PMID- 26714421 OWN - NLM STAT- MEDLINE DCOM- 20160930 LR - 20151230 IS - 1735-367X (Electronic) IS - 1735-1383 (Linking) VI - 12 IP - 4 DP - 2015 Dec TI - Serum Levels of Monocyte Chemoattractant Protein-1 Correlate with Poor Clinical Grades in Cerebral Aneurysms. PG - 302-10 AB - BACKGROUND: Ruptured cerebral aneurysms (ICAs) are the most common non-traumatic cause of subarachnoid hemorrhage (SAH) that is associated with life threatening complications such as Vasospasm, Infarction, and Hydrocephalus (HCP). The active participation of macrophage/monocyte-mediated inflammatory response in the pathogenesis of cerebral aneurysm as labeled with Monocyte Chemoattractant Protein-1 (MCP-1) is suggested. OBJECTIVE: To measure the serum level of MCP-1 in ruptured CAs in different time intervals. METHODS: We measured the serum levels of MCP-1 in SAH patients who had CAs and compared it with that of MCP-1 in two control groups: including patients with SAH without CAs, and the normal population of blood donors. We also measured the MCP-1 levels in patients with CAs one week afterward to evaluate the effect of treatment. Serum level of MCP-1 was measured by a commercial ELISA assay. RESULTS: Mean serum MCP-1 level in patients with SAH and CAs was 188.2168 Pg/ml and 331.3982 Pg/ml in the normal population. There was no statistically significant difference between serum levels of MCP-1 on the first (mean=188.2168 Pg/ml) and 7th days after SAH onset (mean=171.8450 Pg/ml) (p=0.739). Serum level of MCP-1 increased significantly as Glasgow Coma Scale decreased (p=0.078) and Hunt and Hess score increased (p=0.089). CONCLUSION: Our results did not show an increasing MCP-1 serum level in patients with aneurysmal SAH. There was a relationship between poor clinical grade and MCP-1 levels in patients with CAs. MCP-1 may be a local inflammatory marker for cerebral aneurysms without systemic manifestation. FAU - Rahmanian, Abdolkarim AU - Rahmanian A AD - Department of Neurosurgery, Shiraz Medical School, Shiraz University of Medical Sciences, Shiraz, Iran, e-mail:ak.rahmanian@gmail.com. FAU - Mohebali, Navideh AU - Mohebali N FAU - Haghnegahdar, Ali AU - Haghnegahdar A FAU - Kamali Sarvestani, Eskandar AU - Kamali Sarvestani E FAU - Razmkon, Ali AU - Razmkon A FAU - Kivelev, Juri AU - Kivelev J FAU - Baghban, Fahim AU - Baghban F LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - Iran TA - Iran J Immunol JT - Iranian journal of immunology : IJI JID - 101282932 RN - 0 (Biomarkers) RN - 0 (CCL2 protein, human) RN - 0 (Chemokine CCL2) SB - IM MH - Adult MH - Aged MH - Biomarkers/*blood MH - Case-Control Studies MH - Chemokine CCL2/*blood MH - Disease Progression MH - Female MH - Humans MH - Intracranial Aneurysm/complications/*diagnosis MH - Male MH - Middle Aged MH - Predictive Value of Tests MH - Prognosis MH - Subarachnoid Hemorrhage/complications/*diagnosis EDAT- 2015/12/31 06:00 MHDA- 2016/10/01 06:00 CRDT- 2015/12/31 06:00 PHST- 2015/12/31 06:00 [entrez] PHST- 2015/12/31 06:00 [pubmed] PHST- 2016/10/01 06:00 [medline] AID - 07 [pii] PST - ppublish SO - Iran J Immunol. 2015 Dec;12(4):302-10.