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      Correlation of Serum C-Peptide, Soluble Intercellular Adhesion Molecule-1, and NLRP3 Inflammasome-Related Inflammatory Factor Interleukin-1 β after Brain Magnetic Resonance Imaging Examination with Cerebral Small Vessel Disease

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      1 , 2 , 3 , 4 ,
      Contrast Media & Molecular Imaging
      Hindawi

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          Abstract

          Objective

          To explore the correlation of serum c-peptide, soluble intercellular adhesion molecule-1 (sICAM-1), and NLRP3 inflammasome-related inflammatory factor interleukin-1 β (IL-1 β) after brain magnetic resonance imaging (MRI) examination with cerebral small vessel disease (CSVD).

          Methods

          A total of 72 CSVD patients treated in our hospital from December 2018 to December 2019 were selected as the case group and another 72 patients who presented cerebrovascular risk factors but obtained normal brain MRI examination result in the same period were selected as the control group. The serum specimen of patients in the two groups were collected, their serum c-peptide levels were measured by radio immunoassay, and their serum sICAM-1 and NLRP3 inflammasome-related inflammatory factor IL-1 β were measured by enzyme-linked immunosorbent assay (ELISA), so as to analyze the correlation between these indicators and CSVD.

          Results

          Compared with the control group, the level values of serum c-peptide, sICAM-1, and IL-1 β were significantly higher in the case group ( P < 0.001), with CSVD being the dependent variable, and age, smoking, uric acid, history of stroke, serum c-peptide, sICAM-1, and IL-1 β being the independent variables. A logistic regression analysis was conducted, and the result showed that age, smoking, serum c-peptide, sICAM-1, and IL-1 β were the risk factors for CSVD, and by drawing the ROC curves, it could be concluded that the area under sICAM-1 curve was larger than that of other single indicator.

          Conclusion

          Elevation of level values of serum c-peptide, sICAM-1, and NLRP3 inflammasome-related inflammatory factor IL-1 β is correlative with CSVD, and age, smoking, serum c-peptide, sICAM-1, and IL-1 β are the independent risk factors for CSVD.

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          Most cited references25

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          World Medical Association Declaration of Helsinki: ethical principles for medical research involving human subjects.

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            Blood Pressure Variability and Cerebral Small Vessel Disease: A Systematic Review and Meta-Analysis of Population-Based Cohorts

            Blood pressure (BP) variability may increase the risk of stroke and dementia. It remains inconclusive whether BP variability is associated with cerebral small vessel disease, a common and potentially devastating subclinical disease that contributes significantly to both stroke and dementia. A systematic review and meta-analysis of prospective cohort studies that examined the association between BP variability and the presence or progression of established markers of cerebral small vessel disease, including white matter hyperintensities, lacunes, and microbleeds on magnetic resonance imaging. We searched MEDLINE, EMBASE, and Web of Science. Ten studies met the criteria for qualitative synthesis and 7 could be included in the meta-analysis. Data were synthetized using random-effect models. These studies included a total of 2796 individuals aged 74 (mean) ±4 (SD) years, with a median follow-up of 4.0 years. A one SD increase in systolic BP variability was associated with increased odds of the presence or progression of white matter hyperintensities (odds ratio, 1.26 [95% CI, 1.06–1.50]). The association of systolic BP variability with the presence of lacunes (odds ratio, 0.93 [95% CI, 0.74–1.16]) and the presence of microbleeds (odds ratio, 1.13 [95% CI, 0.89–1.44]) were not statistically significant. A larger BP variability may be associated with a higher risk of having a higher burden of white matter hyperintensities. Targeting large BP variability has the potential to prevent cerebral small vessel disease and thereby reducing the risk of stroke and dementia. The potential issue of reverse causation and the heterogeneity in the assessment of cerebral small vessel disease markers should be better addressed in future studies.
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              Genome-wide association study of cerebral small vessel disease reveals established and novel loci

              Intracerebral haemorrhage (ICH) and small vessel ischaemic stroke (SVS) are the most severe manifestations of cerebral small vessel disease. In a cross-phenotype genome-wide association analysis, Chung et al. identify two novel associations at 2q33 and 13q34 plus a previously identified locus at 1q22 for non-lobar ICH and SVS risk.
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                Author and article information

                Contributors
                Journal
                Contrast Media Mol Imaging
                Contrast Media Mol Imaging
                CMMI
                Contrast Media & Molecular Imaging
                Hindawi
                1555-4309
                1555-4317
                2022
                27 January 2022
                : 2022
                : 4379847
                Affiliations
                1The Second Clinical Medical College of Harbin Medical University, Harbin 150000, Heilongjiang, China
                2Department of Neurology, The Second Affiliated Hospital of Mudanjiang Medical College, Mudanjiang 157000, Heilongjiang, China
                3Clinical Skills Training Center, First Clinical Medical College, Mudanjiang Medical College, Mudanjiang 157011, Heilongjiang, China
                4Neurology Fourth Ward, The 2nd Affiliated Hospital of Harbin Medical University, Harbin 150001, Heilongjiang, China
                Author notes

                Academic Editor: Yuvaraja Teekaraman

                Author information
                https://orcid.org/0000-0003-4970-0537
                Article
                10.1155/2022/4379847
                8813282
                90c851da-bc5b-49a1-9d4e-bb3a2c5c6f55
                Copyright © 2022 Chunli Ma et al.

                This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

                History
                : 17 November 2021
                : 12 January 2022
                Categories
                Research Article

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