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Serum CCL21 as a Potential Biomarker for Cognitive Impairment in Spinal Cord Injury

Objective. Cognitive impairment is considered to be an important complication of spinal cord injury (SCI), but its underlying mechanism remains unclear. The purpose of this study is to explore whether serum CCL21 can be used as a potential biomarker of cognitive impairment in SCI. Methods. In Neck-S...

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Published in:BioMed research international 2020, Vol.2020 (2020), p.1-5
Main Authors: Shi, Bin, Zhang, Qian, Hou, Guangjian, Cao, Shengnan, Liang, Liangke, Chen, Yuanzhen, Ma, Hong
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cites cdi_FETCH-LOGICAL-c499t-40ab0ea2e86a0f2bf21c7249534e4bae329c2086a1bf32eaa8f005b45116dc4c3
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creator Shi, Bin
Zhang, Qian
Hou, Guangjian
Cao, Shengnan
Liang, Liangke
Chen, Yuanzhen
Ma, Hong
description Objective. Cognitive impairment is considered to be an important complication of spinal cord injury (SCI), but its underlying mechanism remains unclear. The purpose of this study is to explore whether serum CCL21 can be used as a potential biomarker of cognitive impairment in SCI. Methods. In Neck-Shoulder and Lumbocrural Pain Hospital, Shandong First Medical University & Shandong Academy of Medical Sciences, hospitalized or treated acute SCI patients were included in the study as the SCI group (SCI). At the same time, a normal control group (NC) matching the age and sex of the SCI group was recruited in the outpatient clinic. Once the two groups were enrolled, their demographics and clinical characteristics were collected immediately. Enzyme-linked immunosorbent assay (ELISA) was used to detect serum CCL21 levels within 24 hours of admission. Three months later, the Montreal Cognitive Assessment (MoCA) was used to test the cognitive function of the population. Results. A total of 84 SCI patients and 49 NC populations were eligible for inclusion in the study. There was no significant statistical difference in the demographics and clinical characteristics (age, gender, BMI, TG, LDL-C, FBG, SBP, and DBP) between the two groups (p>0.05). Compared with the NC group, the SCI group had a higher serum CCL21 level (p
doi_str_mv 10.1155/2020/6692802
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Cognitive impairment is considered to be an important complication of spinal cord injury (SCI), but its underlying mechanism remains unclear. The purpose of this study is to explore whether serum CCL21 can be used as a potential biomarker of cognitive impairment in SCI. Methods. In Neck-Shoulder and Lumbocrural Pain Hospital, Shandong First Medical University &amp; Shandong Academy of Medical Sciences, hospitalized or treated acute SCI patients were included in the study as the SCI group (SCI). At the same time, a normal control group (NC) matching the age and sex of the SCI group was recruited in the outpatient clinic. Once the two groups were enrolled, their demographics and clinical characteristics were collected immediately. Enzyme-linked immunosorbent assay (ELISA) was used to detect serum CCL21 levels within 24 hours of admission. Three months later, the Montreal Cognitive Assessment (MoCA) was used to test the cognitive function of the population. Results. A total of 84 SCI patients and 49 NC populations were eligible for inclusion in the study. There was no significant statistical difference in the demographics and clinical characteristics (age, gender, BMI, TG, LDL-C, FBG, SBP, and DBP) between the two groups (p&gt;0.05). Compared with the NC group, the SCI group had a higher serum CCL21 level (p&lt;0.001) and a lower MoCA score (p&lt;0.001). Serum CCL21 level in SCI was negatively correlated with MoCA score (p=0.023). Multivariable analyses showed that serum CCL21 level is an independent prognostic factor of cognitive impairment in SCI. Conclusions. MoCA score has a linear relationship with serum CCL21 quartile, and SCI cognitive function has a negative correlation with serum CCL21. Serum CCL21 is an independent risk factor for cognitive impairment after SCI.</description><identifier>ISSN: 2314-6133</identifier><identifier>EISSN: 2314-6141</identifier><identifier>DOI: 10.1155/2020/6692802</identifier><identifier>PMID: 33376730</identifier><language>eng</language><publisher>Cairo, Egypt: Hindawi Publishing Corporation</publisher><subject>Adolescent ; Adult ; Age ; Aged ; Aged, 80 and over ; Analysis ; Biological markers ; Biomarkers ; Biomarkers - blood ; Blood pressure ; Body mass index ; Care and treatment ; Case-Control Studies ; CCL21 protein ; Chemokine CCL21 - blood ; Chemokines ; Cholesterol ; Cognition disorders ; Cognitive ability ; Cognitive Dysfunction - blood ; Cognitive Dysfunction - complications ; Correlation analysis ; Cytokines ; Dementia ; Demographics ; Demography ; Diagnosis ; Enzyme-Linked Immunosorbent Assay ; Fasting ; Female ; Gender ; Glucose ; Humans ; Impairment ; Ligands ; Lipoproteins ; Low density lipoprotein ; Low density lipoproteins ; Male ; Mental Status and Dementia Tests ; Middle Aged ; Multivariate Analysis ; Pain ; Patients ; Prevention ; Risk analysis ; Risk Factors ; Spinal cord injuries ; Spinal Cord Injuries - blood ; Spinal Cord Injuries - complications ; Statistical analysis ; Triglycerides ; Young Adult</subject><ispartof>BioMed research international, 2020, Vol.2020 (2020), p.1-5</ispartof><rights>Copyright © 2020 Yuanzhen Chen et al.</rights><rights>COPYRIGHT 2020 John Wiley &amp; Sons, Inc.</rights><rights>Copyright © 2020 Yuanzhen Chen et al. This is an open access article distributed under the Creative Commons Attribution License (the “License”), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License. https://creativecommons.org/licenses/by/4.0</rights><rights>Copyright © 2020 Yuanzhen Chen et al. 2020</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c499t-40ab0ea2e86a0f2bf21c7249534e4bae329c2086a1bf32eaa8f005b45116dc4c3</citedby><cites>FETCH-LOGICAL-c499t-40ab0ea2e86a0f2bf21c7249534e4bae329c2086a1bf32eaa8f005b45116dc4c3</cites><orcidid>0000-0001-9305-5438 ; 0000-0002-3705-1130</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.proquest.com/docview/2474858388/fulltextPDF?pq-origsite=primo$$EPDF$$P50$$Gproquest$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.proquest.com/docview/2474858388?pq-origsite=primo$$EHTML$$P50$$Gproquest$$Hfree_for_read</linktohtml><link.rule.ids>230,314,780,784,885,4024,25753,27923,27924,27925,37012,37013,44590,75126</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/33376730$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><contributor>Xu, Yuzhen</contributor><contributor>Yuzhen Xu</contributor><creatorcontrib>Shi, Bin</creatorcontrib><creatorcontrib>Zhang, Qian</creatorcontrib><creatorcontrib>Hou, Guangjian</creatorcontrib><creatorcontrib>Cao, Shengnan</creatorcontrib><creatorcontrib>Liang, Liangke</creatorcontrib><creatorcontrib>Chen, Yuanzhen</creatorcontrib><creatorcontrib>Ma, Hong</creatorcontrib><title>Serum CCL21 as a Potential Biomarker for Cognitive Impairment in Spinal Cord Injury</title><title>BioMed research international</title><addtitle>Biomed Res Int</addtitle><description>Objective. Cognitive impairment is considered to be an important complication of spinal cord injury (SCI), but its underlying mechanism remains unclear. The purpose of this study is to explore whether serum CCL21 can be used as a potential biomarker of cognitive impairment in SCI. Methods. In Neck-Shoulder and Lumbocrural Pain Hospital, Shandong First Medical University &amp; Shandong Academy of Medical Sciences, hospitalized or treated acute SCI patients were included in the study as the SCI group (SCI). At the same time, a normal control group (NC) matching the age and sex of the SCI group was recruited in the outpatient clinic. Once the two groups were enrolled, their demographics and clinical characteristics were collected immediately. Enzyme-linked immunosorbent assay (ELISA) was used to detect serum CCL21 levels within 24 hours of admission. Three months later, the Montreal Cognitive Assessment (MoCA) was used to test the cognitive function of the population. Results. A total of 84 SCI patients and 49 NC populations were eligible for inclusion in the study. There was no significant statistical difference in the demographics and clinical characteristics (age, gender, BMI, TG, LDL-C, FBG, SBP, and DBP) between the two groups (p&gt;0.05). Compared with the NC group, the SCI group had a higher serum CCL21 level (p&lt;0.001) and a lower MoCA score (p&lt;0.001). Serum CCL21 level in SCI was negatively correlated with MoCA score (p=0.023). Multivariable analyses showed that serum CCL21 level is an independent prognostic factor of cognitive impairment in SCI. Conclusions. MoCA score has a linear relationship with serum CCL21 quartile, and SCI cognitive function has a negative correlation with serum CCL21. 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Cognitive impairment is considered to be an important complication of spinal cord injury (SCI), but its underlying mechanism remains unclear. The purpose of this study is to explore whether serum CCL21 can be used as a potential biomarker of cognitive impairment in SCI. Methods. In Neck-Shoulder and Lumbocrural Pain Hospital, Shandong First Medical University &amp; Shandong Academy of Medical Sciences, hospitalized or treated acute SCI patients were included in the study as the SCI group (SCI). At the same time, a normal control group (NC) matching the age and sex of the SCI group was recruited in the outpatient clinic. Once the two groups were enrolled, their demographics and clinical characteristics were collected immediately. Enzyme-linked immunosorbent assay (ELISA) was used to detect serum CCL21 levels within 24 hours of admission. Three months later, the Montreal Cognitive Assessment (MoCA) was used to test the cognitive function of the population. Results. A total of 84 SCI patients and 49 NC populations were eligible for inclusion in the study. There was no significant statistical difference in the demographics and clinical characteristics (age, gender, BMI, TG, LDL-C, FBG, SBP, and DBP) between the two groups (p&gt;0.05). Compared with the NC group, the SCI group had a higher serum CCL21 level (p&lt;0.001) and a lower MoCA score (p&lt;0.001). Serum CCL21 level in SCI was negatively correlated with MoCA score (p=0.023). Multivariable analyses showed that serum CCL21 level is an independent prognostic factor of cognitive impairment in SCI. Conclusions. MoCA score has a linear relationship with serum CCL21 quartile, and SCI cognitive function has a negative correlation with serum CCL21. Serum CCL21 is an independent risk factor for cognitive impairment after SCI.</abstract><cop>Cairo, Egypt</cop><pub>Hindawi Publishing Corporation</pub><pmid>33376730</pmid><doi>10.1155/2020/6692802</doi><tpages>5</tpages><orcidid>https://orcid.org/0000-0001-9305-5438</orcidid><orcidid>https://orcid.org/0000-0002-3705-1130</orcidid><oa>free_for_read</oa></addata></record>
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source Publicly Available Content Database; Wiley Open Access
subjects Adolescent
Adult
Age
Aged
Aged, 80 and over
Analysis
Biological markers
Biomarkers
Biomarkers - blood
Blood pressure
Body mass index
Care and treatment
Case-Control Studies
CCL21 protein
Chemokine CCL21 - blood
Chemokines
Cholesterol
Cognition disorders
Cognitive ability
Cognitive Dysfunction - blood
Cognitive Dysfunction - complications
Correlation analysis
Cytokines
Dementia
Demographics
Demography
Diagnosis
Enzyme-Linked Immunosorbent Assay
Fasting
Female
Gender
Glucose
Humans
Impairment
Ligands
Lipoproteins
Low density lipoprotein
Low density lipoproteins
Male
Mental Status and Dementia Tests
Middle Aged
Multivariate Analysis
Pain
Patients
Prevention
Risk analysis
Risk Factors
Spinal cord injuries
Spinal Cord Injuries - blood
Spinal Cord Injuries - complications
Statistical analysis
Triglycerides
Young Adult
title Serum CCL21 as a Potential Biomarker for Cognitive Impairment in Spinal Cord Injury
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