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Creatine kinase BB activity in serum of patients with acute stroke: correlation with the severity of brain damage

G Capocchi1, C Tassi, S Ricci

  • 1Istituto Malattie Nervose e Mentali, Università degli Studi di Perugia.

Insights

Serum levels of creatine kinase BB (BB-CK) were significantly elevated in stroke patients compared to controls. Higher BB-CK concentrations correlated with greater brain damage severity in stroke survivors.

Area of Science:

  • Biochemistry
  • Neurology
  • Clinical Diagnostics

Background:

  • Stroke is a leading cause of long-term disability and mortality.
  • Biomarkers for early and accurate stroke diagnosis and prognosis are crucial.
  • Creatine kinase BB (BB-CK) is an isoenzyme predominantly found in the brain.

Purpose of the Study:

  • To investigate the diagnostic potential of serum BB-CK levels in acute stroke.
  • To explore the correlation between serum BB-CK concentrations and stroke severity.

Main Methods:

  • Serum samples were collected from 11 acute stroke patients and 10 healthy controls approximately 36 hours post-stroke onset.
  • BB-CK levels were quantified using ion-exchange column separation and gradient elution.
  • Clinical data and CT scans were used to assess stroke severity.

Main Results:

  • Mean serum BB-CK concentration was significantly higher in stroke patients than in controls (p < 0.01).
  • A positive correlation was observed between serum BB-CK levels and the severity of brain damage in stroke patients.

Conclusions:

  • Elevated serum BB-CK levels may serve as a potential biomarker for acute stroke.
  • Serum BB-CK concentration shows promise in reflecting the extent of brain damage following a stroke.

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