PMID- 26780459 OWN - NLM STAT- MEDLINE DCOM- 20180213 LR - 20221207 IS - 1559-1182 (Electronic) IS - 0893-7648 (Linking) VI - 54 IP - 2 DP - 2017 Mar TI - Elevated Serum Levels of CXC Chemokine Ligand-12 Are Associated with Unfavorable Functional Outcome and Mortality at 6-Month Follow-up in Chinese Patients with Acute Ischemic Stroke. PG - 895-903 LID - 10.1007/s12035-015-9645-9 [doi] AB - The aim of this study was to examine whether the circulating CXC chemokine ligand-12 (CXCL12) level can predict a 6-month outcome in Chinese patients with acute ischemic stroke (AIS). In a prospective study, CXCL12 levels were measured on admission in the serum of 304 consecutive patients with AIS. The prognostic value of CXCL12 to predict the functional outcome and mortality within 1 year was compared with the National Institutes of Health Stroke Scale score and with other known outcome predictors. A receiver operating characteristic (ROC) curve was used to evaluate the accuracy of serum CXCL12 in predicting functional outcome and mortality. Patients with an unfavorable outcome and non-survivors had significantly increased CXCL12 levels on admission (P < 0.0001 and P < 0.0001). Multivariate logistic regression analysis adjusted for common risk factors showed that CXCL12 (>/=12.4 ng/mL; third quartile) was an independent predictor of functional outcome (odds ratio [OR] = 8.81; 95 % confidence interval [CI] 4.92-24.79) and mortality (OR = 10.15; 95 %CI 2.44-27.98). The area under the receiver operating characteristic curve of CXCL12 was 0.84 (95 % CI 0.76-0.92) for functional outcome and 0.87 (95 % CI 0.80-0.93) for mortality. Circulating CXCL12 serum levels at admission is a useful and complementary biomarker to predict functional outcome and mortality 6 months after acute ischemic stroke. FAU - Cheng, Xuan AU - Cheng X AD - Department of Neurology, The First Affiliated Hospital of Zhengzhou University, No. 1 Jianshe East Road, Erqi Area, Zhengzhou, 450000, Henan Province, China. FAU - Lian, Ya-Jun AU - Lian YJ AD - Department of Neurology, The First Affiliated Hospital of Zhengzhou University, No. 1 Jianshe East Road, Erqi Area, Zhengzhou, 450000, Henan Province, China. lianyajun369@sina.com. FAU - Ma, Yun-Qing AU - Ma YQ AD - Department of Neurology, The First Affiliated Hospital of Zhengzhou University, No. 1 Jianshe East Road, Erqi Area, Zhengzhou, 450000, Henan Province, China. FAU - Xie, Nan-Chang AU - Xie NC AD - Department of Neurology, The First Affiliated Hospital of Zhengzhou University, No. 1 Jianshe East Road, Erqi Area, Zhengzhou, 450000, Henan Province, China. FAU - Wu, Chuan-Jie AU - Wu CJ AD - Department of Neurology, The First Affiliated Hospital of Zhengzhou University, No. 1 Jianshe East Road, Erqi Area, Zhengzhou, 450000, Henan Province, China. LA - eng PT - Journal Article DEP - 20160116 PL - United States TA - Mol Neurobiol JT - Molecular neurobiology JID - 8900963 RN - 0 (Biomarkers) RN - 0 (CXCL12 protein, human) RN - 0 (Chemokine CXCL12) SB - IM MH - Aged MH - Aged, 80 and over MH - *Asian People MH - Biomarkers/blood MH - Brain Ischemia/*blood/diagnostic imaging/mortality MH - Chemokine CXCL12/*blood MH - Cohort Studies MH - Female MH - Follow-Up Studies MH - Humans MH - Male MH - Middle Aged MH - Mortality/trends MH - Prospective Studies MH - Recovery of Function/*physiology MH - Stroke/*blood/diagnostic imaging/mortality MH - Time Factors OTO - NOTNLM OT - Acute ischemic stroke OT - CXC chemokine ligand-12 OT - Chinese OT - Functional outcome OT - Mortality EDAT- 2016/01/19 06:00 MHDA- 2018/02/14 06:00 CRDT- 2016/01/19 06:00 PHST- 2015/08/02 00:00 [received] PHST- 2015/12/16 00:00 [accepted] PHST- 2016/01/19 06:00 [pubmed] PHST- 2018/02/14 06:00 [medline] PHST- 2016/01/19 06:00 [entrez] AID - 10.1007/s12035-015-9645-9 [pii] AID - 10.1007/s12035-015-9645-9 [doi] PST - ppublish SO - Mol Neurobiol. 2017 Mar;54(2):895-903. doi: 10.1007/s12035-015-9645-9. Epub 2016 Jan 16.