PMID- 17336530 OWN - NLM STAT- MEDLINE DCOM- 20070706 LR - 20070327 IS - 0967-5868 (Print) IS - 0967-5868 (Linking) VI - 14 IP - 5 DP - 2007 May TI - Inducible heat shock protein 70, interleukin-18, and tumor necrosis factor alpha correlate with outcomes in spontaneous intracerebral hemorrhage. PG - 435-41 AB - Inducible heat shock protein 70 (HSP70), a stress protein detected in the central nervous system, is expressed when a cell or organism is under stress. Interleukin-18 (IL-18) and tumor necrosis factor alpha (TNF-alpha) are multipotential early proinflammatory cytokines. Our objective was to determine protein levels of HSP70, IL-18, and TNF-alpha as well as mRNA levels of HSP70, IL-18, and TNF-alpha in the plasma and CSF of spontaneous intracerebral hemorrhage (ICH) patients, and to correlate these with disease outcome. Serial measurement of the proteins in CSF and plasma and of the mRNAs in peripheral blood mononuclear cells was conducted in 43 patients (mean age, 64+/-9 years; 23 men and 20 women). Ten (23%) patients died. We found that the damaged brain releases TNF-alpha and HSP70 to the peripheral blood and that plasma levels of these are highly associated with mortality in spontaneous ICH patients. FAU - Fang, Hsin-Yuan AU - Fang HY AD - Department of Surgery, Changhua Christian Hospital, Changhua, Taiwan. FAU - Ko, Wen-Je AU - Ko WJ FAU - Lin, Ching-Yuang AU - Lin CY LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20070302 PL - Scotland TA - J Clin Neurosci JT - Journal of clinical neuroscience : official journal of the Neurosurgical Society of Australasia JID - 9433352 RN - 0 (HSP70 Heat-Shock Proteins) RN - 0 (Interleukin-18) RN - 0 (Tumor Necrosis Factor-alpha) SB - IM MH - Aged MH - Cerebral Hemorrhage/*metabolism/mortality/radiotherapy MH - Female MH - HSP70 Heat-Shock Proteins/genetics/*metabolism MH - Humans MH - Interleukin-18/genetics/*metabolism MH - Male MH - Middle Aged MH - Retrospective Studies MH - Reverse Transcriptase Polymerase Chain Reaction/methods MH - Severity of Illness Index MH - Statistics, Nonparametric MH - Time Factors MH - Tumor Necrosis Factor-alpha/genetics/*metabolism EDAT- 2007/03/06 09:00 MHDA- 2007/07/07 09:00 CRDT- 2007/03/06 09:00 PHST- 2005/10/26 00:00 [received] PHST- 2005/12/12 00:00 [revised] PHST- 2005/12/14 00:00 [accepted] PHST- 2007/03/06 09:00 [pubmed] PHST- 2007/07/07 09:00 [medline] PHST- 2007/03/06 09:00 [entrez] AID - S0967-5868(06)00067-1 [pii] AID - 10.1016/j.jocn.2005.12.022 [doi] PST - ppublish SO - J Clin Neurosci. 2007 May;14(5):435-41. doi: 10.1016/j.jocn.2005.12.022. Epub 2007 Mar 2.