Serum beta2-microglobulin levels are highly associated with the risk of acute ischemic stroke

Sen Qun1,2, Fuyong Hu3, Guoping Wang4

  • 1Department of Neurology, The First Affiliated Hospital of the University of Science and Technology of China (Anhui Provincial Hospital), Hefei City, Anhui, China. qunsen6163@163.com.

Scientific Reports
|May 5, 2019
PubMed

Insights

Serum beta2-microglobulin (β2M) is elevated in acute ischemic stroke (AIS) patients, increasing stroke risk. Higher β2M levels correlate with stroke severity and subtypes, indicating its role in AIS.

Area of Science:

  • Neuroscience
  • Immunology
  • Biochemistry

Background:

  • Inflammation plays a key role in cell death and survival following ischemic stroke.
  • Beta2-microglobulin (β2M) is a significant inflammation marker, but its specific role in acute ischemic stroke (AIS) remains unclear.

Purpose of the Study:

  • To investigate the association between serum β2M levels and the risk of AIS.
  • To explore the relationship between serum β2M and stroke severity (NIHSS), etiological subtypes (TOAST), and risk scores (ESRS) in AIS patients.

Main Methods:

  • Retrospective analysis of clinical and biochemical data from 202 AIS patients, 41 intracerebral hemorrhage (ICH) patients, and 253 healthy controls.
  • Utilized three binary logistic regression models to assess the correlation between β2M and AIS risk.
  • Examined the relationship between serum β2M and NIHSS, TOAST subtypes, and ESRS in AIS patients.

Main Results:

  • Serum β2M levels were significantly higher in AIS patients compared to ICH patients and healthy controls.
  • Elevated β2M levels were associated with increased odds of AIS.
  • Serum β2M showed a significant positive correlation with the Essen Stroke Risk Score (ESRS) and varied across different TOAST classifications of AIS.

Conclusions:

  • Serum β2M is a potential biomarker associated with the risk and severity of acute ischemic stroke.
  • Further research into β2M's role in stroke pathogenesis may offer new therapeutic targets.

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