Go Tomiyoshi, Yoichi Yoshida, Koutaro Yokote, Koichi Kashiwado, Toshio Machida, Eiichi Kobayashi, Sho Takahashi, Jun Matsushima, Mikiko Ohno, Hao Wang, Xiao-Meng Zhang, Eiichiro Nishi, Takeshi Wada, Akiyo Aotsuka, Masaki Takiguchi, Hirotaka Takizawa, Seiichiro Mine, Natsuko Shinmen, Yasuo Iwadate, Hideyuki Kuroda, Hideo Shin, Rika Nakamura, Ikuo Kamitsukasa, Takaki Hiwasa, and Minoru Takemoto
// Yoichi Yoshida 1,2,3 , Hao Wang 2,4 , Takaki Hiwasa 2 , Toshio Machida 5 , Eiichi Kobayashi 1,3 , Seiichiro Mine 5,6 , Go Tomiyoshi 2,7 , Rika Nakamura 2,7 , Natsuko Shinmen 2,7 , Hideyuki Kuroda 7 , Hirotaka Takizawa 8 , Koichi Kashiwado 9 , Ikuo Kamitsukasa 10,11 , Hideo Shin 12 , Takeshi Wada 13 , Akiyo Aotsuka 13 , Eiichiro Nishi 14 , Mikiko Ohno 14 , Minoru Takemoto 15 , Koutaro Yokote 15 , Sho Takahashi 16 , Jun Matsushima 17 , Xiao-Meng Zhang 2 , Masaki Takiguchi 2 and Yasuo Iwadate 1 1 Department of Neurological Surgery, Graduate School of Medicine, Chiba University, Chiba, Japan 2 Department of Biochemistry and Genetics, Graduate School of Medicine, Chiba University, Chiba, Japan 3 Comprehensive Stroke Center, Chiba University Hospital, Chiba, Japan 4 Department of Anesthesia, The First Affiliated Hospital, Jinan University, Guangzhou, P. R. China 5 Department of Neurosurgery, Chiba Cerebral and Cardiovascular Center, Ichihara, Chiba, Japan 6 Department of Neurosurgery, Sawara Prefectural Hospital, Chiba, Japan 7 Medical Project Division, Research Development Center, Fujikura Kasei Co., Saitama, Japan 8 Port Square Kashiwado Clinic, Kashiwado Memorial Foundation, Chiba, Japan 9 Department of Neurology, Kashiwado Hospital, Chiba, Japan 10 Department of Neurology, Chiba Rosai Hospital, Chiba, Japan 11 Department of Neurology, Chibaken Saiseikai Narashino Hospital, Chiba, Japan 12 Department of Neurosurgery, Higashi Funabashi Hospital, Chiba, Japan 13 Department of Internal Medicine, Chiba Aoba Municipal Hospital, Chiba, Japan 14 Department of Pharmacology, Shiga University of Medical Science, Shiga, Japan 15 Department of Clinical Cell Biology and Medicine, Graduate School of Medicine, Chiba University, Chiba, Japan 16 Clinical Research Center, Chiba University Hospital, Chiba, Japan 17 Department of Diagnostic Pathology, Graduate School of Medicine, Chiba University, Chiba, Japan Correspondence to: Takaki Hiwasa, email: // Keywords : TIA; PDCD11; cerebral infarction; autoantibody; biomarker; Gerotarget Received : August 08, 2017 Accepted : November 16, 2017 Published : December 24, 2017 Abstract Background: Disease specific autoantibodies have been detected in the sera of patients with atherosclerosis-related diseases, such as cerebral infarction, cardiovascular disease. In the present study, we aimed to identify novel autoantibodies responsible for transient ischemic attack (TIA), a prodromal condition for cerebral infarction. Methods: To identify candidate antigens, we screened a human aortic endothelial cell cDNA library using sera from 20 patients with TIA. Serum antibody levels were measured using amplified luminescent proximity homogeneous assay-linked immunosorbent assay (AlphaLISA) in 2 independent patient/healthy donor (HD) cohorts ( n = 192 and n = 906 in the second screening and validation cohort, respectively). Results: First screening identified 3 candidate antigens. Of these, programmed cell death 11 (PDCD11) was determined to be associated with stroke ( p < 0.0001), as evidenced from the second screening using AlphaLISA. The validation cohort revealed significantly higher antibody levels against PDCD11 (PDCD11-Ab levels) in patients with TIA than in HDs. Multivariate logistic regression analysis indicated that the predictive value of PDCD11-Ab levels for TIA [Odds ratio (OR): 2.44, 95% confidence interval (CI): 1.33-4.57, p = 0.0039] was not inferior to other known risk factors for ischemic stroke, including age (OR: 4.97, 95% CI: 2.67–9.48, p < 0.0001); hypertension (OR: 3.21, 95% CI: 1.76–5.86, p = 0.0001); and diabetes (OR: 4.31, 95% CI: 1.74–11.2, p = 0.0015). Conclusion: Serum PDCD11-Ab level may serve as a potential biomarker for TIA.