Plasma levels of inflammatory and thrombotic/fibrinolytic markers in acute ischemic strokes: relationship with TOAST subtype, outcome and infarct site

J Neuroimmunol. 2009 Oct 30;215(1-2):84-9. doi: 10.1016/j.jneuroim.2009.06.019. Epub 2009 Aug 19.

Abstract

Background: The aim of our study was to evaluate in patients with acute ischemic stroke the relationship between immuno-inflammatory variables, clinical outcome and infarct site.

Materials and methods: We evaluated plasma levels of IL-1beta, TNF-alpha, IL-6 and IL-10, E-selectin, P-selectin, sICAM-1 ,sVCAM-1 vWF, TPA and PAI-1.

Results: Patients with cardioembolic subtype showed significantly higher median plasma levels of TNF-alpha, IL-6, IL-1beta whereas the lacunar subtype showed significantly lower median plasma levels of TNF-alpha, IL-6 and IL-1beta.

Conclusions: A significant association was noted between the severity of neurological deficit at admission, the diagnostic subtype and some inflammatory variables.

Publication types

  • Comparative Study

MeSH terms

  • Aged
  • Aged, 80 and over
  • Biomarkers / blood
  • Brain Ischemia / blood*
  • Brain Ischemia / classification*
  • Brain Ischemia / pathology
  • Cerebral Infarction / blood
  • Cerebral Infarction / classification
  • Cerebral Infarction / pathology
  • Female
  • Fibrinolysis / physiology*
  • Humans
  • Inflammation Mediators / blood*
  • Intracranial Thrombosis / blood
  • Intracranial Thrombosis / classification
  • Intracranial Thrombosis / pathology
  • Male
  • Middle Aged
  • Stroke / blood*
  • Stroke / classification*
  • Stroke / pathology

Substances

  • Biomarkers
  • Inflammation Mediators