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SHR Neuro Krebs Kardio Lipid Stoffw Microb

Gattringer, T; Enzinger, C; Pinter, D; Fandler-Höfler, S; Kneihsl, M; Haidegger, M; Eppinger, S; Demjaha, R; Buchmann, A; Jerkovic, A; Schmidt, R; Khalil, M.
Serum glial fibrillary acidic protein is sensitive to acute but not chronic tissue damage in cerebral small vessel disease.
J Neurol. 2023; 270(1):320-327 Doi: 10.1007/s00415-022-11358-7 [OPEN ACCESS]
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Führende Autor*innen der Med Uni Graz
Gattringer Thomas
Co-Autor*innen der Med Uni Graz
Buchmann Arabella
Demjaha Rina
Enzinger Christian
Eppinger Sebastian
Fandler-Höfler Simon
Haidegger Melanie
Khalil Michael
Kneihsl Markus
Pinter Daniela Theresia
Schmidt Reinhold

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BACKGROUND: Serum glial fibrillary acidic protein (sGFAP) has been proposed as a biomarker in various neurological diseases but has not yet been systematically investigated in patients with cerebral small vessel disease (CSVD). We explored whether sGFAP levels are increased in stroke patients with MRI-confirmed recent small subcortical infarcts (RSSI) and analyzed the subsequent course and determinants of sGFAP longitudinally. METHODS: In a prospectively-collected cohort of stroke patients with a single RSSI (n = 101, mean age: 61 years, 73% men), we analyzed brain MRI and sGFAP using a SIMOA assay at baseline and at 3- and 15-months post-stroke. Community-dwelling age- and sex-matched individuals (n = 51) served as controls. RESULTS: RSSI patients had higher baseline sGFAP levels compared to controls (median: 187.4 vs. 118.3 pg/ml, p < 0.001), with no influence of the time from stroke symptom onset to baseline blood sampling (median 5 days, range 1-13). At the 3- and 15-months follow-up, sGFAP returned to control levels. While baseline sGFAP correlated with larger infarct size (rs = 0.28, p = 0.01), neither baseline nor follow-up sGFAP levels were associated with chronic CSVD-related lesions (white matter hyperintensities, lacunes, microbleeds) after adjusting for age, sex and hypertension. Furthermore, sGFAP levels did not relate to the occurrence of new vascular brain lesions on follow-up MRI. CONCLUSIONS: sGFAP is increased in patients with CSVD-related stroke and correlates with the size of the RSSI. However, sGFAP levels were not related to chronic neuroimaging features or progression of CSVD, suggesting that sGFAP is sensitive to acute but not chronic cerebrovascular tissue changes in this condition.
Find related publications in this database (using NLM MeSH Indexing)
Male - administration & dosage
Humans - administration & dosage
Middle Aged - administration & dosage
Female - administration & dosage
Stroke, Lacunar - diagnostic imaging
Glial Fibrillary Acidic Protein - administration & dosage
Cerebral Small Vessel Diseases - complications, diagnostic imaging
Brain - diagnostic imaging, pathology
Stroke - complications
Magnetic Resonance Imaging - methods

Find related publications in this database (Keywords)
Glial fibrillary acidic protein
Lacunar stroke
Cerebral small vessel disease
Recent small subcortical infarcts
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