PMID- 32059364 OWN - NLM STAT- MEDLINE DCOM- 20201204 LR - 20231113 IS - 1422-0067 (Electronic) IS - 1422-0067 (Linking) VI - 21 IP - 4 DP - 2020 Feb 12 TI - Differential Expression of Circulating Inflammatory Proteins Following Sport-Related Traumatic Brain Injury. LID - 10.3390/ijms21041216 [doi] LID - 1216 AB - Sport-related traumatic brain injury (TBI) elicits a multifaceted inflammatory response leading to brain injury and morbidity. This response could be a predictive tool for the progression of TBI and to stratify the injury of which mild TBI is most prevalent. Therefore, we examined the differential expression of serum inflammatory markers overtime and identified novel markers in repetitively concussed athletes. Neuropsychological assessment by Wechsler Adult Intelligence Scale (WAIS) and Immediate Post Concussion Assessment and Cognitive Test (ImPACT) was performed on rugby players and serum was taken from healthy, concussed and repetitively concussed athletes. Serum was also obtained <1 week and >1 week after trauma and analyzed for 92 inflammatory protein markers. Fibroblast growth factor 21 (FGF21) and interleukin-7 (IL-7) differentiated repetitively concussed athletes. Macrophage chemotactic protein-1 (MCP-1), tumor necrosis factor superfamily member 14 (TNFSF14) were significantly reduced >1 week and chemokine (C-X3-C motif) ligand 1 (CX3CL1) upregulated <1 week after injury. FGF21 and MCP-1 negatively correlated with symptoms and their severity. We have identified dynamic changes in the inflammatory response overtime and in different classes of concussion correlating with disease progression. This data supports the use of inflammatory biomarkers as predictors of symptom development due to secondary complications of sport-related mTBI. FAU - Begum, Ghazala AU - Begum G AD - Marker Diagnostics Ltd., The BioHub, Edgbaston, Birmingham B15 2SQ, UK. FAU - Reddy, Rahul AU - Reddy R AD - University of Illinois, Chicago, IL 60607, USA. FAU - Yakoub, Kamal M AU - Yakoub KM AD - Neuroscience & Ophthalmology Research Group, Institute of Inflammation & Ageing, College of Medical and Dental Sciences, University of Birmingham, Edgbaston, Birmingham B15 2TT, UK. AD - National Institute for Health Research Surgical Reconstruction and Microbiology Research Centre, Queen Elizabeth Hospital, Edgbaston, Birmingham B15 2TH, UK. FAU - Belli, Antonio AU - Belli A AD - Neuroscience & Ophthalmology Research Group, Institute of Inflammation & Ageing, College of Medical and Dental Sciences, University of Birmingham, Edgbaston, Birmingham B15 2TT, UK. AD - National Institute for Health Research Surgical Reconstruction and Microbiology Research Centre, Queen Elizabeth Hospital, Edgbaston, Birmingham B15 2TH, UK. FAU - Davies, David J AU - Davies DJ AD - Neuroscience & Ophthalmology Research Group, Institute of Inflammation & Ageing, College of Medical and Dental Sciences, University of Birmingham, Edgbaston, Birmingham B15 2TT, UK. AD - National Institute for Health Research Surgical Reconstruction and Microbiology Research Centre, Queen Elizabeth Hospital, Edgbaston, Birmingham B15 2TH, UK. FAU - Di Pietro, Valentina AU - Di Pietro V AD - Neuroscience & Ophthalmology Research Group, Institute of Inflammation & Ageing, College of Medical and Dental Sciences, University of Birmingham, Edgbaston, Birmingham B15 2TT, UK. AD - National Institute for Health Research Surgical Reconstruction and Microbiology Research Centre, Queen Elizabeth Hospital, Edgbaston, Birmingham B15 2TH, UK. LA - eng GR - SRMRC/National Institute for Health Research/ PT - Journal Article DEP - 20200212 PL - Switzerland TA - Int J Mol Sci JT - International journal of molecular sciences JID - 101092791 RN - 0 (Biomarkers) RN - 0 (CCL2 protein, human) RN - 0 (CX3CL1 protein, human) RN - 0 (Chemokine CCL2) RN - 0 (Chemokine CX3CL1) RN - 0 (FGF21 protein, human) RN - 0 (Interleukin-7) RN - 0 (TNFSF14 protein, human) RN - 0 (Tumor Necrosis Factor Ligand Superfamily Member 14) RN - 62031-54-3 (Fibroblast Growth Factors) SB - IM MH - Adolescent MH - Adult MH - *Athletes MH - Athletic Injuries/complications/*metabolism/physiopathology MH - Biomarkers MH - Brain Concussion/complications/metabolism/physiopathology MH - Brain Injuries, Traumatic/complications/*metabolism/physiopathology MH - Chemokine CCL2/metabolism MH - Chemokine CX3CL1/metabolism MH - Female MH - Fibroblast Growth Factors/metabolism MH - Humans MH - Inflammation MH - Interleukin-7/metabolism MH - Male MH - Neuropsychological Tests MH - Tumor Necrosis Factor Ligand Superfamily Member 14/metabolism MH - United Kingdom MH - Young Adult PMC - PMC7072845 OTO - NOTNLM OT - FGF21 OT - MCP-1 OT - concussion OT - mild traumatic brain injury OT - neuroinflammation COIS- The authors declare no conflict of interest. EDAT- 2020/02/16 06:00 MHDA- 2020/12/15 06:00 PMCR- 2020/02/01 CRDT- 2020/02/16 06:00 PHST- 2020/01/09 00:00 [received] PHST- 2020/02/05 00:00 [revised] PHST- 2020/02/07 00:00 [accepted] PHST- 2020/02/16 06:00 [entrez] PHST- 2020/02/16 06:00 [pubmed] PHST- 2020/12/15 06:00 [medline] PHST- 2020/02/01 00:00 [pmc-release] AID - ijms21041216 [pii] AID - ijms-21-01216 [pii] AID - 10.3390/ijms21041216 [doi] PST - epublish SO - Int J Mol Sci. 2020 Feb 12;21(4):1216. doi: 10.3390/ijms21041216.