Clinica Chimica Acta:血清netrin-1可作为动脉瘤性蛛网膜下腔出血的预后生物标志物

2019-09-22 gladiator MedSci原创

Netrin-1具有抗炎作用。Netrin-1可减轻蛛网膜下腔出血(SAH)大鼠的脑损伤。本研究旨在探讨血清netrin-1作为评估动脉瘤性SAH患者严重程度和预后的生物标志物的作用。

Netrin-1具有抗炎作用。Netrin-1可减轻蛛网膜下腔出血(SAH)大鼠的脑损伤。本研究旨在探讨血清netrin-1作为评估动脉瘤性SAH患者严重程度和预后的生物标志物的作用。

研究人员检测104例患者和104例对照组血清中Netrin-1的浓度。采用世界神经外科医生联合会(WFNS)评分、改良Fisher评分和Hunt Hess评分评估出血性临床和放射学严重程度。在SAH6个月后记录格拉斯哥预后量表(GOS)得分。将GOS评分1-3分认为是一个较差的结果。

研究显示,病人显示血清netrin-1浓度显著低于对照组患者(中位数,237.9微克/毫升;四分范围,189.6-271.2微克/毫升与中位数,815.4微克/毫升;四分范围,581.8-990.4微克/毫升)。 netrin-1的浓度与WNFS得分,改进的费希尔评分,亨特赫斯评分和血清C-反应蛋白的浓度独立相关相关。 ROC曲线下面积为0.83795CI0.752-0.902)预测6个月的预后不良。血清的netrin-1浓度<229.3微克/毫升成为一个独立的预后因素(比值比,14.316; 95%置信区间,5.032-40.726)。

因此,血清netrin-1可能是反映人动脉瘤性SAH严重程度、炎症和预后的潜在生物标志物。

原始出处:

Jiang-Li ChenDong-Hai YuanSerum netrin-1 serves as a prognostic biomarker of aneurysmal subarachnoid hemorrhage

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    2020-08-28 windight
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    2020-02-27 canlab
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