞUR, Mehmet GÜNDÜZ

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

Sevilay SEZER, Fatma UÇAR, Ersin Kasım ULUSOY, Serpil ERDOĞAN, Şule BİLEN, Cevdet ZÜNGÜN, Sema UYSAL, Hacı Kemal ERDEMLİ

Single port thoracoscopic sympathectomy for primary palmar hyperhidrosis in adolescence

Nesimi GÜNAL, Berkant ÖZPOLAT, Yasemin Dere GÜNAL, Koray DURAL

Indoor air quality in primary schools in Keçiören, Ankara

Mustafa Alparslan BABAYİĞİT, Bilal BAKIR, Ömer Faruk TEKBAŞ, Recai OĞUR, Abdullah KILIÇ, Serdar ULUS

Protective role of caffeic acid phenethyl ester on serum cholinesterase inhibition by acute exposure to diazinon in rats

Esin OĞUZHANOĞLU, Ahmet Cenk ANDAÇ, Adnan TÜFEK, Lütfi YAVUZ, Hüseyin VURAL, Osman GÖKALP

Urinary tract infection in patients with chronic kidney disease

Chih-yen HSIAO, Hsing-lin LIN, Yen-ko LIN, Chao-wen CHEN, Yuan-chia CHENG, Wei-che LEE, Tzu-chin WU

Distal radius measurements and efficacy of fixed-angle locking volar plates

İsmail AĞIR, Mahmut Nedim AYTEKİN, Fatih KÜÇÜKDURMAZ, Onur BAŞCI, Cihangir TETİK