PMID- 26205534 OWN - NLM STAT- MEDLINE DCOM- 20160929 LR - 20221207 IS - 1590-3478 (Electronic) IS - 1590-1874 (Linking) VI - 36 IP - 12 DP - 2015 Dec TI - The diagnostic and prognostic value of serum CXCL12 levels in patients with ischemic stroke. PG - 2227-34 LID - 10.1007/s10072-015-2341-8 [doi] AB - The aim of this study was to investigate the potential diagnostic and prognostic role of CXC chemokine ligand-12 (CXCL12) in Chinese patients with acute ischemic stroke (AIS). All consecutive patients with first-ever AIS from January 2014 to August 2014 were recruited to participate in the study. CXCL12 and NIH Stroke Scale were measured at the time of admission. Short-term functional outcome was measured by modified Rankin scale 3 months after admission. Multivariate analyses were performed using logistic regression models. Receiver operating characteristic (ROC) curve was used to evaluate the accuracy of serum CXCL12 in diagnosing stroke and prognosing functional outcome. From 375 screened patients, a total of 288 patients with first-ever AIS were included in this study. Based on the ROC curve, the optimal cutoff value of serum CXCL12 levels as an indicator for auxiliary diagnosis of AIS was projected to be 3.5 ng/mL, which yielded a sensitivity of 88.1 % and a specificity of 73.5 %, with the area under the curve at 0.907 (95 % CI 0.882-0.932). In multivariate analysis, there was an increased risk of unfavorable outcome associated with serum CXCL12 levels >/=7.6 ng/mL (OR 4.356, 95 % CI 2.993-7.132, P < 0.0001) after adjusting for possible confounders. Our study demonstrated that elevated serum CXCL12 level at admission was an independent diagnostic and prognostic marker in patients with AIS. FAU - Duan, Xiao-Xia AU - Duan XX AD - Department of Anesthesiology, The Affiliated Hospital of Luzhou Medical College, No. 25, Taiping Street, Luzhou, 646000, Sichuan Province, People's Republic of China. sunxy452@126.com. FAU - Zhang, Guan-Peng AU - Zhang GP AD - Department of Electrocardiogram, The Affiliated Hospital of Luzhou Medical College, Luzhou, 646000, People's Republic of China. FAU - Wang, Xiao-Bin AU - Wang XB AD - Department of Anesthesiology, The Affiliated Hospital of Luzhou Medical College, No. 25, Taiping Street, Luzhou, 646000, Sichuan Province, People's Republic of China. FAU - Yu, Hua AU - Yu H AD - Department of Electrocardiogram, The Affiliated Hospital of Luzhou Medical College, Luzhou, 646000, People's Republic of China. FAU - Wu, Jia-Li AU - Wu JL AD - Department of Anesthesiology, The Affiliated Hospital of Luzhou Medical College, No. 25, Taiping Street, Luzhou, 646000, Sichuan Province, People's Republic of China. FAU - Liu, Ke-Zhi AU - Liu KZ AD - Department of Psychiatry, The Affiliated Hospital of Luzhou Medical College, Luzhou, 646000, People's Republic of China. FAU - Wang, Lin AU - Wang L AD - Department of Psychiatry, The Affiliated Hospital of Luzhou Medical College, Luzhou, 646000, People's Republic of China. FAU - Long, Xiang AU - Long X AD - Department of Anesthesiology, The Affiliated Hospital of Luzhou Medical College, No. 25, Taiping Street, Luzhou, 646000, Sichuan Province, People's Republic of China. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20150724 PL - Italy TA - Neurol Sci JT - Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology JID - 100959175 RN - 0 (Biomarkers) RN - 0 (CXCL12 protein, human) RN - 0 (Chemokine CXCL12) SB - IM MH - Aged MH - Asian People MH - Biomarkers/blood MH - Brain Ischemia/*blood/diagnosis MH - Chemokine CXCL12/*blood MH - Female MH - Humans MH - Male MH - Middle Aged MH - Multivariate Analysis MH - Prognosis MH - ROC Curve MH - Severity of Illness Index MH - Stroke/*blood/*diagnosis OTO - NOTNLM OT - Acute ischemic stroke OT - CXC chemokine ligand-12 OT - Chinese OT - Diagnosis OT - Marker OT - Prognostic EDAT- 2015/07/25 06:00 MHDA- 2016/09/30 06:00 CRDT- 2015/07/25 06:00 PHST- 2015/02/17 00:00 [received] PHST- 2015/07/13 00:00 [accepted] PHST- 2015/07/25 06:00 [entrez] PHST- 2015/07/25 06:00 [pubmed] PHST- 2016/09/30 06:00 [medline] AID - 10.1007/s10072-015-2341-8 [pii] AID - 10.1007/s10072-015-2341-8 [doi] PST - ppublish SO - Neurol Sci. 2015 Dec;36(12):2227-34. doi: 10.1007/s10072-015-2341-8. Epub 2015 Jul 24.