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脑脊髓液中 Siglec-10 的长期升高预示着动脉瘤性蛛网膜下腔出血患者的预后更好。

Long-Term Elevated Siglec-10 in Cerebral Spinal Fluid Heralds Better Prognosis for Patients with Aneurysmal Subarachnoid Hemorrhage.

机构信息

Department of Neurosurgery, Nanjing Drum Tower Hospital, The Affiliated Hospital of Nanjing University Medical School, Nanjing, China.

Department of Burns and Plastic Surgery, Nanjing Drum Tower Hospital, The Affiliated Hospital of Nanjing University Medical School, Nanjing, China.

出版信息

Dis Markers. 2022 Sep 21;2022:5382100. doi: 10.1155/2022/5382100. eCollection 2022.

Abstract

The presence of aneurysmal subarachnoid hemorrhage (aSAH) is usually accompanied by excessive inflammatory response leading to damage of the central nervous system, and the sialic acid-binding Ig-like lectin 10 (Siglec-10) is a recognized factor being able to modify the inflammatory reaction. To investigate the potential role of Siglec-10 in aSAH, we collected the cerebrospinal fluid (CSF) of control ( = 11) and aSAH ( = 14) patients at separate times and measured the Siglec-10 concentration utilizing the enzyme-linked immunosorbent assay (ELISA) and evaluated the alterations of GOS and GCS during the disease process. In accordance with the STROBE statement, results showed that Siglec-10 in CSF rose quickly in response aSAH attack and then fell back to a slightly higher range above baseline, while it remained at relative high concentration and last longer in several severely injured patients. In general, higher Siglec-10 expression over a longer period usually indicated a better clinical prognosis. This prospective cohort study suggested that Siglec-10 could possibly be used as a biomarker for predicting prognosis of aSAH due to its ability to balance aSAH-induced nonsterile inflammation. Additionally, these findings might provide novel therapeutic perspectives for aSAH and other inflammation-related diseases.

摘要

蛛网膜下腔出血(aSAH)的存在通常伴随着过度的炎症反应,导致中枢神经系统损伤,唾液酸结合免疫球蛋白样凝集素 10(Siglec-10)是一种被公认的能够调节炎症反应的因子。为了研究 Siglec-10 在 aSAH 中的潜在作用,我们在不同时间收集了对照组(n=11)和 aSAH 组(n=14)患者的脑脊液(CSF),并利用酶联免疫吸附试验(ELISA)测量 Siglec-10 浓度,同时评估疾病过程中 GOS 和 GCS 的变化。根据 STROBE 声明,结果表明 Siglec-10 在 CSF 中对 aSAH 发作迅速升高,然后回落到略高于基线的范围,而在一些严重损伤的患者中,它仍保持在相对较高的浓度并持续更长时间。一般来说,更长时间的高 Siglec-10 表达通常预示着更好的临床预后。这项前瞻性队列研究表明,Siglec-10 由于其能够平衡 aSAH 诱导的非感染性炎症,因此可能被用作预测 aSAH 预后的生物标志物。此外,这些发现可能为 aSAH 和其他炎症相关疾病提供新的治疗视角。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0efc/9519311/7380e6154e2c/DM2022-5382100.001.jpg

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