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Updated: Jun 6, 2026

An In Vivo Assessment of Blood-Brain Barrier Disruption in a Rat Model of Ischemic Stroke
Published on: March 11, 2018
Brain extracellular fluid protein changes in acute stroke patients
Loï Dayon1, Natacha Turck, Teresa Garcí-Berrocoso
1Biomedical Proteomics Group, Department of Structural Biology and Bioinformatics, Faculty of Medicine, University of Geneva, Geneva, Switzerland.
Investigating brain extracellular fluids in stroke patients revealed elevated protein levels in damaged areas. These findings suggest extracellular fluid is a promising source for discovering new blood stroke biomarkers.
Area of Science:
- Neuroscience
- Biochemistry
- Proteomics
Background:
- Ischemic stroke causes significant brain damage.
- Identifying reliable biomarkers for stroke diagnosis and prognosis is crucial.
- Brain extracellular fluid (ECF) contains proteins reflecting local tissue status.
Purpose of the Study:
- To investigate changes in protein levels in human brain ECF of acute stroke patients.
- To identify potential protein biomarkers for ischemic brain damage.
Main Methods:
- Microdialysis was used to collect ECF from infarct core, penumbra, and contralateral regions in stroke patients.
- Shotgun proteomic analysis with isobaric tagging and mass spectrometry was employed for protein quantification.
- ELISA was used to validate specific protein levels in blood samples.
Main Results:
- 53 proteins showed increased levels in infarct core or penumbra compared to contralateral regions.
- Glutathione S-transferase P (GSTP1), peroxiredoxin-1 (PRDX1), and protein S100-B (S100B) were significantly elevated in stroke patient blood.
- GSTP1, PRDX1, and S100B showed 8-fold, 20-fold, and 11-fold increases, respectively, in stroke patients' blood.
Conclusions:
- ECF is a valuable source for identifying proteins indicative of ischemic brain injury.
- Elevated levels of GSTP1, PRDX1, and S100B in blood suggest their potential as stroke biomarkers.
- Further research into ECF proteins could lead to improved diagnostic tools for stroke.
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Cerebral Edema l: Introduction
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Ischemic Stroke ll: Pathophysiology
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