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Different Types of Circulatory Inflammatory Biomarkers Associated with Cerebral Arterial Atherosclerosis and
Yuan Cao1, Ding-Ding Zhang2, Jing-Yu Mu3
1Department of Neurology, State Key Laboratory of Complex Severe and Rare Diseases, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China, caoyuan0725@gmail.com.
Insights
This study found that different inflammatory biomarkers are linked to specific types of cerebral large vessel diseases, suggesting distinct inflammatory pathways. Understanding these differences may lead to targeted anti-inflammatory therapies for atherosclerosis and dolichoectasia.
Area of Science:
- Neurology
- Inflammation Research
- Vascular Biology
Background:
- Inflammation is implicated in arteriopathy, but specific biomarker links to cerebral large vessel diseases are unclear.
- Cerebral large vessel diseases, including atherosclerosis and dolichoectasia, pose significant health risks.
Purpose of the Study:
- To investigate the association between various inflammatory biomarkers and cerebral atherosclerosis and dolichoectasia.
- To differentiate the roles of systemic, endothelial-related, and media-related inflammation in these vascular conditions.
Main Methods:
- Analysis of 14 circulatory inflammatory biomarkers in 960 participants from the Shunyi study.
- Assessment of intracranial atherosclerotic stenosis (ICAS), dolichoectasia, and carotid plaques using advanced imaging techniques.
- Grouping biomarkers based on inflammatory cascades: systemic, endothelial-related, and media-related.
Main Results:
- The endothelial-related inflammatory group showed significant associations with ICAS and carotid plaques, with E-selectin being a prominent biomarker.
- The systemic inflammatory group was linked to increased basilar artery diameter, with IL-6 identified as a key contributor.
- These findings indicate distinct inflammatory profiles for different types of cerebral large vessel diseases.
Conclusions:
- Specific inflammatory biomarkers are differentially associated with cerebral atherosclerosis and dolichoectasia.
- These distinct associations suggest unique underlying inflammatory processes for each condition.
- Further research into the anti-inflammatory roles of these biomarkers is warranted for potential therapeutic targeting.
Background:
Although inflammation is found to be related to arteriopathy pathogenesis, it is yet to be determined the distinct correlations of specific inflammatory biomarker types contributing to different cerebral large vessel diseases. We aimed to investigate the association between multiple inflammatory biomarkers and cerebral atherosclerosis and dolichoectasia in a community-based sample.
Methods:
A total of 960 participants of the Shunyi study were included. A panel of 14 circulatory inflammatory biomarkers was assessed and then grouped in three sets as systemic, endothelial-related, and media-related inflammation, based on underlying different inflammatory cascades. Intracranial atherosclerotic stenosis (ICAS), dolichoectasia estimated by magnetic resonance angiography, and carotid plaques estimated by ultrasound were also performed.
Results:
Endothelial-related inflammatory group was related to the presence of ICAS (R2 = 0.215, p = 0.024) and carotid plaques (R2 = 0.342, p = 0.013). Backward stepwise elimination showed that E-selectin was prominent (β = 0.67, 95% CI: 0.54-0.85, p = 0.001; β = 0.79, 95% CI: 0.68-0.93, p = 0.005). Systemic inflammatory group was associated with an increased basilar artery diameter (R2 = 0.051, p < 0.001), and backward stepwise elimination showed that IL-6 was prominent (β = 0.07, 95% CI: 0.03-0.11, p < 0.001).
Conclusion:
Different types of inflammatory biomarkers were associated with atherosclerosis and dolichoectasia, respectively, implying dissimilar inflammatory processes. Further confirming of their distinct anti-inflammatory roles as potential therapeutic targets is warrant.
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