Peripheral plasma vitamin D and non-HDL cholesterol reflect the severity of cerebral cavernous malformation disease

被引:39
作者
Girard, Romuald [1 ]
Khanna, Omaditya [1 ]
Shenkar, Robert [1 ]
Zhang, Lingjiao [1 ]
Wu, Meijing [1 ]
Jesselson, Michael [1 ]
Zeineddine, Hussein A. [1 ]
Gangal, Anupriya [1 ]
Fam, Maged D. [1 ]
Gibson, Christopher C. [2 ]
Whitehead, Kevin J. [3 ,4 ]
Li, Dean Y. [3 ,4 ]
Liao, James K. [5 ]
Shi, Changbin [1 ]
Awad, Issam A. [1 ]
机构
[1] Univ Chicago Med, Neurosurg Sect, Neurovasc Surg Program, 5841 S Maryland Ave, Chicago, IL 60637 USA
[2] Recurs Pharmaceut, Salt Lake City, UT 84108 USA
[3] Univ Utah, Sch Med, Div Cardiol, 30 N 1900 E, Salt Lake City, UT 84132 USA
[4] Univ Utah, Sch Med, Dept Med, 30 N 1900 E, Salt Lake City, UT 84132 USA
[5] Univ Chicago Med, Cardiol Sect, 5841 S Maryland Ave, Chicago, IL 60637 USA
关键词
aggressiveness; biomarker; cerebral cavernous malformation; inflammation; non-HDL cholesterol; vitamin D; CARDIOVASCULAR RISK; NATURAL-HISTORY; HEMORRHAGE RISK; IMMUNE-RESPONSE; CLINICAL-COURSE; LIPID-LEVELS;
D O I
10.2217/bmm.15.118
中图分类号
R-3 [医学研究方法]; R3 [基础医学];
学科分类号
1001 ;
摘要
Aim: To correlate cerebral cavernous malformations (CCMs) disease aggressiveness with peripheral blood biomarkers hypothesized mechanistically. Patients & methods: A prospective case-control study enrolled 43 CCM patients, where 25-(OH) vitamin D, HDL and non-HDL cholesterol, CRP plasma levels and leukocyte ROCK activity were correlated with parameters of disease aggressiveness reflecting chronic and acute domains. Results: Patients with one or more features of chronically aggressive disease (early age at symptom onset, two or more symptomatic bleeds, high lesion burden) had significantly lower 25-(OH) vitamin D and non-HDL cholesterol levels in comparison to patients without these features. Conclusion: Validation of these biomarkers and their potential treatment modulation may influence the clinical care of patients with CCM disease.
引用
收藏
页码:255 / 264
页数:10
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