IL-18 AND ADROPIN LEVELS IN PATIENTS WITH ACUTE ISCHEMIC STROKE

Öz

Objective Atherosclerosis, one of the prominent factors causing dysfunctional vascular events in stroke patients, is a multi-factorial and complex process in which endothelial dysfunction and vascular inflammation play significant roles. This study aimed to investigate the relationships between serum levels of IL-18 and adropin, associated with endothelial dysfunction and inflammatory processes in acute ischemic stroke patients, with epidemiological, clinical, radiological findings and stroke severity. Materials and Methods Sixty-one patients diagnosed with acute ischemic stroke and 30 healthy individuals were included in the study as the patient and control groups. In the patient group, the stroke sub-groups and severity were determined etiologically and clinically. Venous blood samples were obtained within the first 24 hours in the patient group, and at any time in the control group, their serums were separated and stored at -80°C. IL-8 and adropin levels were determined using the ELISA method. The relationships between patient and control groups’ IL-18 and adropin levels and ischemic stroke were analyzed statistically. Results The adropin level was statistically significantly lower in the patient group than the control group (398.01±403.51 and 509.42±1492.89, respectively; p=0.041). The IL-18 levels of the study and control groups were similar (24.87±14.26 and 21.11±14.93, respectively; p=0.112). There was no relationship between the IL-18 and adropin levels determined with stroke risk factors, stroke sub-groups, and stroke severity. Conclusion These results showed that low adropin levels could be used to indicate atherosclerosis in the risk prediction scales of ischemic stroke. The absence of a difference between the patient group with acute ischemic stroke and the control group regarding the first 24-hour mean serum IL-18 level suggested that IL-18 could play a role as a late-stage cytokine in ischemia-related inflammation.

Anahtar Kelimeler

• ischemic stroke
• adropin
• IL-18
• inflammation
• endothelial dysfunction

AKUT İSKEMİK İNMELİ HASTALARDA IL-18 VE ADROPİN DÜZEYLERİ

Öz

Amaç İnmeli hastalarda disfonksiyonel vasküler olaylara yol açan önde gelen faktörlerden bir tanesi olan ateroskleroz; endotelyal disfonksiyon ve vasküler inflamasyonun önemli bir rol oynadığı çok faktörlü ve kompleks bir süreçtir. Biz bu çalışmada endotel disfonksiyonu ve inflamatuar süreçlerle ilişkisi gösterilmiş olan IL- 18 ve adropininin akut iskemik inme hastalarındaki serum düzeyleri ile epidemiyolojik, klinik, radyolojik bulgular ve inme şiddeti arasındaki ilişkiyi araştırmayı amaçladık. Gereç ve Yöntem Çalışmamıza akut iskemik inme tanısı konulan 61 hasta ve kontrol grubu olarak 30 sağlıklı birey alındı. Hasta grubunda etiyolojik ve klinik olarak inme alt grupları ve inme şiddeti belirlendi. Hasta grubundan ilk 24 saatte, kontrol grubundan herhangi bir zamanda venöz kan örnekleri alınarak serumları ayrıldı ve -80⁰C’de saklandı. ELISA yöntemi kullanılarak IL-8 ve adropin düzeyleri belirlendi. Hasta ve kontrol gruplarının IL-18 ve adropin düzeyleri ile iskemik inme arasındaki ilişkiler istatistiksel olarak analiz edildi. Bulgular Adropin düzeyi hasta grubunda kontrol grubuna göre istatistiksel olarak anlamlı derecede düşüktü (sırasıyla 398.01±403.51 ve 509.42±1492.89; p=0.041). Çalışma ve kontrol gruplarının IL-18 düzeyleri benzerdi (sırasıyla 24.87±14.26 ve 21.11±14.93; p=0.112). İnme risk faktörleri, inme alt grupları ve inme şiddeti ile belirlenen IL-18 ve adropin düzeyleri arasında ilişki yoktu. Sonuç Bu bulgular, düşük adropin düzeylerinin ateroskleroz göstergesi olarak iskemik inme risk tahmini ölçeklerinde kullanılabileceğini göstermiştir. Akut iskemik inmeli hasta grubu ile kontrol grubu arasında ortalama serum IL-18 düzeyi açısından fark olmaması, IL-18'in iskemiye bağlı inflamasyonda geç dönem bir sitokin olarak rol oynayabileceğini düşündürmüştür.

Anahtar Kelimeler

• iskemik inme
• adropin
• IL-18
• inflamasyon
• endotel disfonksiyonu

Kaynakça

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