Vascular injury biomarkers and stroke risk: A population-based study.
Journal
Neurology
ISSN: 1526-632X
Titre abrégé: Neurology
Pays: United States
ID NLM: 0401060
Informations de publication
Date de publication:
02 06 2020
02 06 2020
Historique:
received:
14
03
2019
accepted:
27
11
2019
pubmed:
7
5
2020
medline:
12
9
2020
entrez:
7
5
2020
Statut:
ppublish
Résumé
Because little is known about associations between biomarkers of vascular injury and stroke risk, we evaluated associations between plasma concentrations of 6 novel biomarkers of vascular injury and stroke risk in a population-based study. A case-cohort subset of EPIC-Heidelberg (European Prospective Investigation for Cancer and Nutrition-Heidelberg) including incident stroke cases (n = 335) and a random subcohort (n = 2,418) was selected. Concentrations of intercellular adhesion molecule 3 (ICAM3), soluble E-selectin and P-selectin, soluble thrombomodulin (sTM), thrombopoietin, and glycoprotein IIb/IIIa were measured in baseline plasma samples. Weighted Cox regression analyses were used to assess associations between biomarker levels and stroke risk. Median follow-up in the subcohort and among cases was 9.8 (range, 0.1-12.5) years and 6.2 (range, 0.01-12.1) years, respectively. ICAM3 levels were associated with increased risk of incident stroke after multivariable adjustment (hazard ratio, highest vs lowest quartile: 1.64 [95% confidence interval, 1.15-2.32]; In this population-based study, circulating levels of ICAM3, an adhesion molecule shed by leukocytes, were associated with increased risk of incident stroke. Further mechanistic studies are needed to elucidate the pathophysiology underlying this association. This study provides Class II evidence that plasma levels of ICAM3 are associated with increased stroke risk.
Identifiants
pubmed: 32371447
pii: WNL.0000000000009391
doi: 10.1212/WNL.0000000000009391
doi:
Substances chimiques
Antigens, CD
0
Biomarkers
0
Cell Adhesion Molecules
0
ICAM3 protein, human
0
Types de publication
Journal Article
Research Support, Non-U.S. Gov't
Langues
eng
Sous-ensembles de citation
IM
Pagination
e2337-e2345Informations de copyright
© 2020 American Academy of Neurology.