Potential Biomarkers to Predict Acute Ischemic Stroke in Type 2 Diabetes
<h3>Background and Purpose</h3><p dir="ltr">Patients with type 2 diabetes (T2D) have increased risk of cardiovascular disease (CVD), encompassing myocardial infarction, stroke, and peripheral vascular disease. We hypothesized that those biomarkers indicative of acute isch...
محفوظ في:
| المؤلف الرئيسي: | |
|---|---|
| مؤلفون آخرون: | , , , , |
| منشور في: |
2021
|
| الموضوعات: | |
| الوسوم: |
إضافة وسم
لا توجد وسوم, كن أول من يضع وسما على هذه التسجيلة!
|
| _version_ | 1864513516731367424 |
|---|---|
| author | Abu Saleh Md Moin (6189512) |
| author2 | Manjula Nandakumar (1545811) Ahmed Al-Qaissi (9975173) Thozhukat Sathyapalan (704787) Stephen L. Atkin (6684368) Alexandra E. Butler (6189536) |
| author2_role | author author author author author |
| author_facet | Abu Saleh Md Moin (6189512) Manjula Nandakumar (1545811) Ahmed Al-Qaissi (9975173) Thozhukat Sathyapalan (704787) Stephen L. Atkin (6684368) Alexandra E. Butler (6189536) |
| author_role | author |
| dc.creator.none.fl_str_mv | Abu Saleh Md Moin (6189512) Manjula Nandakumar (1545811) Ahmed Al-Qaissi (9975173) Thozhukat Sathyapalan (704787) Stephen L. Atkin (6684368) Alexandra E. Butler (6189536) |
| dc.date.none.fl_str_mv | 2021-12-01T00:00:00Z |
| dc.identifier.none.fl_str_mv | 10.3389/fmolb.2021.744459 |
| dc.relation.none.fl_str_mv | https://figshare.com/articles/journal_contribution/Potential_Biomarkers_to_Predict_Acute_Ischemic_Stroke_in_Type_2_Diabetes/25764843 |
| dc.rights.none.fl_str_mv | CC BY 4.0 info:eu-repo/semantics/openAccess |
| dc.subject.none.fl_str_mv | Biomedical and clinical sciences Clinical sciences type 2 diabetes endothelial proteins biomarkers ischemic stroke predictive biomarkers |
| dc.title.none.fl_str_mv | Potential Biomarkers to Predict Acute Ischemic Stroke in Type 2 Diabetes |
| dc.type.none.fl_str_mv | Text Journal contribution info:eu-repo/semantics/publishedVersion text contribution to journal |
| description | <h3>Background and Purpose</h3><p dir="ltr">Patients with type 2 diabetes (T2D) have increased risk of cardiovascular disease (CVD), encompassing myocardial infarction, stroke, and peripheral vascular disease. We hypothesized that those biomarkers indicative of acute ischemic stroke (AIS) seen in large vessel occlusion (LVO) may also be elevated in T2D and further enhanced by stress conditions; therefore, these proteins represent potentially predictive biomarkers for those T2D patients at high risk of AIS.</p><h3><br></h3><h3>Methods</h3><p dir="ltr">We performed an exploratory proteomic analysis in control subjects (n = 23) versus those with type 2 diabetes (T2D) (n = 23) who underwent a hyperinsulinemic clamp study to transient severe hypoglycemia [blood glucose <2.0 mmol/L (36 mg/dl)] in a prospective case-control study. We compared these proteins described as diagnostic and prognostic biomarkers for AIS due to LVO: lymphatic vessel endothelial hyaluronic acid receptor-1 (LYVE1), thrombospondin-1 (THBS1), pro-platelet basic protein (PPBP), and cadherin 1 (CDH1).</p><h3><br></h3><h3>Results</h3><p dir="ltr">At baseline (BL), PPBP (p < 0.05), THBS1 (p < 0.05), and CDH1 (p < 0.01) were elevated in T2D; LYVE1 was not different between controls and T2D subjects at BL or at subsequent timepoints. PPBP and THBS1 tended to increase at hypoglycemia in both cohorts, though reached significance only in controls (p < 0.05), returning to BL levels post-hypoglycemia. CDH1 levels were higher in T2D at BL, at hypoglycemia and up to 2-h posthypoglycemia, thereafter reverting to BL levels.</p><p><br></p><h3>Conclusion</h3><p dir="ltr">Elevated levels of PPBP, THBS1, and CDH1, circulatory proteins suggested as biomarkers of AIS due to LVO, may, in T2D patients, be prognostically indicative of a cohort of T2D patients at increased risk of ischaemic stroke. Prospective studies are needed to determine if this reflects future clinical risk.</p><p dir="ltr"><br></p><p dir="ltr">Clinical trial reg. no: NCT03102801.</p><p><br></p><h2>Other Information</h2><p dir="ltr">Published in: Frontiers in Molecular Biosciences<br>License: <a href="https://creativecommons.org/licenses/by/4.0/" target="_blank">https://creativecommons.org/licenses/by/4.0/</a><br>See article on publisher's website: <a href="https://dx.doi.org/10.3389/fmolb.2021.744459" target="_blank">https://dx.doi.org/10.3389/fmolb.2021.744459</a></p> |
| eu_rights_str_mv | openAccess |
| id | Manara2_6d1dc90c4e73ba80972dacbd3213b15d |
| identifier_str_mv | 10.3389/fmolb.2021.744459 |
| network_acronym_str | Manara2 |
| network_name_str | Manara2 |
| oai_identifier_str | oai:figshare.com:article/25764843 |
| publishDate | 2021 |
| repository.mail.fl_str_mv | |
| repository.name.fl_str_mv | |
| repository_id_str | |
| rights_invalid_str_mv | CC BY 4.0 |
| spelling | Potential Biomarkers to Predict Acute Ischemic Stroke in Type 2 DiabetesAbu Saleh Md Moin (6189512)Manjula Nandakumar (1545811)Ahmed Al-Qaissi (9975173)Thozhukat Sathyapalan (704787)Stephen L. Atkin (6684368)Alexandra E. Butler (6189536)Biomedical and clinical sciencesClinical sciencestype 2 diabetesendothelial proteinsbiomarkersischemic strokepredictive biomarkers<h3>Background and Purpose</h3><p dir="ltr">Patients with type 2 diabetes (T2D) have increased risk of cardiovascular disease (CVD), encompassing myocardial infarction, stroke, and peripheral vascular disease. We hypothesized that those biomarkers indicative of acute ischemic stroke (AIS) seen in large vessel occlusion (LVO) may also be elevated in T2D and further enhanced by stress conditions; therefore, these proteins represent potentially predictive biomarkers for those T2D patients at high risk of AIS.</p><h3><br></h3><h3>Methods</h3><p dir="ltr">We performed an exploratory proteomic analysis in control subjects (n = 23) versus those with type 2 diabetes (T2D) (n = 23) who underwent a hyperinsulinemic clamp study to transient severe hypoglycemia [blood glucose <2.0 mmol/L (36 mg/dl)] in a prospective case-control study. We compared these proteins described as diagnostic and prognostic biomarkers for AIS due to LVO: lymphatic vessel endothelial hyaluronic acid receptor-1 (LYVE1), thrombospondin-1 (THBS1), pro-platelet basic protein (PPBP), and cadherin 1 (CDH1).</p><h3><br></h3><h3>Results</h3><p dir="ltr">At baseline (BL), PPBP (p < 0.05), THBS1 (p < 0.05), and CDH1 (p < 0.01) were elevated in T2D; LYVE1 was not different between controls and T2D subjects at BL or at subsequent timepoints. PPBP and THBS1 tended to increase at hypoglycemia in both cohorts, though reached significance only in controls (p < 0.05), returning to BL levels post-hypoglycemia. CDH1 levels were higher in T2D at BL, at hypoglycemia and up to 2-h posthypoglycemia, thereafter reverting to BL levels.</p><p><br></p><h3>Conclusion</h3><p dir="ltr">Elevated levels of PPBP, THBS1, and CDH1, circulatory proteins suggested as biomarkers of AIS due to LVO, may, in T2D patients, be prognostically indicative of a cohort of T2D patients at increased risk of ischaemic stroke. Prospective studies are needed to determine if this reflects future clinical risk.</p><p dir="ltr"><br></p><p dir="ltr">Clinical trial reg. no: NCT03102801.</p><p><br></p><h2>Other Information</h2><p dir="ltr">Published in: Frontiers in Molecular Biosciences<br>License: <a href="https://creativecommons.org/licenses/by/4.0/" target="_blank">https://creativecommons.org/licenses/by/4.0/</a><br>See article on publisher's website: <a href="https://dx.doi.org/10.3389/fmolb.2021.744459" target="_blank">https://dx.doi.org/10.3389/fmolb.2021.744459</a></p>2021-12-01T00:00:00ZTextJournal contributioninfo:eu-repo/semantics/publishedVersiontextcontribution to journal10.3389/fmolb.2021.744459https://figshare.com/articles/journal_contribution/Potential_Biomarkers_to_Predict_Acute_Ischemic_Stroke_in_Type_2_Diabetes/25764843CC BY 4.0info:eu-repo/semantics/openAccessoai:figshare.com:article/257648432021-12-01T00:00:00Z |
| spellingShingle | Potential Biomarkers to Predict Acute Ischemic Stroke in Type 2 Diabetes Abu Saleh Md Moin (6189512) Biomedical and clinical sciences Clinical sciences type 2 diabetes endothelial proteins biomarkers ischemic stroke predictive biomarkers |
| status_str | publishedVersion |
| title | Potential Biomarkers to Predict Acute Ischemic Stroke in Type 2 Diabetes |
| title_full | Potential Biomarkers to Predict Acute Ischemic Stroke in Type 2 Diabetes |
| title_fullStr | Potential Biomarkers to Predict Acute Ischemic Stroke in Type 2 Diabetes |
| title_full_unstemmed | Potential Biomarkers to Predict Acute Ischemic Stroke in Type 2 Diabetes |
| title_short | Potential Biomarkers to Predict Acute Ischemic Stroke in Type 2 Diabetes |
| title_sort | Potential Biomarkers to Predict Acute Ischemic Stroke in Type 2 Diabetes |
| topic | Biomedical and clinical sciences Clinical sciences type 2 diabetes endothelial proteins biomarkers ischemic stroke predictive biomarkers |