Acute phase serum cathepsin S level and cathepsin S/cystatin C ratio are the associated factors with cerebral infarction and their diagnostic value for cerebral infarction

© 2019 The Authors. Kaohsiung Journal of Medical Sciences published by John Wiley & Sons Australia on behalf of Kaohsiung Medical University..

Cathepsin S plays an important role in the pathogenesis of several cardiovascular diseases; however, the relationship between serum cathepsin S and cerebral infarction (CI) is still unknown. This study aimed to investigate the relationship between acute phase serum cathepsin S level and cerebral infarction. A total of 202 stroke patients were enrolled into this study, and were divided into cerebral infarction (n = 140) group and non-cerebral infarction group (non-CI, n = 62). Fifty healthy individuals were recruited as the control group. Serum levels of cathepsin S and cystatin C were measured at days 1, 7, and 14 posthospitalization. Compared to the non-CI group, the CI group had significantly higher rates of hypertension, dyslipidemia, and smoking (all P < 0.05). The CI group had significantly higher cathepsin S levels and cathepsin S to cystatin C ratio (CatS/CysC) at both days 1 and 7 posthospitalization (both P < 0.05). Multivariate logistic regression analysis demonstrated that cathepsin S level (day 7) and CatS/CysC (days 1 and 7) were the associated factors with CI (all P < 0.05). Receiver operating characteristic (ROC) curve analysis revealed that the Area Under Curve (AUC) value of CatS-day7, CatS/CysC-day1, and CatS/CysC-day7 were 0.726 (95% CI: 0.652-0.800, P < 0.001), 0.641 (95% CI: 0.559-0.723, P = 0.001), and 0.721 (95% CI: 0.645-0.797, P = 0.039), respectively. Cathepsin S and CatS/CysC were associated with acute CI, and may have the potential to be the diagnostic biomarkers for CI. Our findings help to better understand the role of serum cathepsin S level in CI.

Medienart:

E-Artikel

Erscheinungsjahr:

2019

Erschienen:

2019

Enthalten in:

Zur Gesamtaufnahme - volume:35

Enthalten in:

The Kaohsiung journal of medical sciences - 35(2019), 2 vom: 01. Feb., Seite 95-101

Sprache:

Englisch

Beteiligte Personen:

Zhang, Ai-Wu [VerfasserIn]
Han, Xin-Sheng [VerfasserIn]
Xu, Xiao-Tian [VerfasserIn]
Fang, Yan-Nan [VerfasserIn]
Chen, Hong-Bing [VerfasserIn]
Jiang, Tao [VerfasserIn]

Links:

Volltext

Themen:

Acute-Phase Proteins
Cathepsin S
Cathepsins
Cerebral infarction
Cystatin C
EC 3.4.-
EC 3.4.22.27
Ischemic stroke
Journal Article

Anmerkungen:

Date Completed 09.08.2019

Date Revised 09.08.2019

published: Print

Citation Status MEDLINE

doi:

10.1002/kjm2.12014

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM294718311