PMID- 29997237 OWN - NLM STAT- MEDLINE DCOM- 20190826 LR - 20190826 IS - 1470-8736 (Electronic) IS - 0143-5221 (Linking) VI - 132 IP - 14 DP - 2018 Jul 31 TI - Differential long noncoding RNA expressions in peripheral blood mononuclear cells for detection of acute ischemic stroke. PG - 1597-1614 LID - 10.1042/CS20180411 [doi] AB - Long noncoding RNAs (lncRNAs) have been highlighted to be involved in the pathological process of ischemic stroke (IS). The purpose of the present study was to investigate the expression profile of lncRNAs in peripheral blood mononuclear cells (PBMCs) of acute IS patients and to explore their utility as biomarkers of IS. Distinctive expression patterns of PBMC lncRNAs were identified by an lncRNA microarray and individual quantitative real-time PCR (qRT-PCR) in four independent sets for 206 IS, 179 healthy controls (HCs), and 55 patients with transient ischemic attack (TIA). A biomarker panel (lncRNA-based combination index) was established using logistic regression. LncRNA microarray analysis showed 70 up-regulated and 128 down-regulated lncRNAs in IS patients. Individual qRT-PCR validation demonstrated that three lncRNAs (linc-DHFRL1-4, SNHG15, and linc-FAM98A-3) were significantly up-regulated in IS patients compared with HCs and TIA patients. Longitudinal analysis of lncRNA expression up to 90 days after IS showed that linc-FAM98A-3 normalized to control levels by day 7, while SNHG15 remained increased, indicating the ability of lncRNAs to monitor IS dynamics. Receiver-operating characteristic (ROC) curve analysis showed that the lncRNA-based combination index outperformed serum brain-derived neurotrophic factor (BDNF) and neurone-specific enolase (NSE) in distinguishing IS patients from TIA patients and HCs with areas under ROC curve of more than 0.84. Furthermore, the combination index increased significantly after treatment and was correlated with neurological deficit severity of IS. The panel of these altered lncRNAs was associated with acute IS and could serve as a novel diagnostic method. CI - (c) 2018 The Author(s). Published by Portland Press Limited on behalf of the Biochemical Society. FAU - Deng, Qi-Wen AU - Deng QW AD - Department of Neurology, Affiliated ZhongDa Hospital, School of Medicine, Southeast University, Nanjing 210009, China. AD - Department of Neurology, Nanjing First Hospital, Nanjing Medical University, Nanjing 210006, China. FAU - Li, Shuo AU - Li S AD - Department of Neurology, Affiliated ZhongDa Hospital, School of Medicine, Southeast University, Nanjing 210009, China. FAU - Wang, Huan AU - Wang H AD - Department of Neurology, Affiliated ZhongDa Hospital, School of Medicine, Southeast University, Nanjing 210009, China. FAU - Sun, Hui-Ling AU - Sun HL AD - General Clinical Research Center, Nanjing First Hospital, Nanjing Medical University, Nanjing 210006, China. FAU - Zuo, Lei AU - Zuo L AD - Department of Neurology, Affiliated ZhongDa Hospital, School of Medicine, Southeast University, Nanjing 210009, China. FAU - Gu, Zheng-Tian AU - Gu ZT AD - Department of Neurology, Affiliated ZhongDa Hospital, School of Medicine, Southeast University, Nanjing 210009, China. FAU - Lu, Guo AU - Lu G AD - Department of Neurology, Dezhou People's Hospital, Dezhou 253014, China. FAU - Sun, Cai-Zhi AU - Sun CZ AD - Department of Emergency, Nanjing First Hospital, Nanjing Medical University, Nanjing 210006, China. FAU - Zhang, Han-Qing AU - Zhang HQ AD - Department of Neurology, Affiliated ZhongDa Hospital, School of Medicine, Southeast University, Nanjing 210009, China. FAU - Yan, Fu-Ling AU - Yan FL AD - Department of Neurology, Affiliated ZhongDa Hospital, School of Medicine, Southeast University, Nanjing 210009, China yanfuling218@163.com. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20180731 PL - England TA - Clin Sci (Lond) JT - Clinical science (London, England : 1979) JID - 7905731 RN - 0 (RNA, Long Noncoding) MH - Aged MH - Aged, 80 and over MH - Brain Ischemia/complications/diagnosis/*genetics MH - Case-Control Studies MH - Cells, Cultured MH - Female MH - *Gene Expression Profiling MH - Humans MH - Leukocytes, Mononuclear/cytology/*metabolism MH - Logistic Models MH - Male MH - Middle Aged MH - RNA, Long Noncoding/blood/*genetics MH - Stroke/diagnosis/etiology/*genetics OTO - NOTNLM OT - PBMC OT - diagnosis OT - ischemic stroke OT - lncRNA OT - microarray OT - transient ischemic attack EDAT- 2018/07/13 06:00 MHDA- 2019/08/27 06:00 CRDT- 2018/07/13 06:00 PHST- 2018/05/15 00:00 [received] PHST- 2018/07/02 00:00 [revised] PHST- 2018/07/09 00:00 [accepted] PHST- 2018/07/13 06:00 [pubmed] PHST- 2019/08/27 06:00 [medline] PHST- 2018/07/13 06:00 [entrez] AID - CS20180411 [pii] AID - 10.1042/CS20180411 [doi] PST - epublish SO - Clin Sci (Lond). 2018 Jul 31;132(14):1597-1614. doi: 10.1042/CS20180411. Print 2018 Jul 31.