کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
5509707 1538630 2017 6 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Serum macrophage migration inhibitory factor concentrations correlate with prognosis of traumatic brain injury
ترجمه فارسی عنوان
غلظت عامل مهارکننده مهاجرت ماکروفاژ سرم با پیش آگهی آسیب مغزی آسیب دیده است
کلمات کلیدی
موضوعات مرتبط
علوم زیستی و بیوفناوری بیوشیمی، ژنتیک و زیست شناسی مولکولی زیست شیمی
چکیده انگلیسی


- Serum macrophage migration inhibitory factor levels are increased after head trauma.
- Macrophage migration inhibitory factor levels are associated with inflammation and trauma severity.
- Macrophage migration inhibitory factor is a determinant for long-term prognosis.
- Macrophage migration inhibitory factor is a determinant for in-hospital major adverse complications.
- Macrophage migration inhibitory factor has high prognostic predictive value.

BackgroundMacrophage migration inhibitory factor (MIF) is a well-known pro-inflammatory cytokine. Serum MIF concentrations are associated with the severity and prognosis of ischemic stroke.MethodsIn this prospective, observational study, white blood cell (WBC) count and serum concentrations of C-reactive protein (CRP), interleukin-6 (IL-6), tumor necrosis factor-alpha (TNF-α) and MIF among 108 severe traumatic brain injury (TBI) patients and 108 controls were measured. We determined whether serum MIF concentrations are associated with inflammation, severity, in-hospital major adverse events (IMAEs) (i.e., in-hospital mortality, acute lung injury, acute traumatic coagulopathy, progressive hemorrhagic injury and posttraumatic cerebral infarction) and long-term clinical outcome (i.e., 6-month functional outcome) after TBI.ResultsAs compared to the controls, serum CRP, IL-6, TNF-α and MIF concentrations were significantly increased. MIF concentrations correlated with WBC count, CRP, IL-6 and TNF-α concentrations and Glasgow coma scale (GCS) scores. MIF in serum was independently associated with IMAEs and long-term clinical outcome. Area under receiver operating characteristic curve of MIF concentrations was similar to GCS scores'. Moreover, MIF concentrations markedly improved the predictive value of GCS scores for 6-month unfavorable outcome.ConclusionIncreased serum MIF concentrations have close relation to inflammation, trauma severity and clinical outcomes, substantializing MIF as a good prognostic biomarker after TBI.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Clinica Chimica Acta - Volume 469, June 2017, Pages 99-104
نویسندگان
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