Platelet-Derived Growth Factor Is Associated with Progression of Symptomatic Intracranial Atherosclerotic Stenosis.

intracranial stenosis ischemic stroke magnetic resonance angiography platelet-derived growth factor

Journal

Journal of clinical neurology (Seoul, Korea)
ISSN: 1738-6586
Titre abrégé: J Clin Neurol
Pays: Korea (South)
ID NLM: 101252374

Informations de publication

Date de publication:
Jan 2021
Historique:
received: 17 07 2020
revised: 21 09 2020
accepted: 21 09 2020
entrez: 22 1 2021
pubmed: 23 1 2021
medline: 23 1 2021
Statut: ppublish

Résumé

We aimed to determine the relationships of 33 biomarkers of inflammation, oxidation, and adipokines with the risk of progression of symptomatic intracranial atherosclerotic stenosis (ICAS). Fifty-two of 409 patients who participated in the TOSS-2 (Trial of Cilostazol in Symptomatic Intracranial Stenosis-2) showed progression of symptomatic ICAS in magnetic resonance angiography at 7 months after an index stroke. We randomly selected 20 patients with progression as well as 40 age- and sex-matched control patients. We serially collected blood samples at baseline, 1 month, and 7 months after an index stroke. Multiplex analysis of biomarkers was then performed. Demographic features and risk factors such as hypertension, diabetes, and smoking history were comparable between the two groups. Univariate analyses revealed that the levels of platelet-derived growth factor (PDGF)-AA [median (interquartile range)=1.64 (0.76-4.57) vs. 0.77 (0.51-1.71) ng/mL], PDGF-AB/BB [10.31 (2.60-25.90) vs. 2.35 (0.74-6.70) ng/mL], and myeloperoxidase [10.5 (7.5-22.3) vs. 7.8 (5.5-12.2) ng/mL] at 7 months were higher in the progression group. In the multivariate analysis using logistic regression, the PDGF AB/BB level at 7 months was independently associated with the progression of ICAS ( The PDGF-AB/BB level is associated with the progression of ICAS, and so may play a significant role in the progression of human ICAS.

Sections du résumé

BACKGROUND AND PURPOSE OBJECTIVE
We aimed to determine the relationships of 33 biomarkers of inflammation, oxidation, and adipokines with the risk of progression of symptomatic intracranial atherosclerotic stenosis (ICAS).
METHODS METHODS
Fifty-two of 409 patients who participated in the TOSS-2 (Trial of Cilostazol in Symptomatic Intracranial Stenosis-2) showed progression of symptomatic ICAS in magnetic resonance angiography at 7 months after an index stroke. We randomly selected 20 patients with progression as well as 40 age- and sex-matched control patients. We serially collected blood samples at baseline, 1 month, and 7 months after an index stroke. Multiplex analysis of biomarkers was then performed.
RESULTS RESULTS
Demographic features and risk factors such as hypertension, diabetes, and smoking history were comparable between the two groups. Univariate analyses revealed that the levels of platelet-derived growth factor (PDGF)-AA [median (interquartile range)=1.64 (0.76-4.57) vs. 0.77 (0.51-1.71) ng/mL], PDGF-AB/BB [10.31 (2.60-25.90) vs. 2.35 (0.74-6.70) ng/mL], and myeloperoxidase [10.5 (7.5-22.3) vs. 7.8 (5.5-12.2) ng/mL] at 7 months were higher in the progression group. In the multivariate analysis using logistic regression, the PDGF AB/BB level at 7 months was independently associated with the progression of ICAS (
CONCLUSIONS CONCLUSIONS
The PDGF-AB/BB level is associated with the progression of ICAS, and so may play a significant role in the progression of human ICAS.

Identifiants

pubmed: 33480201
pii: 17.70
doi: 10.3988/jcn.2021.17.1.70
pmc: PMC7840326
doi:

Types de publication

Journal Article

Langues

eng

Pagination

70-76

Subventions

Organisme : Korea Otsuka International Asia, and Arab Co, Ltd
Pays : Korea
Organisme : Dongguk University
Pays : Korea

Informations de copyright

Copyright © 2021 Korean Neurological Association.

Déclaration de conflit d'intérêts

The authors have no potential conflicts of interest to disclose.

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Auteurs

Kyeong Joon Kim (KJ)

Department of Neurology, Dongguk University Ilsan Hospital, Goyang, Korea.

Sang Wuk Jeong (SW)

Department of Neurology, Dongguk University Ilsan Hospital, Goyang, Korea. totopia1@gmail.com.

Wi Sun Ryu (WS)

Department of Neurology, Dongguk University Ilsan Hospital, Goyang, Korea.

Dong Eog Kim (DE)

Department of Neurology, Dongguk University Ilsan Hospital, Goyang, Korea.

Jeffrey L Saver (JL)

Stroke Center and Department of Neurology, David Geffen School of Medicine, University of California, Los Angeles, CA, USA.

Jong S Kim (JS)

Department of Neurology, Asan Medical Center, Seoul, Korea.

Sun U Kwon (SU)

Department of Neurology, Asan Medical Center, Seoul, Korea.

Classifications MeSH