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Updated: Jan 22, 2026

On-Chip Endothelial Inflammatory Phenotyping
Published on: July 21, 2012
Atherosclerosis, inflammatory factor changes, cognitive disorder and vascular endothelial functions in patients with
Lirong Lin1, Yaxuan Zhang2, Qingxin Zeng1
1Department of Neurology, Inner Mongolia Baogang Hospital, Baotou, Inner Mongolia, China.
Insights
Leukoaraiosis (LA) is linked to increased atherosclerosis, inflammation, and impaired cognitive and vascular functions. Higher LA grades correlate with worse outcomes, highlighting its systemic impact.
Area of Science:
- Neurology
- Cardiovascular Medicine
- Geriatrics
Background:
- Leukoaraiosis (LA) is a common finding in elderly individuals and patients with cerebrovascular disease.
- LA is associated with an increased risk of cognitive impairment and stroke.
- The underlying mechanisms linking LA to these outcomes are not fully understood.
Purpose of the Study:
- To investigate the relationship between leukoaraiosis (LA) severity and atherosclerosis (AS).
- To assess inflammatory factor levels, cognitive function, and vascular endothelial function in patients with varying grades of LA.
- To explore the correlation between LA grades and cognitive disorders.
Main Methods:
- 180 cerebral infarction patients were categorized into four LA grades.
- Atherosclerosis was assessed using Doppler ultrasound and MRI.
- Inflammatory markers (CRP, MMP-9), cognitive function (MMSE), and endothelial function (MDA, SOD, ET, NO) were measured.
Main Results:
- AS incidence and inflammatory factor levels increased with LA grade.
- Patients with higher LA grades showed lower MMSE scores and reduced SOD/NO levels.
- Elevated MDA, ET, CRP, and MMP-9 were observed in more severe LA cases.
Conclusions:
- Leukoaraiosis is associated with increased systemic inflammation.
- LA is implicated in cognitive dysfunction and impaired vascular endothelial function.
- These findings suggest LA as a potential marker for cerebrovascular disease progression.
Objective:
To study the atherosclerosis (AS), inflammatory factor level, cognitive disorder and vascular endothelial functions in patients with different grades of leukoaraiosis (LA), and to explore the correlations of different grades of LA with cognitive disorder.
Methods:
A total of 180 patients with cerebral infarction admitted and treated in the Department of Neurology of our hospital were selected, and they were graded according to the Tarvonen-shcolder standard, with 45 patients in each group. The atherosclerotic plaques of the patients were detected via a color Doppler ultrasound system and magnetic resonance imaging (MRI). Their inflammatory factor levels were determined using enzyme-linked immunosorbent assay (ELISA). The cognitive function was scored based on the mini-mental state examination (MMSE), and the levels of malondialdehyde (MDA), superoxide dismutase (SOD), endothelin (ET) and nitric oxide (NO) were measured to evaluate vascular endothelial functions.
Results:
According to the comparisons among four groups of the patients, the incidence rate of AS was gradually increased among patients with different grades of LA (p < 0.05). With the aggravation of LA, the levels of inflammatory factors in patients were obviously increased (p < 0.05). LA patients had evidently lowered MMSE scores and levels of SOD and NO, but notably raised inflammatory factors C-reactive protein (CRP) and matrix metalloproteinase-9 (MMP-9) and vascular endothelial function indices MDA and ET (p < 0.05).
Conclusion:
The occurrence of LA is implicated with the increasing levels of inflammatory factors in the patients, aggregation of cognitive dysfunction and impairment vascular endothelial functions.
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