Early Brain Injury or Cerebral Vasospasm 2011
DOI: 10.1007/978-3-7091-0356-2_1
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The Role of Apolipoprotein E in the Pathological Events Following Subarachnoid Hemorrhage: A Review

Abstract: Subarachnoid hemorrhage (SAH) strikes individuals with devastating neurological results. Traditional viewpoints do not explain all the differences that are usually found in clinical practice. The role of genetic predisposition in SAH has recently been investigated. Particular attention has been paid to the apolipoprotein E (apoE) genotype. APOE genotype is a major prognostic factor in patient outcome after spontaneous aneurysmal SAH. In patients with SAH, the expression of the apoE ε4 allele is associated with… Show more

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Cited by 4 publications
(4 citation statements)
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“…Knowledge of ApoE genotype also provides valuable information about recovery prognosis after an acute event such as stroke (Martinez-Gonzalez and Sudlow, 2006; Guo et al, 2011), delirium (Adamis et al, 2007), or traumatic brain injury (TBI) (Lichtman et al, 2000; Crawford et al, 2009; Mahley et al, 2009; Ponsford et al, 2011). In all these cases, ApoE4 carriers show a worse long-term outcome than ApoE3 carriers, and even sometimes higher risk of death.…”
Section: Prognosismentioning
confidence: 99%
“…Knowledge of ApoE genotype also provides valuable information about recovery prognosis after an acute event such as stroke (Martinez-Gonzalez and Sudlow, 2006; Guo et al, 2011), delirium (Adamis et al, 2007), or traumatic brain injury (TBI) (Lichtman et al, 2000; Crawford et al, 2009; Mahley et al, 2009; Ponsford et al, 2011). In all these cases, ApoE4 carriers show a worse long-term outcome than ApoE3 carriers, and even sometimes higher risk of death.…”
Section: Prognosismentioning
confidence: 99%
“…Last, the genotype of APOE could influence lipid metabolism following aneurysm rupture and the resultant patient recovery and outcomes. While certain studies have identified an association between the APOE ε4 allele and poor prognosis post-SAH, others have not found such a correlation [85][86][87][88][89]. This suggests that the influence and recovery following cerebral aneurysm rupture linked to the APOE ε4 allele may be complex and potentially affected by multiple factors.…”
Section: Lipid Metabolism and Asahmentioning
confidence: 99%
“…It is worth noting that while bleed size and severity may be controlled, the subtypes of Hp were not in a recent review, emphasizing the need for more studies (82). In addition, CD91 is responsible for ApoE uptake, and reduced ApoE levels were associated with more severe neurological injury and worse outcomes after SAH (83)(84)(85)(86). Thus, Hp-HPX replenishment could scavenge Hb and heme while limiting undesired ApoE uptake (82).…”
Section: Hemopexin's Role In Subarachnoid Hemorrhagementioning
confidence: 99%