title: Serum trace elements are associated with hemostasis, lipid spectrum and inflammatory markers in men suffering from acute ischemic stroke.
abstract: The primary objective of the study is investigation of the association between trace elements status and hemostasis, lipid spectrum and inflammatory markers in acute ischemic stroke (AIS). A total of 30 men suffering from AIS and 30 healthy controls were involved in the current survey. Blood count, serum lipid spectrum, complement components C4 and C3a, vascular endothelial growth factor (VEGF), S100B protein, NR2 antibodies (NR2Ab), and total antioxidant status (TAS), as well as plasma fibrinogen, and D-dimer levels and activated partial thromboplastin time (APTT) were assessed. Serum trace elements were analyzed using inductively coupled plasma mass spectrometry. AIS patients were characterized by significantly increased fibrinogen, D-dimer, TG, C3a, C4, NR2Ab, and VEGF levels. The leukocyte count, erythrocyte sedimentation rate and serum atherogenic index were also increased in stroke patients. Oppositely, TAS and APTT values, bleeding and blood coagulation time were decreased. AIS patients were characterized by significantly decreased serum Fe and Co concentrations, whereas the level of Cu, I, Li, Mn, Se, Zn, As, Pb, Ni, and especially V and B in serum was significantly increased. Serum V and B tightly correlated with the procoagulant state and inflammatory markers. Multiple regression analysis revealed a significant inverse association between serum Se levels and stroke markers after adjustment for covariates. Therefore, it is hypothesized that elements like vanadium and boron may be closely involved in stroke pathogenesis by modulation of hemostasis and inflammation, whereas the observed increase in Se levels may be considered as a compensatory reaction.
authors.affiliation: All-Russian Research Institute of Medicinal and Aromatic Plants (VILAR), Moscow, 117216, Russia.|Yaroslavl State University, Yaroslavl, 150000, Russia.|Orenburg State University, Orenburg, 460018, Russia.|RUDN University, Moscow, 117198, Russia.
authors.forename: Anatoly V
authors.initials: AV
authors.lastname: Skalny
authors.affiliation: Institute of Chemical Physics of N. N. Semenov of the Russian Academy of Sciences, Moscow, 117977, Russia.
authors.forename: Lydmila L
authors.initials: LL
authors.lastname: Klimenko
authors.affiliation: Institute of Professional Development of Federal Medical-Biological Agency of Russia, 125371, Moscow, Russia.
authors.forename: Aliya A
authors.initials: AA
authors.lastname: Turna
authors.affiliation: Institute of Chemical Physics of N. N. Semenov of the Russian Academy of Sciences, Moscow, 117977, Russia.
authors.forename: Maria N
authors.initials: MN
authors.lastname: Budanova
authors.affiliation: Institute of Chemical Physics of N. N. Semenov of the Russian Academy of Sciences, Moscow, 117977, Russia.
authors.forename: Ivan S
authors.initials: IS
authors.lastname: Baskakov
authors.affiliation: Federal Scientific Clinical Centre for Physico-Chemical Medicine of Federal Medical-Biological Agency of Russia, 143000, Odintsovo, Moscow Region, Russia.
authors.forename: Marina S
authors.initials: MS
authors.lastname: Savostina
authors.affiliation: Federal Scientific Clinical Centre for Physico-Chemical Medicine of Federal Medical-Biological Agency of Russia, 143000, Odintsovo, Moscow Region, Russia.
authors.forename: Aksana N
authors.initials: AN
authors.lastname: Mazilina
authors.affiliation: Institute of Chemical Physics of N. N. Semenov of the Russian Academy of Sciences, Moscow, 117977, Russia.|N. I. Pirogov Russian National Research Medical University, 117997, Moscow, Russia.
authors.forename: Anatoly I
authors.initials: AI
authors.lastname: Deyev
authors.affiliation: RUDN University, Moscow, 117198, Russia.
authors.forename: Margarita G
authors.initials: MG
authors.lastname: Skalnaya
authors.affiliation: Yaroslavl State University, Yaroslavl, 150000, Russia. tinkov.a.a@gmail.com.|Orenburg State University, Orenburg, 460018, Russia. tinkov.a.a@gmail.com.|RUDN University, Moscow, 117198, Russia. tinkov.a.a@gmail.com.|Orenburg State Medical University, Orenburg, 460000, Russia. tinkov.a.a@gmail.com.
authors.forename: Alexey A
authors.initials: AA
authors.lastname: Tinkov
mesh_terms: D015415:Biomarkers / Q000097:blood; D002784:Cholesterol / Q000097:blood*; D008076:Cholesterol, HDL / Q000097:blood; D008078:Cholesterol, LDL / Q000097:blood; D006487:Hemostasis / Q000502:physiology*; D006801:Humans; D018836:Inflammation Mediators / Q000097:blood*; D008297:Male; D008875:Middle Aged; D020521:Stroke / Q000097:blood* / Q000000981:diagnostic imaging; D014131:Trace Elements / Q000097:blood*; D014280:Triglycerides / Q000097:blood*
chemical_list: D015415:Biomarkers; D008076:Cholesterol, HDL; D008078:Cholesterol, LDL; D018836:Inflammation Mediators; D014131:Trace Elements; D014280:Triglycerides; D002784:Cholesterol
keywords: Boron; Hemostasis; Inflammation; Selenium; Stroke; Vanadium