1. Increased level of LIGHT/TNFSF14 is associated with survival in aneurysmal subarachnoid hemorrhage.
- Author
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Schranz D, Molnar T, Erdo-Bonyar S, Simon D, Berki T, Nagy C, Czeiter E, Buki A, Lenzser G, and Csecsei P
- Subjects
- Aged, Cohort Studies, Female, Humans, Male, Middle Aged, Oncostatin M blood, ROC Curve, Biomarkers blood, Subarachnoid Hemorrhage blood, Subarachnoid Hemorrhage mortality, Tumor Necrosis Factor Ligand Superfamily Member 14 blood
- Abstract
Objectives: Multiple cytokines have been implicated in aneurysmal subarachnoid hemorrhage (aSAH), but tumor necrosis factor superfamily 14 (LIGHT/TNFSF14) and oncostatin-M (OSM) have not been previously explored., Aims of the Study: The primary objective of this study was to examine the relationship between TNFSF14 and OSM levels and survival. Our secondary goal was to investigate a potential association between these markers and the incidence of delayed cerebral ischemia (DCI)., Materials & Methods: We consecutively recruited 60 patients with a clinical diagnosis of aSAH. LIGHT/TNFSF14 and OSM serum concentrations were determined by ELISA. The primary endpoint was survival at Day 30, while development of DCI was assessed as secondary outcome., Results: Patients had significantly higher levels of both markers than the control group (median of LIGHT: 18.1 pg/ml vs. 7 pg/ml; p = 0.01; median of OSM: 10.3 pg/ml vs. 2.8 pg/ml, p < 0.001). Significantly lower serum level of LIGHT/TNFSF14 was found in nonsurviving patients (n = 9) compared with survivors (n = 51; p = 0.011). Based on ROC analysis, serum LIGHT/TNFSF14 with a cutoff value of >7.95 pg/ml predicted 30-day survival with a sensitivity of 71% and specificity of 78% (Area: 0.763; 95% CI: 0.604-0.921, p = 0.013). In addition, it was also a predictor of DCI with a sensitivity of 72.7% and a specificity of 62.5% (AUC: 0.702; 95% CI: 0.555-0.849, p = 0.018). Based on binary logistic regression analysis, LIGHT/TNFSF14 was found to be independently associated with 30-day mortality, but not with DCI., Conclusion: In this cohort, a higher serum level of LIGHT/TNFSF14 was associated with increased survival of patients with aSAH., (© 2021 The Authors. Acta Neurologica Scandinavica published by John Wiley & Sons Ltd.)
- Published
- 2021
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