The Clinical Significance of Serum IL-33 and sST2 Alterations in the Post-Stroke Depression

Introduction: This study was to test whether the serum levels of IL-33 and sST2 are correlated with the development of depression after acute ischemic stroke. Methods: Patients diagnosed with acute ischemic stroke were selected. This study took the 24-item Hamilton Depression Rating Scale (HAMD) (sc...

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Veröffentlicht in:Journal of multidisciplinary healthcare 2021-01, Vol.14, p.2009-2015
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description Introduction: This study was to test whether the serum levels of IL-33 and sST2 are correlated with the development of depression after acute ischemic stroke. Methods: Patients diagnosed with acute ischemic stroke were selected. This study took the 24-item Hamilton Depression Rating Scale (HAMD) (score >= 20) as the diagnostic criteria for depression. On the 21st day after admission, patients who met the depression diagnostic criteria were included in the depression group, and patients who failed to meet the diagnostic criteria were included in the non-depression group. The serum levels of IL-33, sST2 and hsCRP were measured by enzyme-linked immunosorbent assay (ELISA). Results: On 1st day after stroke, compared with the non-depression group, there was no significant difference in the serum IL-33, sST2 and hsCRP levels in the depression group; on 21st day after stroke, compared with the non-depression group, the serum IL-33 and hsCRP levels were significantly increased, while the sST2 level was significantly decreased in the depression group. Correlation analysis showed that IL-33 was positively correlated with the depression quantitative score and hsCRP, while sST2 was negatively correlated with the depression quantitative score and hsCRP. Regression analysis showed that IL-33 and sST2 were independent risk factors for the depression after acute ischemic stroke. Discussion: The abnormal alterations of serum IL-33 and sST2 levels in the stroke patients may serve as one of the risk factors for the occurrence and exacerbation of the depression, and its mechanism may be related to the promotion of inflammatory factor production in vivo.
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Methods: Patients diagnosed with acute ischemic stroke were selected. This study took the 24-item Hamilton Depression Rating Scale (HAMD) (score &gt;= 20) as the diagnostic criteria for depression. On the 21st day after admission, patients who met the depression diagnostic criteria were included in the depression group, and patients who failed to meet the diagnostic criteria were included in the non-depression group. The serum levels of IL-33, sST2 and hsCRP were measured by enzyme-linked immunosorbent assay (ELISA). Results: On 1st day after stroke, compared with the non-depression group, there was no significant difference in the serum IL-33, sST2 and hsCRP levels in the depression group; on 21st day after stroke, compared with the non-depression group, the serum IL-33 and hsCRP levels were significantly increased, while the sST2 level was significantly decreased in the depression group. Correlation analysis showed that IL-33 was positively correlated with the depression quantitative score and hsCRP, while sST2 was negatively correlated with the depression quantitative score and hsCRP. Regression analysis showed that IL-33 and sST2 were independent risk factors for the depression after acute ischemic stroke. Discussion: The abnormal alterations of serum IL-33 and sST2 levels in the stroke patients may serve as one of the risk factors for the occurrence and exacerbation of the depression, and its mechanism may be related to the promotion of inflammatory factor production in vivo.</description><identifier>ISSN: 1178-2390</identifier><identifier>EISSN: 1178-2390</identifier><identifier>DOI: 10.2147/JMDH.S310524</identifier><identifier>PMID: 34354360</identifier><language>eng</language><publisher>ALBANY: Dove Medical Press Ltd</publisher><subject>Blood pressure ; Clinical significance ; Correlation analysis ; Cytokines ; Depression, Mental ; Enzyme-linked immunosorbent assay ; Enzymes ; Health aspects ; Health Care Sciences &amp; Services ; il-33 ; Ischemia ; Life Sciences &amp; Biomedicine ; Mental depression ; Mental disorders ; Nervous system ; Neurological disorders ; Original Research ; Pathogenesis ; post-stroke depression (psd) ; Regression analysis ; risk factor ; Risk factors ; Science &amp; Technology ; sst2 ; Statistical analysis ; Stroke ; Stroke (Disease)</subject><ispartof>Journal of multidisciplinary healthcare, 2021-01, Vol.14, p.2009-2015</ispartof><rights>COPYRIGHT 2021 Dove Medical Press Limited</rights><rights>2021. 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Methods: Patients diagnosed with acute ischemic stroke were selected. This study took the 24-item Hamilton Depression Rating Scale (HAMD) (score &gt;= 20) as the diagnostic criteria for depression. On the 21st day after admission, patients who met the depression diagnostic criteria were included in the depression group, and patients who failed to meet the diagnostic criteria were included in the non-depression group. The serum levels of IL-33, sST2 and hsCRP were measured by enzyme-linked immunosorbent assay (ELISA). Results: On 1st day after stroke, compared with the non-depression group, there was no significant difference in the serum IL-33, sST2 and hsCRP levels in the depression group; on 21st day after stroke, compared with the non-depression group, the serum IL-33 and hsCRP levels were significantly increased, while the sST2 level was significantly decreased in the depression group. Correlation analysis showed that IL-33 was positively correlated with the depression quantitative score and hsCRP, while sST2 was negatively correlated with the depression quantitative score and hsCRP. Regression analysis showed that IL-33 and sST2 were independent risk factors for the depression after acute ischemic stroke. 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Methods: Patients diagnosed with acute ischemic stroke were selected. This study took the 24-item Hamilton Depression Rating Scale (HAMD) (score &gt;= 20) as the diagnostic criteria for depression. On the 21st day after admission, patients who met the depression diagnostic criteria were included in the depression group, and patients who failed to meet the diagnostic criteria were included in the non-depression group. The serum levels of IL-33, sST2 and hsCRP were measured by enzyme-linked immunosorbent assay (ELISA). Results: On 1st day after stroke, compared with the non-depression group, there was no significant difference in the serum IL-33, sST2 and hsCRP levels in the depression group; on 21st day after stroke, compared with the non-depression group, the serum IL-33 and hsCRP levels were significantly increased, while the sST2 level was significantly decreased in the depression group. Correlation analysis showed that IL-33 was positively correlated with the depression quantitative score and hsCRP, while sST2 was negatively correlated with the depression quantitative score and hsCRP. Regression analysis showed that IL-33 and sST2 were independent risk factors for the depression after acute ischemic stroke. Discussion: The abnormal alterations of serum IL-33 and sST2 levels in the stroke patients may serve as one of the risk factors for the occurrence and exacerbation of the depression, and its mechanism may be related to the promotion of inflammatory factor production in vivo.</abstract><cop>ALBANY</cop><pub>Dove Medical Press Ltd</pub><pmid>34354360</pmid><doi>10.2147/JMDH.S310524</doi><tpages>7</tpages><orcidid>https://orcid.org/0000-0003-1953-4996</orcidid><oa>free_for_read</oa></addata></record>
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subjects Blood pressure
Clinical significance
Correlation analysis
Cytokines
Depression, Mental
Enzyme-linked immunosorbent assay
Enzymes
Health aspects
Health Care Sciences & Services
il-33
Ischemia
Life Sciences & Biomedicine
Mental depression
Mental disorders
Nervous system
Neurological disorders
Original Research
Pathogenesis
post-stroke depression (psd)
Regression analysis
risk factor
Risk factors
Science & Technology
sst2
Statistical analysis
Stroke
Stroke (Disease)
title The Clinical Significance of Serum IL-33 and sST2 Alterations in the Post-Stroke Depression
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