Association Between Cystatin C and the Risk of Ischemic Stroke: a Systematic Review and Meta-analysis

Yan Wang1, Wei Li2, Jun Yang3

  • 1Xi'an Medical University, No 74 Hanguangbei Road, Xi'an, 710068, Shaanxi, China.

Insights

Elevated cystatin C levels are linked to a higher risk of ischemic stroke. This finding suggests cystatin C may serve as a valuable biomarker for predicting stroke risk, particularly in acute cases.

Area of Science:

  • Cardiovascular Medicine
  • Neurology
  • Biomarker Research

Background:

  • Ischemic stroke significantly impacts patient health and quality of life.
  • Cystatin C is emerging as a potential biomarker for cardiovascular diseases.

Purpose of the Study:

  • To conduct a meta-analysis assessing the association between cystatin C and ischemic stroke risk.
  • To evaluate cystatin C as a predictor for ischemic stroke, especially in acute and subclinical forms.

Main Methods:

  • A systematic literature search was conducted for studies examining cystatin C and ischemic stroke.
  • A random-effects meta-analysis was performed on data from nine studies.
  • Included were 3773 patients with ischemic stroke and control participants.

Main Results:

  • Patients with ischemic stroke exhibited significantly higher serum cystatin C concentrations (pooled mean difference: 0.11; 95% CI: 0.00–0.22; P=0.04).
  • Elevated cystatin C was particularly noted in acute ischemic stroke (mean difference: 0.23; 95% CI: 0.11–0.36; P=0.0003).
  • Higher cystatin C levels were also associated with subclinical cerebral infarction (mean difference: 0.07; 95% CI: 0.05–0.09; P<0.00001).

Conclusions:

  • Cystatin C is significantly associated with an increased risk of ischemic stroke.
  • Cystatin C demonstrates potential as a predictive biomarker for ischemic stroke.
  • The predictive value of cystatin C is especially pronounced in acute ischemic stroke and subclinical cerebral infarction.

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