Decreased levels of plasma vitamin C and increased concentrations of inflammatory and oxidative stress markers after stroke

Inflammatory response is a critical component of the complex pathophysiological response to stroke. Vitamin C has been shown to have important roles in cell performance and vascular function. In this study, we compared the nutritional status and levels of inflammatory markers between stroke cases an...

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Veröffentlicht in:Stroke (1970) 2004, Vol.35 (1), p.163-168
Hauptverfasser: SANCHEZ-MORENO, Concepcion, DASHE, John F, SCOTT, Tammy, THALER, David, FOLSTEIN, Marshal F, MARTIN, Antonio
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container_end_page 168
container_issue 1
container_start_page 163
container_title Stroke (1970)
container_volume 35
creator SANCHEZ-MORENO, Concepcion
DASHE, John F
SCOTT, Tammy
THALER, David
FOLSTEIN, Marshal F
MARTIN, Antonio
description Inflammatory response is a critical component of the complex pathophysiological response to stroke. Vitamin C has been shown to have important roles in cell performance and vascular function. In this study, we compared the nutritional status and levels of inflammatory markers between stroke cases and controls and assessed which antioxidant was associated with levels of inflammatory markers and oxidative stress among cases and controls. We evaluated the nutritional status and measured plasma levels of vitamins C and E, uric acid, serum levels of C-reactive protein (CRP), the cytokines tumor necrosis factor-alpha and interleukin-1beta, intercellular adhesion molecule-1 (ICAM-1) and chemokine monocyte chemoattractant protein-1 (MCP-1), prostaglandins PGE2 and PGI2, and 8-isoprostanes (8-epiPGF2alpha) for 15 patients with ischemic stroke within 2 to 5 days after stroke onset and for 24 control subjects. Stroke patients had significantly lower plasma levels of vitamin C than did controls. Among stroke patients, CRP was significantly elevated, as were the ICAM-1, MCP-1, and 8-epiPGF2alpha, but the prostaglandins PGE2 and PGI2 were significantly reduced. Interestingly, vitamin C concentration was significantly inversely correlated with the levels of CRP and 8-epiPGF2alpha among stroke patients, and 8-epiPGF2alpha was significantly associated with the levels of CRP. Uric acid was also elevated among stroke patients. Lower vitamin C concentration, higher serum levels of inflammatory (CRP, ICAM-1, MCP-1) and oxidative stress (8-epiPGF2alpha) markers, and lower PGI2 and PGE2 concentrations among stroke patients indicate the presence of an inflammatory response associated with stroke.
doi_str_mv 10.1161/01.STR.0000105391.62306.2E
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Vitamin C has been shown to have important roles in cell performance and vascular function. In this study, we compared the nutritional status and levels of inflammatory markers between stroke cases and controls and assessed which antioxidant was associated with levels of inflammatory markers and oxidative stress among cases and controls. We evaluated the nutritional status and measured plasma levels of vitamins C and E, uric acid, serum levels of C-reactive protein (CRP), the cytokines tumor necrosis factor-alpha and interleukin-1beta, intercellular adhesion molecule-1 (ICAM-1) and chemokine monocyte chemoattractant protein-1 (MCP-1), prostaglandins PGE2 and PGI2, and 8-isoprostanes (8-epiPGF2alpha) for 15 patients with ischemic stroke within 2 to 5 days after stroke onset and for 24 control subjects. Stroke patients had significantly lower plasma levels of vitamin C than did controls. Among stroke patients, CRP was significantly elevated, as were the ICAM-1, MCP-1, and 8-epiPGF2alpha, but the prostaglandins PGE2 and PGI2 were significantly reduced. Interestingly, vitamin C concentration was significantly inversely correlated with the levels of CRP and 8-epiPGF2alpha among stroke patients, and 8-epiPGF2alpha was significantly associated with the levels of CRP. Uric acid was also elevated among stroke patients. 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Vitamin C has been shown to have important roles in cell performance and vascular function. In this study, we compared the nutritional status and levels of inflammatory markers between stroke cases and controls and assessed which antioxidant was associated with levels of inflammatory markers and oxidative stress among cases and controls. We evaluated the nutritional status and measured plasma levels of vitamins C and E, uric acid, serum levels of C-reactive protein (CRP), the cytokines tumor necrosis factor-alpha and interleukin-1beta, intercellular adhesion molecule-1 (ICAM-1) and chemokine monocyte chemoattractant protein-1 (MCP-1), prostaglandins PGE2 and PGI2, and 8-isoprostanes (8-epiPGF2alpha) for 15 patients with ischemic stroke within 2 to 5 days after stroke onset and for 24 control subjects. Stroke patients had significantly lower plasma levels of vitamin C than did controls. Among stroke patients, CRP was significantly elevated, as were the ICAM-1, MCP-1, and 8-epiPGF2alpha, but the prostaglandins PGE2 and PGI2 were significantly reduced. Interestingly, vitamin C concentration was significantly inversely correlated with the levels of CRP and 8-epiPGF2alpha among stroke patients, and 8-epiPGF2alpha was significantly associated with the levels of CRP. Uric acid was also elevated among stroke patients. 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derivatives</topic><topic>Dinoprost - blood</topic><topic>Humans</topic><topic>Inflammation Mediators - blood</topic><topic>Intercellular Adhesion Molecule-1 - blood</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Neurology</topic><topic>Neuropsychological Tests</topic><topic>Nutritional Status</topic><topic>Oxidative Stress</topic><topic>Prostaglandins - blood</topic><topic>Reference Values</topic><topic>Stroke - blood</topic><topic>Stroke - complications</topic><topic>Time Factors</topic><topic>Uric Acid - blood</topic><topic>Vascular diseases and vascular malformations of the nervous system</topic><topic>Vitamin E - blood</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>SANCHEZ-MORENO, Concepcion</creatorcontrib><creatorcontrib>DASHE, John F</creatorcontrib><creatorcontrib>SCOTT, Tammy</creatorcontrib><creatorcontrib>THALER, David</creatorcontrib><creatorcontrib>FOLSTEIN, Marshal F</creatorcontrib><creatorcontrib>MARTIN, Antonio</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Stroke (1970)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>SANCHEZ-MORENO, Concepcion</au><au>DASHE, John F</au><au>SCOTT, Tammy</au><au>THALER, David</au><au>FOLSTEIN, Marshal F</au><au>MARTIN, Antonio</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Decreased levels of plasma vitamin C and increased concentrations of inflammatory and oxidative stress markers after stroke</atitle><jtitle>Stroke (1970)</jtitle><addtitle>Stroke</addtitle><date>2004</date><risdate>2004</risdate><volume>35</volume><issue>1</issue><spage>163</spage><epage>168</epage><pages>163-168</pages><issn>0039-2499</issn><eissn>1524-4628</eissn><coden>SJCCA7</coden><abstract>Inflammatory response is a critical component of the complex pathophysiological response to stroke. Vitamin C has been shown to have important roles in cell performance and vascular function. In this study, we compared the nutritional status and levels of inflammatory markers between stroke cases and controls and assessed which antioxidant was associated with levels of inflammatory markers and oxidative stress among cases and controls. We evaluated the nutritional status and measured plasma levels of vitamins C and E, uric acid, serum levels of C-reactive protein (CRP), the cytokines tumor necrosis factor-alpha and interleukin-1beta, intercellular adhesion molecule-1 (ICAM-1) and chemokine monocyte chemoattractant protein-1 (MCP-1), prostaglandins PGE2 and PGI2, and 8-isoprostanes (8-epiPGF2alpha) for 15 patients with ischemic stroke within 2 to 5 days after stroke onset and for 24 control subjects. Stroke patients had significantly lower plasma levels of vitamin C than did controls. Among stroke patients, CRP was significantly elevated, as were the ICAM-1, MCP-1, and 8-epiPGF2alpha, but the prostaglandins PGE2 and PGI2 were significantly reduced. Interestingly, vitamin C concentration was significantly inversely correlated with the levels of CRP and 8-epiPGF2alpha among stroke patients, and 8-epiPGF2alpha was significantly associated with the levels of CRP. Uric acid was also elevated among stroke patients. Lower vitamin C concentration, higher serum levels of inflammatory (CRP, ICAM-1, MCP-1) and oxidative stress (8-epiPGF2alpha) markers, and lower PGI2 and PGE2 concentrations among stroke patients indicate the presence of an inflammatory response associated with stroke.</abstract><cop>Hagerstown, MD</cop><pub>Lippincott Williams &amp; Wilkins</pub><pmid>14671251</pmid><doi>10.1161/01.STR.0000105391.62306.2E</doi><tpages>6</tpages><oa>free_for_read</oa></addata></record>
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source Journals@Ovid Ovid Autoload; MEDLINE; American Heart Association Journals; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; Alma/SFX Local Collection
subjects Aged
Antioxidants - analysis
Ascorbic Acid - blood
Biological and medical sciences
Biomarkers - blood
Brain Ischemia - blood
Brain Ischemia - complications
C-Reactive Protein - analysis
Chemokine CCL2 - blood
Cytokines - blood
Diet
Dinoprost - analogs & derivatives
Dinoprost - blood
Humans
Inflammation Mediators - blood
Intercellular Adhesion Molecule-1 - blood
Medical sciences
Middle Aged
Neurology
Neuropsychological Tests
Nutritional Status
Oxidative Stress
Prostaglandins - blood
Reference Values
Stroke - blood
Stroke - complications
Time Factors
Uric Acid - blood
Vascular diseases and vascular malformations of the nervous system
Vitamin E - blood
title Decreased levels of plasma vitamin C and increased concentrations of inflammatory and oxidative stress markers after stroke
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