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Circulating Dickkopf-1 in acute ischemic stroke and clinically stable cerebrovascular disease

Seifert-Held, Thomas, Pekar, Thomas, Gattringer, Thomas, Simmet, Nicole E., Scharnagl, Hubert, Stojakovic, Tatjana, Fazekas, Franz, Storch, Maria K.·2011·Atherosclerosis

Abstract

Objectives Previous data suggest that Dickkopf-1 (Dkk-1), an inhibitor of the canonical/β-catenin cascade of the Wnt pathway, is upregulated in carotid atherosclerosis and acute myocardial ischemia. It is currently unclear if such upregulation also occurs in cerebral ischemia. Methods We measured plasma levels of Dkk-1 in patients with acute ischemic stroke (n=57) within 24h from symptom onset, in patients with clinically stable cerebrovascular disease (n=29) and in healthy controls (n=29). Stroke severity on admission was determined by the National Institutes of Stroke Scale (NIHSS). The modified Rankin Scale (mRS) served to define outcome at day 90. Ischemic stroke subtype and cause was determined by the Oxfordshire Community Stroke Project (OCSP) criteria and the Causative Classification of Stroke System (CCS). Results Dkk-1 plasma levels were significantly higher in acute stroke patients (median 727.1 pg/ml) as compared to patients with stable cerebrovascular disease (median 534.2 pg/ml; p=0.017) or healthy controls (median 371.3 pg/ml; p Conclusion Our study provides for the first time evidence for a release of Dkk-1 into the circulation in patients with acute ischemic stroke and also in patients with clinically stable cerebrovascular disease.

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Crossref · 10.1016/j.atherosclerosis.2011.05.015

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Research works printed but not linked: 27

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Metadata

Authors
Seifert-Held, T., Pekar, T., Gattringer, T., Simmet, N. E., Scharnagl, H., Stojakovic, T., Fazekas, F., & Storch, M. K.
Venue
Atherosclerosis
Publisher
Elsevier BV
Published
2011-09
Volume
218
Issue
1
Pages
233-237
ISSN
0021-9150
Cited by
69
References
3
Language
en

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