serum levels of monocyte chemoattractant protein-1 correlate with poor clinical grades in cerebral aneurysms
نویسندگان
چکیده
background : ruptured cerebral aneurysms (icas) are the most common non-traumatic cause of subarachnoid hemorrhage (sah) that is associated with life threatening complications such as vasospasm, infarction, and hydrocephalus (hcp). the active participation of macrophage/monocyte-mediated inflammatory response in the pathogenesis of cerebral aneurysm as labeled with monocyte chemoattractantprotein-1 (mcp-1) is suggested. objective: to measure the serum level of mcp-1 in ruptured cas in different time intervals . methods: we measured the serum levels of mcp-1 in sah patients who had cas and compared it with that of mcp-1 in two control groups: including patients with sah without cas, and the normal population of blood donors. we also measured the mcp-1 levels in patients with cas one week afterward to evaluate the effect of treatment. serum level of mcp-1 was measured by a commercial elisa assay. results: mean serum mcp-1 level in patients with sah and cas was 188.2168 pg/ml and 331.3982 pg/ml in the normal population. there was no statistically significant difference between serum levels of mcp-1 on the first (mean=188.2168 pg/ml) and 7 th days after sah onset (mean=171.8450 pg/ml) (p=0.739). serum level of mcp-1 increased significantly as glasgow coma scale decreased (p=0.078) and hunt and hess score increased (p=0.089). conclusion: our results did not show an increasing mcp-1 serum level in patients with aneurysmal sah. there was a relationship between poor clinical grade and mcp-1 levels in patients with cas. mcp-1 may be a local inflammatory marker for cerebral aneurysms without systemic manifestation.
منابع مشابه
Serum Levels of Monocyte Chemoattractant Protein-1 Correlate with Poor Clinical Grades in Cerebral Aneurysms
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عنوان ژورنال:
iranian journal of immunologyجلد ۱۲، شماره ۴، صفحات ۳۰۲-۳۱۰
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