PMID- 29128330 OWN - NLM STAT- MEDLINE DCOM- 20180725 LR - 20180816 IS - 1532-8511 (Electronic) IS - 1052-3057 (Linking) VI - 27 IP - 3 DP - 2018 Mar TI - Decreased Serum Brain-Derived Neurotrophic Factor May Indicate the Development of Poststroke Depression in Patients with Acute Ischemic Stroke: A Meta-Analysis. PG - 709-715 LID - S1052-3057(17)30554-2 [pii] LID - 10.1016/j.jstrokecerebrovasdis.2017.10.003 [doi] AB - BACKGROUND: Depression is a common complication after stroke and has been associated with poor outcome. Thus, it is of great importance to identify potential biomarkers that can aid in predicting and detecting patients with stroke at high risk of poststroke depression (PSD) development. Previous studies showed that brain-derived neurotrophic factor (BDNF) had potential use as a biomarker for discriminating patients with stroke at high risk of PSD. However, the results were inconsistent. METHODS: A meta-analysis was performed to evaluate the correlation between the peripheral BDNF levels and the development of PSD in the acute stage of stroke. RESULTS: Data were obtained from 4 studies including 499 patients with stroke. Among them, 171 patients were diagnosed with PSD at follow-ups. Our results showed that patients with stroke who were predisposed to developing PSD had significantly lower serum BDNF concentrations at the early stage of stroke. CONCLUSIONS: This study suggests a potential association between circulating BDNF concentrations at admission and subsequent PSD development, and provides additional support for the involvement of BDNF in the PSD development. CI - Copyright (c) 2018 National Stroke Association. Published by Elsevier Inc. All rights reserved. FAU - Xu, Hong-Bo AU - Xu HB AD - Department of Critical Care Medicine, Nanshan People's Hospital, Shenzhen 518052, China. Electronic address: xuhb1012@foxmail.com. FAU - Xu, Yu-Hong AU - Xu YH AD - Department of Pharmacy, The Eighth Affiliated Hospital, Sun Yat-Sen University, Shenzhen 518033, China. FAU - He, Ying AU - He Y AD - Department of Laboratory Medicine, The Eighth Affiliated Hospital, Sun Yat-Sen University, Shenzhen 518033, China. FAU - Xue, Fang AU - Xue F AD - Department of Critical Care Medicine, Nanshan People's Hospital, Shenzhen 518052, China. FAU - Wei, Jing AU - Wei J AD - Department of Critical Care Medicine, Nanshan People's Hospital, Shenzhen 518052, China. FAU - Zhang, Haigang AU - Zhang H AD - Department of Critical Care Medicine, Nanshan People's Hospital, Shenzhen 518052, China. FAU - Wu, Jinglan AU - Wu J AD - Department of Critical Care Medicine, Nanshan People's Hospital, Shenzhen 518052, China. Electronic address: doctorwu99@126.com. LA - eng PT - Journal Article PT - Meta-Analysis PT - Review DEP - 20171108 PL - United States TA - J Stroke Cerebrovasc Dis JT - Journal of stroke and cerebrovascular diseases : the official journal of National Stroke Association JID - 9111633 RN - 0 (Biomarkers) RN - 0 (Brain-Derived Neurotrophic Factor) RN - 7171WSG8A2 (BDNF protein, human) SB - IM MH - Biomarkers/blood MH - Brain Ischemia/*blood/complications/diagnosis/psychology MH - Brain-Derived Neurotrophic Factor/*blood MH - Chi-Square Distribution MH - Depression/*blood/diagnosis/etiology/psychology MH - Down-Regulation MH - Humans MH - Predictive Value of Tests MH - Prognosis MH - Risk Factors MH - Stroke/*blood/complications/diagnosis/psychology OTO - NOTNLM OT - BDNF OT - Poststroke depression OT - biomarker OT - meta-analysis EDAT- 2017/11/13 06:00 MHDA- 2018/07/26 06:00 CRDT- 2017/11/13 06:00 PHST- 2017/07/06 00:00 [received] PHST- 2017/09/26 00:00 [revised] PHST- 2017/10/05 00:00 [accepted] PHST- 2017/11/13 06:00 [pubmed] PHST- 2018/07/26 06:00 [medline] PHST- 2017/11/13 06:00 [entrez] AID - S1052-3057(17)30554-2 [pii] AID - 10.1016/j.jstrokecerebrovasdis.2017.10.003 [doi] PST - ppublish SO - J Stroke Cerebrovasc Dis. 2018 Mar;27(3):709-715. doi: 10.1016/j.jstrokecerebrovasdis.2017.10.003. Epub 2017 Nov 8.