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IL-1β 作为缺血性脑卒中预后和颈内动脉粥样硬化病变的生物标志物。

IL-1 Beta-A Biomarker for Ischemic Stroke Prognosis and Atherosclerotic Lesions of the Internal Carotid Artery.

机构信息

Faculty of Medicine, Lucian Blaga University of Sibiu, Izvorului Street, 550169 Sibiu, Romania.

Neurology Department, Emergency County Clinical Hospital Sibiu, Corneliu Coposu bvd, 550245 Sibiu, Romania.

出版信息

Medicina (Kaunas). 2023 Oct 8;59(10):1790. doi: 10.3390/medicina59101790.

Abstract

Stroke is a leading cause of mortality and morbidity worldwide. Treatment of this pathology is still under development and its risk factors remain to be determined. Therefore, we aim to determine the role of interleukin-1 beta in atherosclerotic lesions of the internal carotid artery as a risk factor for stroke and the role of this biomarker in stroke prognosis. : This study enrolled 56 patients diagnosed with ischemic stroke in the anterior vascular territory (AVT) and posterior vascular territory (PVT). All the patients had venous blood collected at admission and 7 days after the onset of the cerebral ischemia in order to determine the plasma concentration of interleukin-1 beta. At the same time, an extracranial carotid ultrasound was performed. : The interleukin-1 beta collected at admission was positively correlated with the NIHSS at admission (Pearson index 0.424), and both measurements were correlated with carotid stenosis (Spearmen correlation index of 0.529 and 0.653, respectively). : Interleukin-1 beta could be a reliable biomarker for stroke prognosis and the development of atherosclerotic lesions of the internal carotid.

摘要

中风是全球范围内导致死亡和发病的主要原因。这种疾病的治疗方法仍在不断发展,其危险因素仍有待确定。因此,我们旨在确定白细胞介素-1β在颈内动脉粥样硬化病变中的作用,作为中风的一个危险因素,以及该生物标志物在中风预后中的作用。

本研究纳入了 56 名被诊断为前循环血管区域(AVT)和后循环血管区域(PVT)缺血性中风的患者。所有患者在入院时和脑缺血发作后 7 天采集静脉血,以确定白细胞介素-1β的血浆浓度。同时进行颅外颈动脉超声检查。

入院时采集的白细胞介素-1β与入院时 NIHSS 呈正相关(Pearson 指数 0.424),这两种测量结果与颈动脉狭窄均相关(Spearmen 相关指数分别为 0.529 和 0.653)。

白细胞介素-1β可能是中风预后和颈内动脉粥样硬化病变发展的可靠生物标志物。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/77e9/10608497/3f98cc05d584/medicina-59-01790-g001.jpg

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