PMID- 25370794 OWN - NLM STAT- MEDLINE DCOM- 20151110 LR - 20211021 IS - 1573-6903 (Electronic) IS - 0364-3190 (Linking) VI - 40 IP - 1 DP - 2015 Jan TI - Prolyl carboxypeptidase activity decline correlates with severity and short-term outcome in acute ischemic stroke. PG - 81-8 LID - 10.1007/s11064-014-1468-y [doi] AB - Prolyl carboxypeptidase (PRCP) is an enzyme associated with cerebrovascular risk factors such as hypertension, diabetes mellitus, obesity and hyperlipidemia. We aim to evaluate the relation between serum PRCP activity and severity, evolution and outcome of acute ischemic stroke. We used a specific RP-HPLC activity assay to measure PRCP activity in serum of 50 stroke patients at admission, and at 24 h, 72 h and 7 days after stroke onset to assess correlations with stroke severity based on the National Institutes of Health Stroke scale score (NIHSS), infarct volume on brain MRI scan, stroke outcome based on the modified Rankin scale (mRS) and mortality at 3 months after stroke. The average PRCP activity in serum decreased significantly the first 24 h after stroke onset and returned to baseline values at day 7. High NIHSS scores and infarct volumes at admission were related with a more pronounced decrease of PRCP in the first 24 h after stroke (DeltaPRCP24, r = 0.31, P < 0.05; r = 0.30, P < 0.05). In addition, patients who displayed a more pronounced decrease in PRCP levels during the first 24 h after stroke were more likely to be institutionalized upon discharge (n = 21) (DeltaPRCP24 +/- SD, 0.05 +/- 0.10 U/L vs. 0.17 +/- 0.14 U/L, P = 0.001). The decrease in PRCP levels in the first 24 h after stroke onset is associated with stroke severity and an unfavourable short-term stroke outcome. FAU - Kehoe, Kaat AU - Kehoe K AD - Laboratory of Medical Biochemistry, Department of Pharmaceutical Sciences, University of Antwerp, Universiteitsplein 1, 2610, Antwerp, Belgium. FAU - Brouns, Raf AU - Brouns R FAU - Verkerk, Robert AU - Verkerk R FAU - Engelborghs, Sebastiaan AU - Engelborghs S FAU - De Deyn, Peter Paul AU - De Deyn PP FAU - Hendriks, Dirk AU - Hendriks D FAU - De Meester, Ingrid AU - De Meester I LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20141105 PL - United States TA - Neurochem Res JT - Neurochemical research JID - 7613461 RN - EC 3.4.- (Carboxypeptidases) RN - EC 3.4.16.2 (lysosomal Pro-X carboxypeptidase) SB - IM MH - Aged MH - Brain Ischemia/*enzymology/pathology MH - Carboxypeptidases/blood/*metabolism MH - Disease Progression MH - Female MH - Humans MH - Male MH - Risk Factors MH - Stroke/*enzymology/pathology MH - Treatment Outcome EDAT- 2014/11/06 06:00 MHDA- 2015/11/11 06:00 CRDT- 2014/11/06 06:00 PHST- 2014/08/04 00:00 [received] PHST- 2014/10/27 00:00 [accepted] PHST- 2014/10/14 00:00 [revised] PHST- 2014/11/06 06:00 [entrez] PHST- 2014/11/06 06:00 [pubmed] PHST- 2015/11/11 06:00 [medline] AID - 10.1007/s11064-014-1468-y [doi] PST - ppublish SO - Neurochem Res. 2015 Jan;40(1):81-8. doi: 10.1007/s11064-014-1468-y. Epub 2014 Nov 5.