Molecular Markers of Ischemic Stroke

The purpose of the study was to evaluate the clinical significance of CNS biological markers in an ischemic stroke.Materials and methods. Blood serum biomarkers of CNS were assayed by ELISA in patients suffering from cerebrovascular disorders of ischemic origin. Neuron-specific enolase, brain-derive...

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Main Authors: A. M. Golubev, M. V. Petrova, A. V. Grechko, V. E. Zakharchenko, A. N. Kuzovlev, A. V. Ershov
Format: Article
Language:English
Published: Federal Research and Clinical Center of Intensive Care Medicine and Rehabilitology, Moscow, Russia 2019-11-01
Series:Общая реаниматология
Subjects:
Online Access:https://www.reanimatology.com/rmt/article/view/1814
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author A. M. Golubev
M. V. Petrova
A. V. Grechko
V. E. Zakharchenko
A. N. Kuzovlev
A. V. Ershov
author_facet A. M. Golubev
M. V. Petrova
A. V. Grechko
V. E. Zakharchenko
A. N. Kuzovlev
A. V. Ershov
author_sort A. M. Golubev
collection DOAJ
description The purpose of the study was to evaluate the clinical significance of CNS biological markers in an ischemic stroke.Materials and methods. Blood serum biomarkers of CNS were assayed by ELISA in patients suffering from cerebrovascular disorders of ischemic origin. Neuron-specific enolase, brain-derived neutrophic factor (BDNF), glial-derived neutrophic factor (GDNF), protein S-100 total (ɑβ–ββ), sialyl carbohydrate antigen (KL-6), vascular endothelial growth factor, and superoxide dismutase were analyzed. All tests were carried out using automatic microplate immunoassay analyzer Immunomat TM. The study included 43 patients of 50 to 80 years of age, suffering from cerebrovascular disorders; among them there were 24 women and 19 men. Blood serum biomarkers of CNS were assayed within the first 3–6 hours, and on week 2, 3, and 4 from onset of the disease. The control group consisted of 20 volunteers (apparently healthy donors). Statistical analysis was carried out using non-parametrical Mann–Whitney test. Results were considered as significant at P 0.05.Results. During the pre-necrotic and early necrotic period, higher neuron-specific enolase, protein S-100, superoxide dismutase, and lower brain-derived neutrophic factor and glial-derived neutrophic factor were observed, reflecting structural brain alterations due to disturbed circulation. At later follow-up time-points, BDNF, GDNF, VEGF, and KL-6 increased evidencing activated CNS regeneration processes.Conclusion. The content of biological markers in blood serum of ischemic stroke patients reflects the disease stages, which helps managing the CNS regeneration processes.
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spelling doaj.art-6959fca1098f4c32894215838a37fa1c2025-03-02T11:29:37ZengFederal Research and Clinical Center of Intensive Care Medicine and Rehabilitology, Moscow, RussiaОбщая реаниматология1813-97792411-71102019-11-01155112210.15360/1813-9779-2019-5-11-221704Molecular Markers of Ischemic StrokeA. M. Golubev0M. V. Petrova1A. V. Grechko2V. E. Zakharchenko3A. N. Kuzovlev4A. V. Ershov5V. A. Negovsky Research Institute of General Reanimatology, Federal Research and Clinical Center of Intensive Care Medicine and Rehabilitology, Peoples’ Friendship University of RussiaPeoples’ Friendship University of Russia, Federal Research and Clinical Center of Intensive Care Medicine and RehabilitologyFederal Research and Clinical Center of Intensive Care Medicine and RehabilitologyFederal Research and Clinical Center of Intensive Care Medicine and Rehabilitology,V. A. Negovsky Research Institute of General Reanimatology, Federal Research and Clinical Center of Intensive Care Medicine and Rehabilitology, A. I. Evdokimov Moscow State University of medicine and dentistry, Ministry of Health of RussiaV. A. Negovsky Research Institute of General Reanimatology, Federal Research and Clinical Center of Intensive Care Medicine and Rehabilitology, I. M. Sechenov First Moscow State Medical University, Ministry of Health of RussiaThe purpose of the study was to evaluate the clinical significance of CNS biological markers in an ischemic stroke.Materials and methods. Blood serum biomarkers of CNS were assayed by ELISA in patients suffering from cerebrovascular disorders of ischemic origin. Neuron-specific enolase, brain-derived neutrophic factor (BDNF), glial-derived neutrophic factor (GDNF), protein S-100 total (ɑβ–ββ), sialyl carbohydrate antigen (KL-6), vascular endothelial growth factor, and superoxide dismutase were analyzed. All tests were carried out using automatic microplate immunoassay analyzer Immunomat TM. The study included 43 patients of 50 to 80 years of age, suffering from cerebrovascular disorders; among them there were 24 women and 19 men. Blood serum biomarkers of CNS were assayed within the first 3–6 hours, and on week 2, 3, and 4 from onset of the disease. The control group consisted of 20 volunteers (apparently healthy donors). Statistical analysis was carried out using non-parametrical Mann–Whitney test. Results were considered as significant at P 0.05.Results. During the pre-necrotic and early necrotic period, higher neuron-specific enolase, protein S-100, superoxide dismutase, and lower brain-derived neutrophic factor and glial-derived neutrophic factor were observed, reflecting structural brain alterations due to disturbed circulation. At later follow-up time-points, BDNF, GDNF, VEGF, and KL-6 increased evidencing activated CNS regeneration processes.Conclusion. The content of biological markers in blood serum of ischemic stroke patients reflects the disease stages, which helps managing the CNS regeneration processes.https://www.reanimatology.com/rmt/article/view/1814ischemic strokemolecular markers
spellingShingle A. M. Golubev
M. V. Petrova
A. V. Grechko
V. E. Zakharchenko
A. N. Kuzovlev
A. V. Ershov
Molecular Markers of Ischemic Stroke
Общая реаниматология
ischemic stroke
molecular markers
title Molecular Markers of Ischemic Stroke
title_full Molecular Markers of Ischemic Stroke
title_fullStr Molecular Markers of Ischemic Stroke
title_full_unstemmed Molecular Markers of Ischemic Stroke
title_short Molecular Markers of Ischemic Stroke
title_sort molecular markers of ischemic stroke
topic ischemic stroke
molecular markers
url https://www.reanimatology.com/rmt/article/view/1814
work_keys_str_mv AT amgolubev molecularmarkersofischemicstroke
AT mvpetrova molecularmarkersofischemicstroke
AT avgrechko molecularmarkersofischemicstroke
AT vezakharchenko molecularmarkersofischemicstroke
AT ankuzovlev molecularmarkersofischemicstroke
AT avershov molecularmarkersofischemicstroke