Difference in acute and chronic stage ischemic stroke metabolic markers with controls

Sidorov, Evgeny; Rout, Madhusmita; Xu, Chao; Jordan, Luesa; Fields, Evan; Apple, Blair; Smith, Kyle; Gordon, David; Chainakul, Juliane; Sanghera, Dharambir K.

doi:10.1016/j.jstrokecerebrovasdis.2023.107211

Cited by 5 publications

(1 citation statement)

References 27 publications

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“…Notably, ketones, branched-chain amino acids, energy metabolites, and inflammatory compounds primarily increased during the acute phase, while alanine and glutamine exhibited varying patterns across stages. Interestingly, fatty acid, phosphatidylcholine, glycerophospholipid, and sphingolipid levels remained largely unchanged between the phases, highlighting specific metabolic alterations during the acute stage [ 44 ]. Similar findings were reported by another study from Sidorov et al, which evaluated a broader range of metabolites.…”

Section: Metabolomics Research In Ismentioning

confidence: 99%

Metabolomic discoveries for early diagnosis and traditional Chinese medicine efficacy in ischemic stroke

Wei,

Chen,

Deng

et al. 2024

Biomark Res

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Ischemic stroke (IS), a devastating cerebrovascular accident, presents with high mortality and morbidity. Following IS onset, a cascade of pathological changes, including excitotoxicity, inflammatory damage, and blood-brain barrier disruption, significantly impacts prognosis. However, current clinical practices struggle with early diagnosis and identifying these alterations. Metabolomics, a powerful tool in systems biology, offers a promising avenue for uncovering early diagnostic biomarkers for IS. By analyzing dynamic metabolic profiles, metabolomics can not only aid in identifying early IS biomarkers but also evaluate Traditional Chinese Medicine (TCM) efficacy and explore its mechanisms of action in IS treatment. Animal studies demonstrate that TCM interventions modulate specific metabolite levels, potentially reflecting their therapeutic effects. Identifying relevant metabolites in cerebral ischemia patients holds immense potential for early diagnosis and improved outcomes. This review focuses on recent metabolomic discoveries of potential early diagnostic biomarkers for IS. We explore variations in metabolites observed across different ages, genders, disease severity, and stages. Additionally, the review examines how specific TCM extracts influence IS development through metabolic changes, potentially revealing their mechanisms of action. Finally, we emphasize the importance of integrating metabolomics with other omics approaches for a comprehensive understanding of IS pathophysiology and TCM efficacy, paving the way for precision medicine in IS management.

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Section: Metabolomics Research In Ismentioning

confidence: 99%