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Article

Role of α-II-spectrin breakdown products in the prediction of the severity and clinical outcome of acute traumatic brain injury

  • Authors:
    • Shangyu Chen
    • Qiankun Shi
    • Shuyun Zheng
    • Liangshen Luo
    • Shoutao Yuan
    • Xiang Wang
    • Zihao Cheng
    • Wenhao Zhang
  • View Affiliations / Copyright

    Affiliations: Department of Critical Care Medicine, Nanjing First Hospital, Nanjing Medical University, Nanjing, Jiangsu 210006, P.R. China, Department of Neurosurgery, Nanjing First Hospital, Nanjing Medical University, Nanjing, Jiangsu 210006, P.R. China
  • Pages: 2049-2053
    |
    Published online on: March 11, 2016
       https://doi.org/10.3892/etm.2016.3153
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Abstract

αII-spectrin breakdown products are regarded as potential biomarkers for traumatic brain injury (TBI). The aim of the present study was to further evaluate these biomarkers by assessing their clinical utility in predicting the severity of injury and clinical outcome of patients with TBI. Eligible patients with acute TBI (n=17), defined by a Glasgow Coma Scale (GCS) score of ≤8, were enrolled. Ventricular cerebrospinal fluid (CSF) was sampled from each patient at 24, 72 and 120 h following TBI. An immunoblot assay was used to determine the concentrations of SBDPs in the CSF samples. The concentrations of SBDPs combined with the GCS score at 24 h after injury and the Glasgow Outcome Score (GOS) at 30 days after injury were compared and analyzed. The levels of SBDPs in CSF were markedly increased following acute TBI in comparison with those in the control group. In the early period after TBI, the levels of SBDPs were closely associated with GCS score. Comparisons of the SBDP levels with the severity of injury revealed significant differences between patients with the most severe brain injury and patients with severe brain injury in the first 24 h post‑injury (P<0.05). The levels and dynamic changes of SBDPs in CSF exhibited a close association with GOS at 30 days after injury. The levels of SBDPs differed significantly between patients grouped according to prognosis (P<0.05). These results suggest that in the early period after TBI, the levels and dynamic changes of SBDPs in CSF can be useful in the prediction of the severity of injury and clinical outcome of patients.
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Copy and paste a formatted citation
Spandidos Publications style
Chen S, Shi Q, Zheng S, Luo L, Yuan S, Wang X, Cheng Z and Zhang W: Role of α-II-spectrin breakdown products in the prediction of the severity and clinical outcome of acute traumatic brain injury. Exp Ther Med 11: 2049-2053, 2016.
APA
Chen, S., Shi, Q., Zheng, S., Luo, L., Yuan, S., Wang, X. ... Zhang, W. (2016). Role of α-II-spectrin breakdown products in the prediction of the severity and clinical outcome of acute traumatic brain injury. Experimental and Therapeutic Medicine, 11, 2049-2053. https://doi.org/10.3892/etm.2016.3153
MLA
Chen, S., Shi, Q., Zheng, S., Luo, L., Yuan, S., Wang, X., Cheng, Z., Zhang, W."Role of α-II-spectrin breakdown products in the prediction of the severity and clinical outcome of acute traumatic brain injury". Experimental and Therapeutic Medicine 11.5 (2016): 2049-2053.
Chicago
Chen, S., Shi, Q., Zheng, S., Luo, L., Yuan, S., Wang, X., Cheng, Z., Zhang, W."Role of α-II-spectrin breakdown products in the prediction of the severity and clinical outcome of acute traumatic brain injury". Experimental and Therapeutic Medicine 11, no. 5 (2016): 2049-2053. https://doi.org/10.3892/etm.2016.3153
Copy and paste a formatted citation
x
Spandidos Publications style
Chen S, Shi Q, Zheng S, Luo L, Yuan S, Wang X, Cheng Z and Zhang W: Role of α-II-spectrin breakdown products in the prediction of the severity and clinical outcome of acute traumatic brain injury. Exp Ther Med 11: 2049-2053, 2016.
APA
Chen, S., Shi, Q., Zheng, S., Luo, L., Yuan, S., Wang, X. ... Zhang, W. (2016). Role of α-II-spectrin breakdown products in the prediction of the severity and clinical outcome of acute traumatic brain injury. Experimental and Therapeutic Medicine, 11, 2049-2053. https://doi.org/10.3892/etm.2016.3153
MLA
Chen, S., Shi, Q., Zheng, S., Luo, L., Yuan, S., Wang, X., Cheng, Z., Zhang, W."Role of α-II-spectrin breakdown products in the prediction of the severity and clinical outcome of acute traumatic brain injury". Experimental and Therapeutic Medicine 11.5 (2016): 2049-2053.
Chicago
Chen, S., Shi, Q., Zheng, S., Luo, L., Yuan, S., Wang, X., Cheng, Z., Zhang, W."Role of α-II-spectrin breakdown products in the prediction of the severity and clinical outcome of acute traumatic brain injury". Experimental and Therapeutic Medicine 11, no. 5 (2016): 2049-2053. https://doi.org/10.3892/etm.2016.3153
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