Early Dynamics of P-selectin and Interleukin 6 Predicts Outcomes in Ischemic Stroke

Gabriella Pusch, Birgit Debrabant, Tihamer Molnar, Gergely Feher, Viktoria Papp, Miklos Banati, Norbert Kovacs, Laszlo Szapary, Zsolt Illes

Research output: Contribution to journalJournal articleResearchpeer-review

Abstract

BACKGROUND: Thromboinflammatory molecules connect the prothrombotic state, endothelial dysfunction, and systemic/local inflammation in the acute phase of ischemic stroke.

METHODS: We prospectively investigated (1) serial changes in the levels of thromboinflammatory biomarkers in 76 patients with acute ischemic stroke (6, 24, and 72 hours after onset); (2) compared with 44 patients with asymptomatic severe (≥70%) carotid stenosis and 66 patients with Parkinson disease; and (3) we applied multiple regression methods, relating biological biomarkers combined with demographic data and comorbidities to poststroke infection, death, and functional outcome, and assessed the ability of the models to predict each outcome.

RESULTS: Interleukin 6 (IL-6) levels and change of IL-6 concentrations by 72 hours correlated with the size of tissue damage indicated by S100B titers. Levels of IL-6 and P-selectin at 72 hours were higher in patients with large-artery versus lacunar stroke. High concentration of IL-6, monocyte chemotactic protein 1, and S100B at 6 hours were associated with poststroke infections; high concentration of IL-6, S100B, and high-sensitivity C-reactive protein (hsCRP) correlated with death. Change of P-selectin from 6 to 72 hours by 1 unit increased the incidence of poststroke infections with an odds ratio of 22.7; each 100 units of IL-6 at baseline increased the odds of death by 9‰, and at 72 hours, the odds of poststroke infections by 4‰. Each unit of baseline hsCRP elevated the odds of death by 7%.

CONCLUSIONS: In regression models, in which biological, demographic, and comorbid factors were combined, those biological biomarkers predicted poor outcome with high accuracy, which were characterized by an increasing concentration by 72 hours. Two particular biomarkers emerged to predict outcomes besides hsCRP: early dynamic changes in the systemic levels of P-selectin and IL-6.

Original languageEnglish
JournalJournal of Stroke & Cerebrovascular Diseases
Volume24
Issue number8
Pages (from-to)1938-47
ISSN1052-3057
DOIs
Publication statusPublished - Aug 2015

Fingerprint

P-Selectin
Interleukin-6
Lacunar Stroke
Chemokine CCL2
Carotid Stenosis
Parkinson Disease
Comorbidity
Odds Ratio
Incidence

Cite this

Pusch, Gabriella ; Debrabant, Birgit ; Molnar, Tihamer ; Feher, Gergely ; Papp, Viktoria ; Banati, Miklos ; Kovacs, Norbert ; Szapary, Laszlo ; Illes, Zsolt. / Early Dynamics of P-selectin and Interleukin 6 Predicts Outcomes in Ischemic Stroke. In: Journal of Stroke & Cerebrovascular Diseases. 2015 ; Vol. 24, No. 8. pp. 1938-47.
@article{3c5cce9ee8b9403f99343549c7bdae5f,
title = "Early Dynamics of P-selectin and Interleukin 6 Predicts Outcomes in Ischemic Stroke",
abstract = "BACKGROUND: Thromboinflammatory molecules connect the prothrombotic state, endothelial dysfunction, and systemic/local inflammation in the acute phase of ischemic stroke.METHODS: We prospectively investigated (1) serial changes in the levels of thromboinflammatory biomarkers in 76 patients with acute ischemic stroke (6, 24, and 72 hours after onset); (2) compared with 44 patients with asymptomatic severe (≥70{\%}) carotid stenosis and 66 patients with Parkinson disease; and (3) we applied multiple regression methods, relating biological biomarkers combined with demographic data and comorbidities to poststroke infection, death, and functional outcome, and assessed the ability of the models to predict each outcome.RESULTS: Interleukin 6 (IL-6) levels and change of IL-6 concentrations by 72 hours correlated with the size of tissue damage indicated by S100B titers. Levels of IL-6 and P-selectin at 72 hours were higher in patients with large-artery versus lacunar stroke. High concentration of IL-6, monocyte chemotactic protein 1, and S100B at 6 hours were associated with poststroke infections; high concentration of IL-6, S100B, and high-sensitivity C-reactive protein (hsCRP) correlated with death. Change of P-selectin from 6 to 72 hours by 1 unit increased the incidence of poststroke infections with an odds ratio of 22.7; each 100 units of IL-6 at baseline increased the odds of death by 9‰, and at 72 hours, the odds of poststroke infections by 4‰. Each unit of baseline hsCRP elevated the odds of death by 7{\%}.CONCLUSIONS: In regression models, in which biological, demographic, and comorbid factors were combined, those biological biomarkers predicted poor outcome with high accuracy, which were characterized by an increasing concentration by 72 hours. Two particular biomarkers emerged to predict outcomes besides hsCRP: early dynamic changes in the systemic levels of P-selectin and IL-6.",
author = "Gabriella Pusch and Birgit Debrabant and Tihamer Molnar and Gergely Feher and Viktoria Papp and Miklos Banati and Norbert Kovacs and Laszlo Szapary and Zsolt Illes",
note = "Copyright {\circledC} 2015 National Stroke Association. Published by Elsevier Inc. All rights reserved.",
year = "2015",
month = "8",
doi = "10.1016/j.jstrokecerebrovasdis.2015.05.005",
language = "English",
volume = "24",
pages = "1938--47",
journal = "Journal of Stroke & Cerebrovascular Diseases",
issn = "1052-3057",
publisher = "W.B.Saunders Co.",
number = "8",

}

Early Dynamics of P-selectin and Interleukin 6 Predicts Outcomes in Ischemic Stroke. / Pusch, Gabriella; Debrabant, Birgit; Molnar, Tihamer; Feher, Gergely; Papp, Viktoria; Banati, Miklos; Kovacs, Norbert; Szapary, Laszlo; Illes, Zsolt.

In: Journal of Stroke & Cerebrovascular Diseases, Vol. 24, No. 8, 08.2015, p. 1938-47.

Research output: Contribution to journalJournal articleResearchpeer-review

TY - JOUR

T1 - Early Dynamics of P-selectin and Interleukin 6 Predicts Outcomes in Ischemic Stroke

AU - Pusch, Gabriella

AU - Debrabant, Birgit

AU - Molnar, Tihamer

AU - Feher, Gergely

AU - Papp, Viktoria

AU - Banati, Miklos

AU - Kovacs, Norbert

AU - Szapary, Laszlo

AU - Illes, Zsolt

N1 - Copyright © 2015 National Stroke Association. Published by Elsevier Inc. All rights reserved.

PY - 2015/8

Y1 - 2015/8

N2 - BACKGROUND: Thromboinflammatory molecules connect the prothrombotic state, endothelial dysfunction, and systemic/local inflammation in the acute phase of ischemic stroke.METHODS: We prospectively investigated (1) serial changes in the levels of thromboinflammatory biomarkers in 76 patients with acute ischemic stroke (6, 24, and 72 hours after onset); (2) compared with 44 patients with asymptomatic severe (≥70%) carotid stenosis and 66 patients with Parkinson disease; and (3) we applied multiple regression methods, relating biological biomarkers combined with demographic data and comorbidities to poststroke infection, death, and functional outcome, and assessed the ability of the models to predict each outcome.RESULTS: Interleukin 6 (IL-6) levels and change of IL-6 concentrations by 72 hours correlated with the size of tissue damage indicated by S100B titers. Levels of IL-6 and P-selectin at 72 hours were higher in patients with large-artery versus lacunar stroke. High concentration of IL-6, monocyte chemotactic protein 1, and S100B at 6 hours were associated with poststroke infections; high concentration of IL-6, S100B, and high-sensitivity C-reactive protein (hsCRP) correlated with death. Change of P-selectin from 6 to 72 hours by 1 unit increased the incidence of poststroke infections with an odds ratio of 22.7; each 100 units of IL-6 at baseline increased the odds of death by 9‰, and at 72 hours, the odds of poststroke infections by 4‰. Each unit of baseline hsCRP elevated the odds of death by 7%.CONCLUSIONS: In regression models, in which biological, demographic, and comorbid factors were combined, those biological biomarkers predicted poor outcome with high accuracy, which were characterized by an increasing concentration by 72 hours. Two particular biomarkers emerged to predict outcomes besides hsCRP: early dynamic changes in the systemic levels of P-selectin and IL-6.

AB - BACKGROUND: Thromboinflammatory molecules connect the prothrombotic state, endothelial dysfunction, and systemic/local inflammation in the acute phase of ischemic stroke.METHODS: We prospectively investigated (1) serial changes in the levels of thromboinflammatory biomarkers in 76 patients with acute ischemic stroke (6, 24, and 72 hours after onset); (2) compared with 44 patients with asymptomatic severe (≥70%) carotid stenosis and 66 patients with Parkinson disease; and (3) we applied multiple regression methods, relating biological biomarkers combined with demographic data and comorbidities to poststroke infection, death, and functional outcome, and assessed the ability of the models to predict each outcome.RESULTS: Interleukin 6 (IL-6) levels and change of IL-6 concentrations by 72 hours correlated with the size of tissue damage indicated by S100B titers. Levels of IL-6 and P-selectin at 72 hours were higher in patients with large-artery versus lacunar stroke. High concentration of IL-6, monocyte chemotactic protein 1, and S100B at 6 hours were associated with poststroke infections; high concentration of IL-6, S100B, and high-sensitivity C-reactive protein (hsCRP) correlated with death. Change of P-selectin from 6 to 72 hours by 1 unit increased the incidence of poststroke infections with an odds ratio of 22.7; each 100 units of IL-6 at baseline increased the odds of death by 9‰, and at 72 hours, the odds of poststroke infections by 4‰. Each unit of baseline hsCRP elevated the odds of death by 7%.CONCLUSIONS: In regression models, in which biological, demographic, and comorbid factors were combined, those biological biomarkers predicted poor outcome with high accuracy, which were characterized by an increasing concentration by 72 hours. Two particular biomarkers emerged to predict outcomes besides hsCRP: early dynamic changes in the systemic levels of P-selectin and IL-6.

U2 - 10.1016/j.jstrokecerebrovasdis.2015.05.005

DO - 10.1016/j.jstrokecerebrovasdis.2015.05.005

M3 - Journal article

C2 - 26051664

VL - 24

SP - 1938

EP - 1947

JO - Journal of Stroke & Cerebrovascular Diseases

JF - Journal of Stroke & Cerebrovascular Diseases

SN - 1052-3057

IS - 8

ER -