title: Soluble lectin-like oxidized low-density lipoprotein receptor-1 as a novel biomarker for large-artery atherosclerotic stroke.
abstract: BACKGROUND
  Serum soluble lectin-like oxidized low-density lipoprotein receptor-1 (sLOX-1) has been shown associated with the progression of atherosclerosis in endothelial cells. We sought to assess whether the baseline serum sLOX-1 levels are correlated with the presence and short-term functional outcome of large-artery atherosclerotic (LAA) stroke.
  
  
  METHODS
  The study recruited 241 subjects, including 148 consecutive patients with acute ischemic stroke with the subtype of LAA and 93 non-stroke controls. Clinical and laboratory data, including serum concentration of sLOX-1, were collected within 24 h of admission, and the severity of LAA stroke patients was evaluated by National Institutes of Health Stroke Scale score. And functional outcome was assessed by modified Rankin Scale three months after stroke. The association between sLOX-1 level and the functional outcome at three months was analyzed by multiple logistic regression models.
  
  
  RESULTS
  Serum levels of sLOX-1 in the LAA stroke patients were significantly higher as compared to normal controls (2.48 ± 0.93 ng/ml vs. 2.22 ± 0.79 ng/ml in the controls, t = 2.301, p = 0.022). The levels of serum sLOX-1 in patients with good outcome were significantly lower than those with poor outcome (2.39 ± 0.94 ng/ml vs. 2.77 ± 0.84 ng/ml, p = 0.032). After adjusting for potential confounders, sLOX-1 was still an independent predictor for the function outcome with an adjusted OR of 3.39 (95% CI, 1.61-7.11, p = 0.001).
  
  
  CONCLUSIONS
  The serum sLOX-1 level was higher in patients with LAA stroke, and it was an independent predictor of functional outcome in patients with LAA ischemic stroke.
authors.affiliation: a Department of Neurology, Zhejiang Provincial Key Laboratory of Aging and Neurological Disorder Research , First Affiliated Hospital, Wenzhou Medical University , Wenzhou , China.|b Department of Neurology , The People's Hospital Of Pingyang , Wenzhou , China.
authors.forename: Wensi
authors.initials: W
authors.lastname: Huang
authors.affiliation: a Department of Neurology, Zhejiang Provincial Key Laboratory of Aging and Neurological Disorder Research , First Affiliated Hospital, Wenzhou Medical University , Wenzhou , China.
authors.forename: Qian
authors.initials: Q
authors.lastname: Li
authors.affiliation: a Department of Neurology, Zhejiang Provincial Key Laboratory of Aging and Neurological Disorder Research , First Affiliated Hospital, Wenzhou Medical University , Wenzhou , China.
authors.forename: Xiaoli
authors.initials: X
authors.lastname: Chen
authors.affiliation: a Department of Neurology, Zhejiang Provincial Key Laboratory of Aging and Neurological Disorder Research , First Affiliated Hospital, Wenzhou Medical University , Wenzhou , China.
authors.forename: Yuanshao
authors.initials: Y
authors.lastname: Lin
authors.affiliation: a Department of Neurology, Zhejiang Provincial Key Laboratory of Aging and Neurological Disorder Research , First Affiliated Hospital, Wenzhou Medical University , Wenzhou , China.
authors.forename: Jie
authors.initials: J
authors.lastname: Xue
authors.affiliation: a Department of Neurology, Zhejiang Provincial Key Laboratory of Aging and Neurological Disorder Research , First Affiliated Hospital, Wenzhou Medical University , Wenzhou , China.
authors.forename: Zhengyi
authors.initials: Z
authors.lastname: Cai
authors.affiliation: a Department of Neurology, Zhejiang Provincial Key Laboratory of Aging and Neurological Disorder Research , First Affiliated Hospital, Wenzhou Medical University , Wenzhou , China.
authors.forename: Wanli
authors.initials: W
authors.lastname: Zhang
authors.affiliation: a Department of Neurology, Zhejiang Provincial Key Laboratory of Aging and Neurological Disorder Research , First Affiliated Hospital, Wenzhou Medical University , Wenzhou , China.
authors.forename: Hong
authors.initials: H
authors.lastname: Wang
authors.affiliation: a Department of Neurology, Zhejiang Provincial Key Laboratory of Aging and Neurological Disorder Research , First Affiliated Hospital, Wenzhou Medical University , Wenzhou , China.|c Department of Pharmacology and Neuroscience , University of North Texas Health Science Center at Fort Worth , Fort Worth , TX , USA.
authors.forename: Kunlin
authors.initials: K
authors.lastname: Jin
authors.affiliation: a Department of Neurology, Zhejiang Provincial Key Laboratory of Aging and Neurological Disorder Research , First Affiliated Hospital, Wenzhou Medical University , Wenzhou , China.
authors.forename: Bei
authors.identifier: http://orcid.org/0000-0002-9595-8048
authors.initials: B
authors.lastname: Shao
mesh_terms: D000368:Aged; D015415:Biomarkers / Q000097:blood; D002545:Brain Ischemia / Q000097:blood / Q000175:diagnosis*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D051127:Scavenger Receptors, Class E / Q000097:blood*; D012720:Severity of Illness Index; D020521:Stroke / Q000097:blood / Q000175:diagnosis*
chemical_list: D015415:Biomarkers; D051127:Scavenger Receptors, Class E
keywords: acute stroke; outcome; sLOX-1