1. Aneurysmal subarachnoid hemorrhage lead to systemic upregulation of IL-23/IL-17 inflammatory axis
- Author
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Dirk Dietrich, Alf Lamprecht, Sajjad Muhammad, Hartmut Vatter, Thomas M. Kinfe, Erdem Güresir, and Shafqat Rasul Chaudhry
- Subjects
Male ,Transcriptional Activation ,0301 basic medicine ,medicine.medical_specialty ,Subarachnoid hemorrhage ,Immunology ,Ischemia ,Enzyme-Linked Immunosorbent Assay ,Inflammation ,Interleukin-23 ,Biochemistry ,Gastroenterology ,Brain Ischemia ,Brain ischemia ,03 medical and health sciences ,Spinal Stenosis ,0302 clinical medicine ,Cerebral vasospasm ,Internal medicine ,Humans ,Immunology and Allergy ,Medicine ,Prospective Studies ,Prospective cohort study ,Molecular Biology ,Aged ,Aged, 80 and over ,business.industry ,Interleukin-17 ,Lumbar spinal stenosis ,Hematology ,Venous blood ,Middle Aged ,Subarachnoid Hemorrhage ,medicine.disease ,Up-Regulation ,030104 developmental biology ,Anesthesia ,Female ,medicine.symptom ,business ,030217 neurology & neurosurgery - Abstract
IL-23 and IL-17 are pro-inflammatory cytokines. IL-23 is secreted by activated macrophages and dendritic cells, while IL-17 by Th17 cells. Serum IL-23 and IL-17 are known to be elevated in numerous inflammatory diseases including neurodegenerative diseases. The role of serum IL-23 and IL-17 in aneurysmal subarachnoid hemorrhage (aSAH) has still not been investigated. The present work investigates the serum IL-23 and IL-17 levels and their association with post hemorrhagic complications and clinical outcome in patients with aSAH. Methods In this study, 80 patients with aSAH (Hunt and Hess grade I-V) were prospectively recruited. We enrolled 24 control patients with lumbar spinal stenosis. Peripheral venous blood was withdrawn from controls and from aSAH patients at day 1 and day 7, allowed to clot and centrifuged to obtain serum. Enzyme linked immunoassay kits were employed to quantify the serum levels of IL-23 and IL-17 by applying 50 µL of serum samples. Post hemorrhagic complications and clinical outcome were documented prospectively from patient’s hospital record. Results Serum IL-23 and IL-17 levels were significantly elevated in aSAH patients at day 1 and day 7 (n = 80) as compared to control patients (n = 24). Further analysis after dichotomy of patients who suffered from post hemorrhagic complications including cerebral vasospasm, chronic hydrocephalus, seizures, cerebral ischemia, delayed neurological deficits showed differential correlations with different post hemorrhagic complications (Table 1). Serum IL-23 and IL-17 levels did not correlate with clinical outcome. Conclusion Serum IL-23 and IL-17 levels were elevated in patients with aSAH showing upregulation of IL-23/IL-17 inflammatory axis after aSAH. Serum IL-23 and IL-17 showed differential correlations with post hemorrhagic complications and no correlation with clinical outcome.
- Published
- 2017
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