Ye Hua, Wang Lu, Yang Xiao-Kai, Fan Lu-Ping, Wang Yao-Guang, Guo Lei
Department of Neurology, the Third Affiliated Clinical Institute of Wenzhou Medical University, Wenzhou 325000, China.
Department of orthopedics, The First Affiliated Hospital of Wenzhou Medical University, Zhejiang 325000, China.
J Neurol Sci. 2015 Jan 15;348(1-2):81-8. doi: 10.1016/j.jns.2014.11.010. Epub 2014 Nov 13.
The aim of this paper is to explore the potential association of serum human soluble protein-100B protein (S100B) levels with the diagnosis and prognosis of cerebral infarction (CI).
Potential relevant studies were searched for in PubMed, Springerlink, Wiley, EBSCO, Ovid, Web of Science, Wanfang databases, China National Knowledge Infrastructure (CNKI) databases and VIP databases. Two investigators extracted data and assessed studies independently. Statistical analyses were carried out with the version 12.0 STATA statistical software.
A total of 10 case-control studies that assessed the correlation of S100B serum level with CI, including 1211 subjects (patients=773, healthy controls=438) were included. The results showed that S100B serum levels in CI victims were significantly higher compared with those of the control group. According to the subgroup analysis by ethnicity, S100B serum level in CI victims was statistically significant in Asians and the control group, but no statistical significance was found in Caucasians. An additional subgroup analysis was carried out based on sample size, revealing that the S100B serum levels in CI victims in small samples were of statistical significance; however, no statistical significance was discovered in large samples.
Elevator S100B serum levels might be negatively correlated with CI, suggesting that higher serum levels of S100B could lead to more serious condition and worse prognoses for CI patients. Therefore, S100B serum levels could be regarded as a biomarker for CI, and furthermore, S100B could aide in the diagnosis and prognosis of CI.
本文旨在探讨血清人可溶性蛋白100B蛋白(S100B)水平与脑梗死(CI)诊断及预后的潜在关联。
在PubMed、Springerlink、Wiley、EBSCO、Ovid、Web of Science、万方数据库、中国知网(CNKI)数据库和维普数据库中检索潜在相关研究。两名研究者独立提取数据并评估研究。使用STATA 12.0统计软件进行统计分析。
共纳入10项评估S100B血清水平与CI相关性的病例对照研究,包括1211名受试者(患者773例,健康对照438例)。结果显示,CI患者的S100B血清水平显著高于对照组。按种族进行亚组分析,CI患者的S100B血清水平在亚洲人群和对照组中有统计学意义,但在白种人中无统计学意义。基于样本量进行的另一亚组分析显示,小样本CI患者的S100B血清水平有统计学意义;然而,大样本中未发现统计学意义。
血清S100B水平升高可能与CI呈负相关,提示较高的血清S100B水平可能导致CI患者病情更严重、预后更差。因此,S100B血清水平可被视为CI的生物标志物,此外,S100B有助于CI的诊断和预后评估。