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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 |
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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 |
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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 & 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<0.001) and a lower MoCA score (p<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 & 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 & 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<0.001) and a lower MoCA score (p<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><subject>Adolescent</subject><subject>Adult</subject><subject>Age</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Analysis</subject><subject>Biological markers</subject><subject>Biomarkers</subject><subject>Biomarkers - blood</subject><subject>Blood pressure</subject><subject>Body mass index</subject><subject>Care and treatment</subject><subject>Case-Control Studies</subject><subject>CCL21 protein</subject><subject>Chemokine CCL21 - blood</subject><subject>Chemokines</subject><subject>Cholesterol</subject><subject>Cognition disorders</subject><subject>Cognitive ability</subject><subject>Cognitive Dysfunction - blood</subject><subject>Cognitive Dysfunction - complications</subject><subject>Correlation analysis</subject><subject>Cytokines</subject><subject>Dementia</subject><subject>Demographics</subject><subject>Demography</subject><subject>Diagnosis</subject><subject>Enzyme-Linked Immunosorbent Assay</subject><subject>Fasting</subject><subject>Female</subject><subject>Gender</subject><subject>Glucose</subject><subject>Humans</subject><subject>Impairment</subject><subject>Ligands</subject><subject>Lipoproteins</subject><subject>Low density lipoprotein</subject><subject>Low density lipoproteins</subject><subject>Male</subject><subject>Mental Status and Dementia Tests</subject><subject>Middle Aged</subject><subject>Multivariate Analysis</subject><subject>Pain</subject><subject>Patients</subject><subject>Prevention</subject><subject>Risk analysis</subject><subject>Risk Factors</subject><subject>Spinal cord injuries</subject><subject>Spinal Cord Injuries - blood</subject><subject>Spinal Cord Injuries - complications</subject><subject>Statistical analysis</subject><subject>Triglycerides</subject><subject>Young Adult</subject><issn>2314-6133</issn><issn>2314-6141</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><sourceid>PIMPY</sourceid><recordid>eNqN0c9rFDEUB_Agii21N88S8CLo2pcfk5m5CHXwx8JChdVzeJPNbLPOJGsy09L_vll33aqn5pLA-_DNezxCXjJ4z1hRXHDgcKFUzSvgT8gpF0zOFJPs6fEtxAk5T2kD-VRMQa2ekxMhRKlKAadkubRxGmjTLDijmCjSb2G0fnTY048uDBh_2ki7EGkT1t6N7sbS-bBFF4esqPN0uXU-4ybEFZ37zRTvXpBnHfbJnh_uM_Lj86fvzdfZ4urLvLlczIys63EmAVuwyG2lEDredpyZksu6ENLKFq3gteGQi6ztBLeIVQdQtLJgTK2MNOKMfNjnbqd2sCuTG4rY6210ue07HdDpfyveXet1uNFlKZWUPAe8OQTE8GuyadSDS8b2PXobpqS5LEUNwArI9PV_dBOmmAf_rWRVVKKqHtQae6ud70L-1-xC9aWqSwYFqJ16t1cmhpSi7Y4tM9C7terdWvVhrZm_-nvMI_6zxAze7sG18yu8dY-Ms9nYDh80E4oxLu4B9GSxPw</recordid><startdate>2020</startdate><enddate>2020</enddate><creator>Shi, Bin</creator><creator>Zhang, Qian</creator><creator>Hou, Guangjian</creator><creator>Cao, Shengnan</creator><creator>Liang, Liangke</creator><creator>Chen, Yuanzhen</creator><creator>Ma, Hong</creator><general>Hindawi Publishing Corporation</general><general>Hindawi</general><general>John Wiley & Sons, Inc</general><general>Hindawi Limited</general><scope>ADJCN</scope><scope>AHFXO</scope><scope>RHU</scope><scope>RHW</scope><scope>RHX</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7QL</scope><scope>7QO</scope><scope>7T7</scope><scope>7TK</scope><scope>7U7</scope><scope>7U9</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8FD</scope><scope>8FE</scope><scope>8FG</scope><scope>8FH</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>ARAPS</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BENPR</scope><scope>BGLVJ</scope><scope>BHPHI</scope><scope>C1K</scope><scope>CCPQU</scope><scope>CWDGH</scope><scope>DWQXO</scope><scope>FR3</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>H94</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>LK8</scope><scope>M0S</scope><scope>M1P</scope><scope>M7N</scope><scope>M7P</scope><scope>P5Z</scope><scope>P62</scope><scope>P64</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>7X8</scope><scope>5PM</scope><orcidid>https://orcid.org/0000-0001-9305-5438</orcidid><orcidid>https://orcid.org/0000-0002-3705-1130</orcidid></search><sort><creationdate>2020</creationdate><title>Serum CCL21 as a Potential Biomarker for Cognitive Impairment in Spinal Cord Injury</title><author>Shi, Bin ; Zhang, Qian ; Hou, Guangjian ; Cao, Shengnan ; Liang, Liangke ; Chen, Yuanzhen ; Ma, Hong</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c499t-40ab0ea2e86a0f2bf21c7249534e4bae329c2086a1bf32eaa8f005b45116dc4c3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2020</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Age</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Analysis</topic><topic>Biological markers</topic><topic>Biomarkers</topic><topic>Biomarkers - blood</topic><topic>Blood pressure</topic><topic>Body mass index</topic><topic>Care and treatment</topic><topic>Case-Control Studies</topic><topic>CCL21 protein</topic><topic>Chemokine CCL21 - blood</topic><topic>Chemokines</topic><topic>Cholesterol</topic><topic>Cognition disorders</topic><topic>Cognitive ability</topic><topic>Cognitive Dysfunction - blood</topic><topic>Cognitive Dysfunction - complications</topic><topic>Correlation analysis</topic><topic>Cytokines</topic><topic>Dementia</topic><topic>Demographics</topic><topic>Demography</topic><topic>Diagnosis</topic><topic>Enzyme-Linked Immunosorbent Assay</topic><topic>Fasting</topic><topic>Female</topic><topic>Gender</topic><topic>Glucose</topic><topic>Humans</topic><topic>Impairment</topic><topic>Ligands</topic><topic>Lipoproteins</topic><topic>Low density lipoprotein</topic><topic>Low density lipoproteins</topic><topic>Male</topic><topic>Mental Status and Dementia Tests</topic><topic>Middle Aged</topic><topic>Multivariate Analysis</topic><topic>Pain</topic><topic>Patients</topic><topic>Prevention</topic><topic>Risk analysis</topic><topic>Risk Factors</topic><topic>Spinal cord injuries</topic><topic>Spinal Cord Injuries - blood</topic><topic>Spinal Cord Injuries - complications</topic><topic>Statistical analysis</topic><topic>Triglycerides</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><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><collection>الدوريات العلمية والإحصائية - e-Marefa Academic and Statistical Periodicals</collection><collection>معرفة - المحتوى العربي الأكاديمي المتكامل - e-Marefa Academic Complete</collection><collection>Hindawi Publishing Complete</collection><collection>Hindawi Publishing Subscription Journals</collection><collection>Hindawi Publishing Open Access</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Bacteriology Abstracts (Microbiology B)</collection><collection>Biotechnology Research Abstracts</collection><collection>Industrial and Applied Microbiology Abstracts (Microbiology A)</collection><collection>Neurosciences Abstracts</collection><collection>Toxicology Abstracts</collection><collection>Virology and AIDS Abstracts</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Technology Research Database</collection><collection>ProQuest SciTech Collection</collection><collection>ProQuest Technology Collection</collection><collection>ProQuest Natural Science Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni)</collection><collection>ProQuest Central</collection><collection>Advanced Technologies & Aerospace Collection</collection><collection>ProQuest Central Essentials</collection><collection>Biological Science Collection</collection><collection>ProQuest Central</collection><collection>Technology Collection</collection><collection>Natural Science Collection</collection><collection>Environmental Sciences and Pollution Management</collection><collection>ProQuest One Community College</collection><collection>Middle East & Africa Database</collection><collection>ProQuest Central</collection><collection>Engineering Research Database</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>SciTech Premium Collection</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>ProQuest Biological Science Collection</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Algology Mycology and Protozoology Abstracts (Microbiology C)</collection><collection>Biological Science Database</collection><collection>Advanced Technologies & Aerospace Database</collection><collection>ProQuest Advanced Technologies & Aerospace Collection</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>Publicly Available Content Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>BioMed research international</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Shi, Bin</au><au>Zhang, Qian</au><au>Hou, Guangjian</au><au>Cao, Shengnan</au><au>Liang, Liangke</au><au>Chen, Yuanzhen</au><au>Ma, Hong</au><au>Xu, Yuzhen</au><au>Yuzhen Xu</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Serum CCL21 as a Potential Biomarker for Cognitive Impairment in Spinal Cord Injury</atitle><jtitle>BioMed research international</jtitle><addtitle>Biomed Res Int</addtitle><date>2020</date><risdate>2020</risdate><volume>2020</volume><issue>2020</issue><spage>1</spage><epage>5</epage><pages>1-5</pages><issn>2314-6133</issn><eissn>2314-6141</eissn><abstract>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<0.001) and a lower MoCA score (p<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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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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