Open AccessSerum pentraxin 3 as a biomarker for prognosis of acute minor stroke due to large artery atherosclerosis
Author(s) -
Zhang Yan,
Hu Haijie,
Liu Chong,
Wu Juan,
Zhou Shanshan,
Zhao Tingting
Publication year - 2021
Publication title -
brain and behavior
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.915
H-Index - 41
ISSN - 2162-3279
DOI - 10.1002/brb3.1956
Subject(s) - ptx3 , medicine , stroke (engine) , biomarker , acute stroke , gastroenterology , c reactive protein , minor stroke , cardiology , inflammation , stenosis , mechanical engineering , biochemistry , chemistry , tissue plasminogen activator , engineering
Objectives Pentraxin 3 (PTX3) may reflect local inflammatory status in tissues and thus serve as a potential biomarker of inflammation. Here, we investigated the utility of serum PTX3 as an index for assessing the 90‐day prognosis of acute minor stroke patients. Materials & Methods Acute minor stroke patients ( N = 241) and matched healthy control subjects ( N = 241) were prospectively recruited. Clinical, laboratory, and imaging data were assessed. Blood samples were collected within 48h after acute minor stroke onset and serum PTX3 levels were determined. Results Significant increases in stroke patients versus controls were obtained for serum PTX3 (3.14 ± 1.23 vs. 2.44 ± 0.74 ng/ml; p < .001) and C‐reactive protein (CRP – 1.53 ± 0.38 vs. 1.35 ± 0.35 μg/ml; p < .05). Among the four stroke subtypes, as defined by modified Trial of Org 10172 in Acute Stroke Treatment classification, there were no statistically significant differences in serum PTX3 levels ( p > .05). Multivariate logistic regression analysis revealed that serum PTX3 and LDL cholesterol could predict unfavorable outcomes at day 90 in Large Artery Atherosclerosis (LAA) patients. Conclusions Serum Pentraxin 3 may serve as an independent predictor for an unfavorable outcome in the LAA subtype of acute minor stroke and may possess a superior prognostic value as compared to CRP in this LAA subgroup.