Serum level of lipoprotein-associated phospholipase A2 is a potential biomarker of vertebrobasilar dolichoectasia and its progression to cerebral infarction

Background There are no effective therapies to prevent the occurrence and progression of vertebrobasilar dolichoectasia (VBD). In this study, we investigated the relationship between serum levels of lipoprotein-associated phospholipase A2 (Lp-PLA2) and the occurrence and progression of VBD. Methods...

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Veröffentlicht in:Neurological sciences 2021-02, Vol.42 (2), p.599-605
Hauptverfasser: Liu, Yuan, Zhu, Jinhua, Deng, Xuhui, Yang, Zhi, Chen, Chunchun, Huang, Shuxuan, Chen, Lue, Ma, Ying, Lin, Weifeng, Zhu, Feiqi
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container_end_page 605
container_issue 2
container_start_page 599
container_title Neurological sciences
container_volume 42
creator Liu, Yuan
Zhu, Jinhua
Deng, Xuhui
Yang, Zhi
Chen, Chunchun
Huang, Shuxuan
Chen, Lue
Ma, Ying
Lin, Weifeng
Zhu, Feiqi
description Background There are no effective therapies to prevent the occurrence and progression of vertebrobasilar dolichoectasia (VBD). In this study, we investigated the relationship between serum levels of lipoprotein-associated phospholipase A2 (Lp-PLA2) and the occurrence and progression of VBD. Methods Sixty (60) cases without VBD and ischemia stroke were considered as Group A, 100 cases with VBD were further divided into Group B (VBD without ischemic stroke, n  = 54) and Group C (VBD with first ever acute posterior circulation ischemic stroke, n  = 46). Demographic data (such as gender and age) and past medical history (such as hypertension, diabetes, and smoking history) were collected. The levels of serum low-density lipoprotein cholesterol (LDL-C), hypersensitivity C reactive protein (hs-CRP), glycosylated hemoglobin (HbAlc), homocysteine (HCY), uric acid (UA), fibrinogen (Fib), and Lp-PLA2, etc. were measured. Logistic regression analysis was used to assess the related factors of VBD and ischemic stroke secondary to VBD. Results Logistic multivariate regression analysis showed that only age and the level of serum Lp-PLA2 were significantly higher in group B than those in group A ( P  
doi_str_mv 10.1007/s10072-020-04563-7
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In this study, we investigated the relationship between serum levels of lipoprotein-associated phospholipase A2 (Lp-PLA2) and the occurrence and progression of VBD. Methods Sixty (60) cases without VBD and ischemia stroke were considered as Group A, 100 cases with VBD were further divided into Group B (VBD without ischemic stroke, n  = 54) and Group C (VBD with first ever acute posterior circulation ischemic stroke, n  = 46). Demographic data (such as gender and age) and past medical history (such as hypertension, diabetes, and smoking history) were collected. The levels of serum low-density lipoprotein cholesterol (LDL-C), hypersensitivity C reactive protein (hs-CRP), glycosylated hemoglobin (HbAlc), homocysteine (HCY), uric acid (UA), fibrinogen (Fib), and Lp-PLA2, etc. were measured. Logistic regression analysis was used to assess the related factors of VBD and ischemic stroke secondary to VBD. Results Logistic multivariate regression analysis showed that only age and the level of serum Lp-PLA2 were significantly higher in group B than those in group A ( P  &lt; 0.012, P  &lt; 0.001, respectively), however, only the level of serum Lp-PLA2 was significantly higher in group C than those in group B ( P  &lt; 0.001). Conclusions The serum marker Lp-PLA2 is an independent risk factor for the occurrence of VBD and the progression of VBD to posterior circulation ischemic stroke. Whether intervening on atherosclerosis could prevent the occurrence and development of VBD needs to be further studied.</description><identifier>ISSN: 1590-1874</identifier><identifier>EISSN: 1590-3478</identifier><identifier>DOI: 10.1007/s10072-020-04563-7</identifier><identifier>PMID: 32648046</identifier><language>eng</language><publisher>Cham: Springer International Publishing</publisher><subject>1-Alkyl-2-acetylglycerophosphocholine Esterase ; Arteriosclerosis ; Atherosclerosis ; Biomarkers ; Blood vessels ; C-reactive protein ; Cerebral Infarction ; Cerebrovascular diseases ; Cholesterol ; Diabetes mellitus ; Elongation ; Fibrinogen ; Hemoglobin ; Homocysteine ; Humans ; Hypersensitivity ; Ischemia ; Lipoproteins ; Low density lipoprotein ; Medicine ; Medicine &amp; Public Health ; Neurology ; Neuroradiology ; Neurosciences ; Neurosurgery ; Original Article ; Phospholipase A2 ; Psychiatry ; Regression analysis ; Risk Factors ; Serum levels ; Stroke ; Uric acid ; Vertebrobasilar Insufficiency - diagnostic imaging</subject><ispartof>Neurological sciences, 2021-02, Vol.42 (2), p.599-605</ispartof><rights>Fondazione Società Italiana di Neurologia 2020</rights><rights>Fondazione Società Italiana di Neurologia 2020.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c375t-e3edeb9b0b1291e9f928e43bcdfe29c0d1d25b0dfd0f4cd7bc852890c188598f3</citedby><cites>FETCH-LOGICAL-c375t-e3edeb9b0b1291e9f928e43bcdfe29c0d1d25b0dfd0f4cd7bc852890c188598f3</cites><orcidid>0000-0003-4704-8928</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s10072-020-04563-7$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s10072-020-04563-7$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,780,784,27924,27925,41488,42557,51319</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/32648046$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Liu, Yuan</creatorcontrib><creatorcontrib>Zhu, Jinhua</creatorcontrib><creatorcontrib>Deng, Xuhui</creatorcontrib><creatorcontrib>Yang, Zhi</creatorcontrib><creatorcontrib>Chen, Chunchun</creatorcontrib><creatorcontrib>Huang, Shuxuan</creatorcontrib><creatorcontrib>Chen, Lue</creatorcontrib><creatorcontrib>Ma, Ying</creatorcontrib><creatorcontrib>Lin, Weifeng</creatorcontrib><creatorcontrib>Zhu, Feiqi</creatorcontrib><title>Serum level of lipoprotein-associated phospholipase A2 is a potential biomarker of vertebrobasilar dolichoectasia and its progression to cerebral infarction</title><title>Neurological sciences</title><addtitle>Neurol Sci</addtitle><addtitle>Neurol Sci</addtitle><description>Background There are no effective therapies to prevent the occurrence and progression of vertebrobasilar dolichoectasia (VBD). In this study, we investigated the relationship between serum levels of lipoprotein-associated phospholipase A2 (Lp-PLA2) and the occurrence and progression of VBD. Methods Sixty (60) cases without VBD and ischemia stroke were considered as Group A, 100 cases with VBD were further divided into Group B (VBD without ischemic stroke, n  = 54) and Group C (VBD with first ever acute posterior circulation ischemic stroke, n  = 46). Demographic data (such as gender and age) and past medical history (such as hypertension, diabetes, and smoking history) were collected. The levels of serum low-density lipoprotein cholesterol (LDL-C), hypersensitivity C reactive protein (hs-CRP), glycosylated hemoglobin (HbAlc), homocysteine (HCY), uric acid (UA), fibrinogen (Fib), and Lp-PLA2, etc. were measured. Logistic regression analysis was used to assess the related factors of VBD and ischemic stroke secondary to VBD. Results Logistic multivariate regression analysis showed that only age and the level of serum Lp-PLA2 were significantly higher in group B than those in group A ( P  &lt; 0.012, P  &lt; 0.001, respectively), however, only the level of serum Lp-PLA2 was significantly higher in group C than those in group B ( P  &lt; 0.001). Conclusions The serum marker Lp-PLA2 is an independent risk factor for the occurrence of VBD and the progression of VBD to posterior circulation ischemic stroke. 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Public Health</topic><topic>Neurology</topic><topic>Neuroradiology</topic><topic>Neurosciences</topic><topic>Neurosurgery</topic><topic>Original Article</topic><topic>Phospholipase A2</topic><topic>Psychiatry</topic><topic>Regression analysis</topic><topic>Risk Factors</topic><topic>Serum levels</topic><topic>Stroke</topic><topic>Uric acid</topic><topic>Vertebrobasilar Insufficiency - diagnostic imaging</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Liu, Yuan</creatorcontrib><creatorcontrib>Zhu, Jinhua</creatorcontrib><creatorcontrib>Deng, Xuhui</creatorcontrib><creatorcontrib>Yang, Zhi</creatorcontrib><creatorcontrib>Chen, Chunchun</creatorcontrib><creatorcontrib>Huang, Shuxuan</creatorcontrib><creatorcontrib>Chen, Lue</creatorcontrib><creatorcontrib>Ma, Ying</creatorcontrib><creatorcontrib>Lin, Weifeng</creatorcontrib><creatorcontrib>Zhu, Feiqi</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Neurosciences Abstracts</collection><collection>Health &amp; 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Medical Complete (Alumni)</collection><collection>Consumer Health Database</collection><collection>Health &amp; Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Psychology Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>ProQuest One Psychology</collection><collection>ProQuest Central Basic</collection><collection>MEDLINE - Academic</collection><jtitle>Neurological sciences</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Liu, Yuan</au><au>Zhu, Jinhua</au><au>Deng, Xuhui</au><au>Yang, Zhi</au><au>Chen, Chunchun</au><au>Huang, Shuxuan</au><au>Chen, Lue</au><au>Ma, Ying</au><au>Lin, Weifeng</au><au>Zhu, Feiqi</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Serum level of lipoprotein-associated phospholipase A2 is a potential biomarker of vertebrobasilar dolichoectasia and its progression to cerebral infarction</atitle><jtitle>Neurological sciences</jtitle><stitle>Neurol Sci</stitle><addtitle>Neurol Sci</addtitle><date>2021-02-01</date><risdate>2021</risdate><volume>42</volume><issue>2</issue><spage>599</spage><epage>605</epage><pages>599-605</pages><issn>1590-1874</issn><eissn>1590-3478</eissn><abstract>Background There are no effective therapies to prevent the occurrence and progression of vertebrobasilar dolichoectasia (VBD). In this study, we investigated the relationship between serum levels of lipoprotein-associated phospholipase A2 (Lp-PLA2) and the occurrence and progression of VBD. Methods Sixty (60) cases without VBD and ischemia stroke were considered as Group A, 100 cases with VBD were further divided into Group B (VBD without ischemic stroke, n  = 54) and Group C (VBD with first ever acute posterior circulation ischemic stroke, n  = 46). Demographic data (such as gender and age) and past medical history (such as hypertension, diabetes, and smoking history) were collected. The levels of serum low-density lipoprotein cholesterol (LDL-C), hypersensitivity C reactive protein (hs-CRP), glycosylated hemoglobin (HbAlc), homocysteine (HCY), uric acid (UA), fibrinogen (Fib), and Lp-PLA2, etc. were measured. Logistic regression analysis was used to assess the related factors of VBD and ischemic stroke secondary to VBD. Results Logistic multivariate regression analysis showed that only age and the level of serum Lp-PLA2 were significantly higher in group B than those in group A ( P  &lt; 0.012, P  &lt; 0.001, respectively), however, only the level of serum Lp-PLA2 was significantly higher in group C than those in group B ( P  &lt; 0.001). Conclusions The serum marker Lp-PLA2 is an independent risk factor for the occurrence of VBD and the progression of VBD to posterior circulation ischemic stroke. Whether intervening on atherosclerosis could prevent the occurrence and development of VBD needs to be further studied.</abstract><cop>Cham</cop><pub>Springer International Publishing</pub><pmid>32648046</pmid><doi>10.1007/s10072-020-04563-7</doi><tpages>7</tpages><orcidid>https://orcid.org/0000-0003-4704-8928</orcidid></addata></record>
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subjects 1-Alkyl-2-acetylglycerophosphocholine Esterase
Arteriosclerosis
Atherosclerosis
Biomarkers
Blood vessels
C-reactive protein
Cerebral Infarction
Cerebrovascular diseases
Cholesterol
Diabetes mellitus
Elongation
Fibrinogen
Hemoglobin
Homocysteine
Humans
Hypersensitivity
Ischemia
Lipoproteins
Low density lipoprotein
Medicine
Medicine & Public Health
Neurology
Neuroradiology
Neurosciences
Neurosurgery
Original Article
Phospholipase A2
Psychiatry
Regression analysis
Risk Factors
Serum levels
Stroke
Uric acid
Vertebrobasilar Insufficiency - diagnostic imaging
title Serum level of lipoprotein-associated phospholipase A2 is a potential biomarker of vertebrobasilar dolichoectasia and its progression to cerebral infarction
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