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Open Access 01-12-2012 | Research

Association of dimethylarginines and mediators of inflammation after acute ischemic stroke

Authors: Shufen Chen, Jens Martens-Lobenhoffer, Karin Weissenborn, Jan T Kielstein, Ralf Lichtinghagen, Milani Deb-Chatterji, Na Li, Anita B Tryc, Annemarie Goldbecker, Qiang Dong, Stefanie M Bode-Böger, Hans Worthmann

Published in: Journal of Neuroinflammation | Issue 1/2012

Abstract

Background

Elevated levels of asymmetric dimethylarginine (ADMA) and symmetric dimethylarginine (SDMA) are accompanied by endothelial dysfunction and predict adverse outcome after ischemic stroke. Via induction of oxidative stress, dimethylarginines are possibly linked to the inflammatory cascade after stroke that is known to considerably contribute to secondary progression of brain injury. We sought to investigate the association between dimethylarginines and inflammatory mediators in patients with acute ischemic stroke.

Methods

Plasma levels of ADMA and SDMA were measured in prospectively collected blood samples of 58 patients with acute ischemic stroke. Blood samples were taken at 6 hours, 12 hours, 24 hours, 3 days and 7 days after onset of symptoms. Analyses of ADMA and SDMA were done by high-performance liquid chromatography-tandem mass spectrometry. Monocyte chemotactic protein-1 (MCP-1), matrix metalloproteinase-9 (MMP-9), tissue inhibitor of matrix metalloproteinase-1 (TIMP-1), interleukin-6 (IL-6), C-reactive protein (CRP) and S100B as markers of inflammation and brain damage were determined by commercially available immunometric assays. Patient data were compared with control data from 32 age-adjusted healthy volunteers. Baseline stroke severity was evaluated by the National Institutes of Health Stroke Scale (NIHSS) (NIHSS 0 to 1: mild stroke; NIHSS 2 to 8: moderate stroke; NIHSS ≥9: severe stroke).

Results

Plasma ADMA and SDMA levels significantly correlated with blood levels of inflammatory mediators up to day 7 after stroke. On multiple stepwise linear regression analysis ADMA correlated with TIMP-1 at 6 hours, 24 hours, 3 days and 7 days, MMP-9 at 12 hours and IL-6 at 7 days (P <0.05) while SDMA correlated with MCP-1 at 6 hours, 24 hours, 3 days and 7 days as well as IL-6 at 3 days and 7 days (P <0.05).

Conclusions

The levels of the vasoactive compound ADMA as well as levels of its structural isomer SDMA are associated with levels of inflammatory mediators after acute ischemic stroke. Further studies need to elucidate the cause and effect relationship of these crucial players.

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Title: Association of dimethylarginines and mediators of inflammation after acute ischemic stroke
Authors: Shufen Chen
Jens Martens-Lobenhoffer
Karin Weissenborn
Jan T Kielstein
Ralf Lichtinghagen
Milani Deb-Chatterji
Na Li
Anita B Tryc
Annemarie Goldbecker
Qiang Dong
Stefanie M Bode-Böger
Hans Worthmann
Publication date: 01-12-2012
Publisher: BioMed Central
Published in: Journal of Neuroinflammation / Issue 1/2012
Electronic ISSN: 1742-2094
DOI: https://doi.org/10.1186/1742-2094-9-251

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Association of dimethylarginines and mediators of inflammation after acute ischemic stroke

Abstract

Background

Methods

Results

Conclusions

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Background

Methods

Results

Conclusions

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