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胱抑素C作为评估偏头痛的潜在生物标志物。

Cystatin C as a potential biomarker to evaluate migraine.

作者信息

AkdaĞ Turan, Uca Ali Ulvi

机构信息

Necmettin Erbakan University, Meram Vocational School, Konya, Turkey.

Necmettin Erbakan University, Meram Faculty of Medicine, Department of Neurology, Konya, Turkey.

出版信息

Arq Neuropsiquiatr. 2020 Jun;78(6):337-341. doi: 10.1590/0004-282X20200005.

Abstract

BACKGROUND

Migraine is a multifactorial neurovascular syndrome and closely associated to inflammation. Cystatin C (Cys C) is a neuroendocrine polypeptide which also plays a role in inflammation. Objective: To investigate the levels of Cys C in migraine patients without aura.

METHODS

A total of 80 participants were included in the study; 40 patients and 40 healthy controls. Serum Cys C levels were investigated by using enzyme-linked immunosorbent assay (ELISA). Statistical analysis were performed using Statistical Package for the Social Sciences (SPSS) version 22.0 (SPSS Inc, IL, USA).

RESULTS

Serum Cys C levels were found as 73.88 ng/mL in the patient group and 24.92 ng/mL in the healthy control group, being significantly higher among patients (p=0.000). Serum Cys C levels were significacntly different across age subgroups among patients (p=0.049), but not among controls. However, visual analog scale (VAS) (p=0.707), disease duration time (p=0.725) and body mass index (p=0.136) were not significantly different between the two groups.

CONCLUSION

Our findings demonstrate that high serum Cys C levels are independently associated to migraine without aura. To the best of our knowledge, this is the first study to determine the serum levels of Cys C in patients with migraine. Thus, serum Cys C may be a potential biomarker of migraine.

摘要

背景

偏头痛是一种多因素神经血管综合征,与炎症密切相关。胱抑素C(Cys C)是一种神经内分泌多肽,在炎症中也起作用。目的:研究无先兆偏头痛患者的胱抑素C水平。

方法

本研究共纳入80名参与者;40例患者和40名健康对照者。采用酶联免疫吸附测定(ELISA)法检测血清胱抑素C水平。使用社会科学统计软件包(SPSS)22.0版(美国伊利诺伊州SPSS公司)进行统计分析。

结果

患者组血清胱抑素C水平为73.88 ng/mL,健康对照组为24.92 ng/mL,患者组显著更高(p = 0.000)。患者各年龄亚组间血清胱抑素C水平存在显著差异(p = 0.049),但对照组无差异。然而,两组间视觉模拟评分(VAS)(p = 0.707)、病程时间(p = 0.725)和体重指数(p = 0.136)无显著差异。

结论

我们的数据表明,血清胱抑素C水平升高与无先兆偏头痛独立相关。据我们所知,这是第一项测定偏头痛患者血清胱抑素C水平的研究。因此,血清胱抑素C可能是偏头痛的一个潜在生物标志物。

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