Masaaki Ito, Yoichi Yoshida, Kazuki Kobayashi, Takuma Matsumura, Tetsuro Maruyama, Kazumasa Yamagishi, Go Tomiyoshi, Eiichi Kobayashi, Satoshi Yajima, Yoshio Kobayashi, Natsuko Shinmen, Hao Wang, Hideaki Shimada, Hiromi Ashino, Tomoo Nakagawa, Yasuo Iwadate, Yushi Imai, Akiyuki Uzawa, Shinsaku Hamanaka, Hiroyasu Iso, Takaki Hiwasa, Yusuke Katsumata, Akiko Kagaya, Kazuyuki Matsushita, Mikiko Ohno, Minoru Takemoto, Koichiro Tatsumi, Satoshi Kuwabara, Seiichiro Sakao, Nobuhiro Tanabe, Hisahiro Matsubara, Mitoshi Kunimatsu, Mizuki Sata, Toshio Machida, Takashi Kishimoto, Akira Naito, Akiko Hattori, Yoshiro Maezawa, Jiro Terada, Mayumi Muto, Akihiko Adachi, Makoto Sumazaki, Shu Yang Li, Takashi Kudo, Kazuo Sugimoto, Ikuo Kamitsukasa, Tomoo Matsutani, Takahiro Arasawa, Naoya Kato, Shigeyuki Yokoyama, Masahiro Mori, Ken ichiro Goto, Minako Tomiita, Hirotaka Takizawa, Seiichiro Mine, Hideyuki Kuroda, Masaaki Kubota, Rika Nakamura, Mikako Shirouzu, Koutaro Yokote, Shoichiro Tsugane, Fumiaki Shiratori, Hirofumi Doi, Ryoichi Ishibashi, Masashi Yamamoto, Eiichiro Nishi, Sohei Kobayashi, Katsuro Iwase, Fumio Nomura, and Norie Sawada
Background Acute ischemic stroke (AIS) is a serious cause of mortality and disability. AIS is a serious cause of mortality and disability. Early diagnosis of atherosclerosis, which is the major cause of AIS, allows therapeutic intervention before the onset, leading to prevention of AIS. Methods Serological identification by cDNA expression cDNA libraries and the protein array method were used for the screening of antigens recognized by serum IgG antibodies in patients with atherosclerosis. Recombinant proteins or synthetic peptides derived from candidate antigens were used as antigens to compare serum IgG levels between healthy donors (HDs) and patients with atherosclerosis-related disease using the amplified luminescent proximity homogeneous assay-linked immunosorbent assay. Results The first screening using the protein array method identified death-inducer obliterator 1 (DIDO1), forkhead box J2 (FOXJ2), and cleavage and polyadenylation specificity factor (CPSF2) as the target antigens of serum IgG antibodies in patients with AIS. Then, we prepared various antigens including glutathione S-transferase-fused DIDO1 protein as well as peptides of the amino acids 297–311 of DIDO1, 426–440 of FOXJ2, and 607–621 of CPSF2 to examine serum antibody levels. Compared with HDs, a significant increase in antibody levels of the DIDO1 protein and peptide in patients with AIS, transient ischemic attack (TIA), and chronic kidney disease (CKD) but not in those with acute myocardial infarction and diabetes mellitus (DM). Serum anti-FOXJ2 antibody levels were elevated in most patients with atherosclerosis-related diseases, whereas serum anti-CPSF2 antibody levels were associated with AIS, TIA, and DM. Receiver operating characteristic curves showed that serum DIDO1 antibody levels were highly associated with CKD, and correlation analysis revealed that serum anti-FOXJ2 antibody levels were associated with hypertension. A prospective case–control study on ischemic stroke verified that the serum antibody levels of the DIDO1 protein and DIDO1, FOXJ2, and CPSF2 peptides showed significantly higher odds ratios with a risk of AIS in patients with the highest quartile than in those with the lowest quartile, indicating that these antibody markers are useful as risk factors for AIS. Conclusions Serum antibody levels of DIDO1, FOXJ2, and CPSF2 are useful in predicting the onset of atherosclerosis-related AIS caused by kidney failure, hypertension, and DM, respectively.