在出血性中风后的CSF炎症标志物的表征及其与疾病严重程度的关系
medRxiv : the preprint server for health sciences
|December 18, 2023
概括
在出血性中风后,脑脊液 (CSF) 中增加了CCL2和IL-6等炎症分子. 这些早期的CSF标志物可能表明患有脑内出血和动脉瘤下arachnoid出血的患者的疾病严重程度.
科学领域:
- 神经科学是一个神经科学.
- 免疫学 免疫学 免疫学
- 神经学 神经学
背景情况:
- 中枢神经系统的炎症是血流性中风后二次脑损伤的关键因素.
- 这包括脑内出血 (ICH) 和动脉瘤下关节出血 (aSAH) 的患者.
研究的目的:
- 在出血72小时内对血液和脑脊液 (CSF) 中的炎症分子进行表征.
- 了解这些分子在不同类型的出血性中风和疾病严重程度的变异.
主要方法:
- 从260名患者 (ICH,aSAH) 和18名对照组收集了血和脑脊液样本.
- 使用细胞计珠数组测试分析了免疫分子 (CCL2,IL-6,G-CSF,IL-8,VEGF).
- 收集的临床数据,包括疾病严重程度和ICU停留时间.
主要成果:
- 在血流后3天内,CSF中的CCL2,IL-6,G-CSF,IL-8和VEGF比血升高.
- 与对照组相比,所有测量的分子在ICH和aSAH患者的CSF中显著更高.
- 血管内皮生长因子 (VEGF) 在ICH患者中高于aSAH患者;CCL2,G-CSF和VEGF与aSAH患者的疾病严重程度相关.
结论:
- 在血流性中风后3天内,在CSF中检测到高于血的高度的促炎分子.
- 某些促炎分子的早期度可能与疾病严重程度标志物相关.
相关概念视频
Ischemic Stroke ll: Pathophysiology
An ischemic stroke occurs when a cerebral blood vessel becomes obstructed, most often by a thrombus or embolus, interrupting the delivery of oxygen and glucose to brain tissue. Because neurons rely on continuous aerobic metabolism, energy failure begins within minutes of reduced perfusion. The region receiving the least blood flow becomes the infarct core, an area of irreversible cellular death. Surrounding this core lies the penumbra, a zone of hypoperfused but still viable tissue that is...
Hemorrhagic Stroke l: Introduction
A hemorrhagic stroke is an acute neurological event that occurs when a weakened cerebral blood vessel ruptures, allowing blood to accumulate within or around the brain. The sudden release of blood forms a focal hematoma that increases intracranial pressure, displaces neural tissue, and can obstruct cerebrospinal fluid pathways. These effects may be compounded by intraventricular extension of the hemorrhage, cerebral edema, or compression of adjacent structures, all of which contribute to...
Hemorrhagic Stroke ll: Pathophysiology
A hemorrhagic stroke develops when a cerebral blood vessel ruptures, allowing blood to escape into the surrounding brain tissue, as in intracerebral hemorrhage (ICH), or into the subarachnoid space, as in subarachnoid hemorrhage (SAH). Because the skull is a rigid compartment, the sudden presence of extravascular blood rapidly increases intracranial pressure and compresses adjacent neural structures, leading to immediate tissue injury and impaired cerebral perfusion.Mass Effect and Primary...
Bacterial Meningitis II: Pathophysiology
Bacterial meningitis typically begins when pathogens such as Neisseria meningitidis and Streptococcus pneumoniae colonize the nasopharynx and invade the bloodstream. This process is facilitated by bacterial virulence factors, such as polysaccharide capsules, which resist phagocytosis and complement-mediated killing. Less commonly, bacteria reach the central nervous system via contiguous spread from infections like otitis media or sinusitis, through congenital or acquired dural defects, or...
Cerebral Edema ll: Pathophysiology
Vasogenic edema is a major form of cerebral edema characterized by abnormal accumulation of fluid in the brain’s extracellular space due to disruption of the blood–brain barrier (BBB). The BBB is a specialized structure composed of endothelial cells connected by tight junctions, supported by astrocytic endfeet and a basement membrane. Under normal conditions, it tightly regulates the movement of ions, proteins, and solutes between the bloodstream and brain parenchyma. When this barrier loses...


