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Optimized Management of Endovascular Treatment for Acute Ischemic Stroke
Published on: January 18, 2018
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.
Abstract:
Inflammation is considered an important mechanism of cell death or survival after ischemic stroke. As an important marker of inflammation, the role of β2-microglobulin (β2M) in acute ischemic stroke is unclear. We investigated the relationship between serum β2M and the risk of acute ischemic stroke (AIS). Patients with AIS (202 cases), intracerebral hemorrhage (ICH, 41 cases), and healthy controls (253 cases) were recruited. Clinical and biochemical characteristics were collected. We used three binary logistic regression models to evaluate the correlation of β2M with the risk of AIS. Furthermore, we investigated the relationship between serum β2M and the National Institute of Health Stroke Scale (NIHSS) score, the Trial of ORG 10172 in Acute Stroke Treatment (TOAST) subtypes, and the Essen Stroke Risk Score (ESRS) in patients with AIS. Our results showed that serum β2M levels in patients with AIS were much higher than those in patients with ICH and in the control subjects. Individuals with higher levels of β2M had higher odds of AIS. Moreover, serum β2M levels were significantly and positively correlated with ESRS. In addition, the levels of β2M were varied with different subgroups of AIS (TOAST classification). Serum β2M is highly associated with the risk of AIS.
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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