8 research outputs found
Insulin-like growth factor system in remission and flare of inflammatory bowel diseases
Insulinâlike
growth factor 1 (IGFâ1)
is involved in the modulation of immunity and inflammation.
It also plays a role in regulating the migration of endothelial cells and production of vasoactive
agents. This study assessed the concentrations of IGFâ1
and insulinâlike
growth factor-binding protein
3 (IGFBPâ3)
and their relationships to disease activity in patients with inflammatory bowel disease (IBD). A total of 129 adult patients with IBD (69 with Crohn disease [CD] and 60 with
ulcerative colitis [UC]) were involved in the study. The control group consisted of 31 healthy volunteers.
Biochemical serum analyses were performed and the associations of IGFâ1
and IGFBPâ3
with inflammatory
markers and disease activity were assessed. IGFâ1
levels were decreased in patients with active UC compared with those with nonactive
UC (mean [SD], 78.3 [22.7] ng/ml and 96.2 [24.5] ng/ml, respectively; P = 0.02) and controls
(94.5 [26.5] ng/ml; P = 0.03). The IGFâ1
level was lower in patients with active CD compared with
those with nonactive CD (mean [SD], 79.2 [24.9] ng/ml and 110.1 [43.4] ng/ml, respectively; P <0.001).
The IGFBPâ3
level was lower in patients with active UC compared with those with nonactive UC (P = 0.04)
and controls (P = 0.04). IGFâ1
correlated negatively with Câreactive
protein (CRP) levels (P <0.01),
disease activity (P <0.05), and disease duration (P <0.05). IGFBPâ3
levels correlated negatively with
CRP levels (P <0.05). The IGF system is disrupted in patients with IBD. Systemic levels of the IGF axis components
are related to disease activity and duration
Dynamic cerebral autoregulation is compromised in ischaemic stroke of undetermined aetiology only in the non-affected hemisphere
Background and purpose
To assess dynamic cerebral autoregulation (CA) in patients with acute ischaemic stroke of undetermined aetiology, within 72h of stroke onset.
Materials and methods
In 6 patients with ischaemic stroke of undetermined aetiology (aged 66±9 years, National Institutes of Health Stroke Scale [NIHSS] score on admission: 4.0, range: 4â11), selected based on screening of 118 consecutive ischaemic stroke patients and in 14 volunteers (aged 62±10 years), we continuously monitored RR intervals (RRI), mean arterial pressure (MAP) by means of photoplethysmography, mean cerebral blood flow velocity (CBFV) using transcranial Doppler ultrasonography, end-tidal CO2 (ETCO2) and respiration during 2-min deep breathing paced at 6minâ1 (0.1Hz). To assess CA, we evaluated the impact of breathing-induced MAP oscillations on fluctuations of CBFV in the hemispheres with stroke, the non-involved hemispheres and randomly selected hemispheres of controls by applying cross-spectral analysis and calculating coherence, transfer function gain (CBFVâMAP gain) and phase shift angle between the two oscillating signals.
Results
Phase shift angle between MAP and CBFV oscillations showed values >0 and was significantly reduced in the hemispheres without stroke as compared to controls (0.39±0.95 vs. â1.59±0.33rad, p=0.015), whereas in the hemispheres with stroke, phase shift angle did not differ significantly from that observed in the control hemispheres. Clinical status of stroke patients significantly improved at discharge from the hospital (NIHSS: 2.0, range: 1â8, p=0.028).
Conclusions
During the first days of ischaemic stroke of undetermined aetiology, dynamic cerebral autoregulation is compromised in the non-affected hemisphere, but not in the hemisphere with ischaemic lesion
Dynamic cerebral autoregulation is compromised in ischaemic stroke of undetermined aetiology only in the non-affected hemisphere
Background and purpose: To assess dynamic cerebral autoregulation (CA) in patients with
acute ischaemic stroke of undetermined aetiology, within 72 h of stroke onset.
Materials and methods: In 6 patients with ischaemic stroke of undetermined aetiology (aged
66 9 years, National Institutes of Health Stroke Scale [NIHSS] score on admission: 4.0,
range: 4â11), selected based on screening of 118 consecutive ischaemic stroke patients and in
14 volunteers (aged 62 10 years), we continuously monitored RR intervals (RRI), mean
arterial pressure (MAP) by means of photoplethysmography, mean cerebral blood flow
velocity (CBFV) using transcranial Doppler ultrasonography, end-tidal CO2 (ETCO2) and
respiration during 2-min deep breathing paced at 6 min1 (0.1 Hz). To assess CA, we
evaluated the impact of breathing-induced MAP oscillations on fluctuations of CBFV in
the hemispheres with stroke, the non-involved hemispheres and randomly selected hemispheres of controls by applying cross-spectral analysis and calculating coherence, transfer
function gain (CBFVâMAP gain) and phase shift angle between the two oscillating signals.
Results: Phase shift angle between MAP and CBFV oscillations showed values >0 and was
significantly reduced in the hemispheres without stroke as compared to controls (0.39 0.95
vs. 1.59 0.33 rad, p = 0.015), whereas in the hemispheres with stroke, phase shift angle did
not differ significantly from that observed in the control hemispheres. Clinical status of
stroke patients significantly improved at discharge from the hospital (NIHSS: 2.0, range: 1â8,
p = 0.028).
Conclusions: During the first days of ischaemic stroke of undetermined aetiology, dynamic
cerebral autoregulation is compromised in the non-affected hemisphere, but not in the
hemisphere with ischaemic lesio