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학술저널
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김경준 (동국대학교) 정상욱 (동국대학교) 류위선 (동국대학교) Jeffrey L. Saver (Department of NeurologyGeffen School of Medicine University of California Los Angeles CA USA) 김종성 (울산대학교) 권순억 (울산대학교)
저널정보
대한신경과학회 Journal of Clinical Neurology Journal of Clinical Neurology 제17권 제1호
발행연도
2021.1
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70 - 76 (7page)

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Background and Purpose We aimed to determine the relationships of 33 biomarkers of inflammation, oxidation, and adipokines with the risk of progression of symptomatic intracranial atherosclerotic stenosis (ICAS). Methods Fifty-two of 409 patients who participated in the TOSS-2 (Trial of Cilostazol in Symptomatic Intracranial Stenosis-2) showed progression of symptomatic ICAS in magnetic resonance angiography at 7 months after an index stroke. We randomly selected 20 patients with progression as well as 40 age- and sex-matched control patients. We serially collected blood samples at baseline, 1 month, and 7 months after an index stroke. Multiplex analysis of biomarkers was then performed. Results Demographic features and risk factors such as hypertension, diabetes, and smoking history were comparable between the two groups. Univariate analyses revealed that the levels of platelet-derived growth factor (PDGF)-AA [median (interquartile range)=1.64 (0.76?4.57) vs. 0.77 (0.51?1.71) ng/mL], PDGF-AB/BB [10.31 (2.60?25.90) vs. 2.35 (0.74?6.70) ng/mL], and myeloperoxidase [10.5 (7.5?22.3) vs. 7.8 (5.5?12.2) ng/mL] at 7 months were higher in the progression group. In the multivariate analysis using logistic regression, the PDGF AB/BB level at 7 months was independently associated with the progression of ICAS (p=0.02). Conclusions The PDGF-AB/BB level is associated with the progression of ICAS, and so may play a significant role in the progression of human ICAS.

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