Soluble C-Type Lectin-Like Receptor 2 Elevation in Patients with Acute Cerebral Infarction

Background: Acute cerebral infarction (ACI) includes cardiogenic ACI treated with anticoagulants and atherosclerotic ACI treated with antiplatelet agents. The differential diagnosis between cardiogenic and atherosclerotic ACI is still difficult. Materials and Methods: The plasma sCLEC-2 and D-dimer...

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Veröffentlicht in:Journal of clinical medicine 2021-07, Vol.10 (15), p.3408
Hauptverfasser: Nishigaki, Akisato, Ichikawa, Yuhuko, Ezaki, Minoru, Yamamoto, Akitaka, Suzuki, Kenji, Tachibana, Kei, Kamon, Toshitaka, Horie, Shotaro, Masuda, Jun, Makino, Katsutoshi, Shiraki, Katsuya, Shimpo, Hideto, Shimaoka, Motomu, Suzuki-Inoue, Katsue, Wada, Hideo
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container_end_page
container_issue 15
container_start_page 3408
container_title Journal of clinical medicine
container_volume 10
creator Nishigaki, Akisato
Ichikawa, Yuhuko
Ezaki, Minoru
Yamamoto, Akitaka
Suzuki, Kenji
Tachibana, Kei
Kamon, Toshitaka
Horie, Shotaro
Masuda, Jun
Makino, Katsutoshi
Shiraki, Katsuya
Shimpo, Hideto
Shimaoka, Motomu
Suzuki-Inoue, Katsue
Wada, Hideo
description Background: Acute cerebral infarction (ACI) includes cardiogenic ACI treated with anticoagulants and atherosclerotic ACI treated with antiplatelet agents. The differential diagnosis between cardiogenic and atherosclerotic ACI is still difficult. Materials and Methods: The plasma sCLEC-2 and D-dimer levels were measured using the STACIA system. Results: The plasma sCLEC-2 level was significantly high in patients with ACI, especially those in patients with atherosclerotic or lacunar ACI, and plasma D-dimer levels were significantly high in patients with cardioembolic ACI. The plasma levels of sCLEC-2 and the sCLEC-2/D-dimer ratios in patients with atherosclerotic or lacunar ACI were significantly higher than those in patients with cardioembolic ACI. The plasma D-dimer levels in patients with atherosclerotic or lacunar ACI were significantly lower than those in patients with cardioembolic ACI. The plasma levels of sCLEC-2 and the sCLEC-2/D-dimer ratios were significantly higher in patients with atherosclerotic or lacunar ACI or acute myocardial infarction in comparison to patients with cardioembolic ACI or those with deep vein thrombosis. Conclusion: Using both the plasma sCLEC-2 and D-dimer levels may be useful for the diagnosis of ACI, and differentiating between atherosclerotic and cardioembolic ACI.
doi_str_mv 10.3390/jcm10153408
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The differential diagnosis between cardiogenic and atherosclerotic ACI is still difficult. Materials and Methods: The plasma sCLEC-2 and D-dimer levels were measured using the STACIA system. Results: The plasma sCLEC-2 level was significantly high in patients with ACI, especially those in patients with atherosclerotic or lacunar ACI, and plasma D-dimer levels were significantly high in patients with cardioembolic ACI. The plasma levels of sCLEC-2 and the sCLEC-2/D-dimer ratios in patients with atherosclerotic or lacunar ACI were significantly higher than those in patients with cardioembolic ACI. The plasma D-dimer levels in patients with atherosclerotic or lacunar ACI were significantly lower than those in patients with cardioembolic ACI. The plasma levels of sCLEC-2 and the sCLEC-2/D-dimer ratios were significantly higher in patients with atherosclerotic or lacunar ACI or acute myocardial infarction in comparison to patients with cardioembolic ACI or those with deep vein thrombosis. Conclusion: Using both the plasma sCLEC-2 and D-dimer levels may be useful for the diagnosis of ACI, and differentiating between atherosclerotic and cardioembolic ACI.</description><identifier>ISSN: 2077-0383</identifier><identifier>EISSN: 2077-0383</identifier><identifier>DOI: 10.3390/jcm10153408</identifier><identifier>PMID: 34362190</identifier><language>eng</language><publisher>Basel: MDPI AG</publisher><subject>Acute coronary syndromes ; Adenosine ; Anemia ; Anticoagulants ; Atherosclerosis ; Biomarkers ; Blood platelets ; Clinical medicine ; Digestive system ; Disease ; Heart attacks ; Heart failure ; Lectins ; Monoclonal antibodies ; Patients ; Plasma ; Proteins ; Pulmonary embolisms ; Purpura ; Stroke ; Thrombosis ; Transient ischemic attack</subject><ispartof>Journal of clinical medicine, 2021-07, Vol.10 (15), p.3408</ispartof><rights>2021 by the authors. Licensee MDPI, Basel, Switzerland. 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subjects Acute coronary syndromes
Adenosine
Anemia
Anticoagulants
Atherosclerosis
Biomarkers
Blood platelets
Clinical medicine
Digestive system
Disease
Heart attacks
Heart failure
Lectins
Monoclonal antibodies
Patients
Plasma
Proteins
Pulmonary embolisms
Purpura
Stroke
Thrombosis
Transient ischemic attack
title Soluble C-Type Lectin-Like Receptor 2 Elevation in Patients with Acute Cerebral Infarction
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