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Updated: Jan 22, 2026

Optimized Management of Endovascular Treatment for Acute Ischemic Stroke
Published on: January 18, 2018
Antiphospholipid antibodies predict post-stroke depression after acute ischemic stroke.
Guangli Wang1, Yiting Zhou1, Xiaoqing Bu2
1Department of Epidemiology, School of Public Health and Jiangsu Key Laboratory of Preventive and Translational Medicine for Geriatric Diseases, Medical College of Soochow University, 199 Renai Road, Industrial Park District, Suzhou, Jiangsu Province 215123, China.
Elevated antiphosphatidylserine (aPS) and anticardiolipin (aCL) antibodies increase the risk of post-stroke depression (PSD). These antiphospholipid antibodies (aPLs) may aid in predicting PSD after acute ischemic stroke.
Area of Science:
- Neurology
- Immunology
- Psychiatry
Background:
- Antiphospholipid activity is linked to depression.
- The role of antiphospholipid antibodies (aPLs) in post-stroke depression (PSD) remains unclear.
Purpose of the Study:
- Investigate the association between aPLs, specifically antiphosphatidylserine (aPS) and anticardiolipin (aCL) antibodies, and depression following acute ischemic stroke.
Main Methods:
- Measured aPS and aCL in 497 ischemic stroke patients.
- Assessed PSD using the 24-item Hamilton Depression Rating Scale at 3 months post-stroke.
Main Results:
- aPS-positive and aCL-positive patients had higher odds of PSD (ORs 1.77 and 2.06, respectively).
- Increased aPS and aCL levels correlated with higher PSD risk (ORs 1.29 and 1.30, respectively).
- aPLs significantly improved PSD risk prediction models.
Conclusions:
- Higher baseline aPS and aCL levels are associated with an increased risk of 3-month PSD.
- aPLs show potential as predictors for post-stroke depression.
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