Correlation analysis between impaired cortical blood flow and plasma vascular cell adhesion molecule-1 levels in patients with cerebral small vessel disease

Objective To investigate the correlation between plasma vascular cell adhesion molecule-1 (VCAM-1) levels and cortical regional blood flow impairment in patients with cerebral small vessel disease (CSVD). Methods All 67 patients with CSVD diagnosed and treated in Fu Yang People's Hospital in A...

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Main Authors: CHEN Ju-luo, LIU Lu, MA Pei-qi, WANG Fu-xing, WANG You-meng
Format: Article
Language:English
Published: Tianjin Huanhu Hospital 2025-07-01
Series:Chinese Journal of Contemporary Neurology and Neurosurgery
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Online Access:http://www.cjcnn.org/index.php/cjcnn/article/view/3067
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author CHEN Ju-luo
LIU Lu
MA Pei-qi
WANG Fu-xing
WANG You-meng
author_facet CHEN Ju-luo
LIU Lu
MA Pei-qi
WANG Fu-xing
WANG You-meng
author_sort CHEN Ju-luo
collection DOAJ
description Objective To investigate the correlation between plasma vascular cell adhesion molecule-1 (VCAM-1) levels and cortical regional blood flow impairment in patients with cerebral small vessel disease (CSVD). Methods All 67 patients with CSVD diagnosed and treated in Fu Yang People's Hospital in Anhui from October 2021 to June 2023 were selected, and 55 subjects were selected as the control group. Using 3.0T MRI with 3D arterial spin labeling (3D-ASL) perfusion imaging technology to measure the cerebral blood flow (CBF) in different cortical regions, and the levels of plasma VCAM-1 were measured by enzyme-linked immunosorbent assay (ELISA). Pearson correlation analysis and partial correlation analysis were used to investigate the correlation between plasma VCAM-1 levels and CBF values in each cortical region. Results Correlation analysis showed that plasma VCAM-1 was negatively correlated with CBF value in the left superior temporal gyrus (r = - 0.285, P = 0.021), supramarginal gyrus (r = - 0.250, P = 0.044), insula lobe (r = - 0.270, P = 0.030), medial prefrontal cortex (r = - 0.329, P = 0.008), middle temporal gyrus (r = - 0.282, P = 0.023), paracentral lobule (r = - 0.274, P = 0.027), and in the right middle temporal gyrus (r = - 0.298, P = 0.016), postcentral gyrus (r = - 0.264, P = 0.033), superior temporal gyrus (r = - 0.275, P = 0.027), supramarginal gyrus (r = - 0.293, P = 0.018), insula (r = - 0.255, P = 0.041) in CSVD group, while the CBF value in the left medial prefrontal cortex in CSVD group was significantly lower than that in control group [(33.46 ± 8.27) ml/(min·100 g) vs. (36.56 ± 8.74) ml/(min·100 g); t = - 2.009, P = 0.047]. Conclusions Plasma VCAM-1 of CSVD patients may serve as a serological marker to evaluate local blood flow damage, suggesting that hypertension causes endothelial damage and inflammatory response.
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publishDate 2025-07-01
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series Chinese Journal of Contemporary Neurology and Neurosurgery
spelling doaj-art-3ff5a6a48a4f40098cd5e216a39bc18e2025-08-20T03:59:35ZengTianjin Huanhu HospitalChinese Journal of Contemporary Neurology and Neurosurgery1672-67312025-07-0125763764310.3969/j.issn.1672⁃6731.2025.07.011Correlation analysis between impaired cortical blood flow and plasma vascular cell adhesion molecule-1 levels in patients with cerebral small vessel diseaseCHEN Ju-luo0LIU Lu1MA Pei-qi2WANG Fu-xing3WANG You-meng4Department of Neurology, Fu Yang People's Hospital, Fuyang 236000, Anhui, ChinaDepartment of Neurology, Fu Yang People's Hospital, Fuyang 236000, Anhui, ChinaDepartment of Neurology, Fu Yang People's Hospital, Fuyang 236000, Anhui, ChinaDepartment of Neurology, Fu Yang People's Hospital, Fuyang 236000, Anhui, ChinaDepartment of Neurology, Fu Yang People's Hospital, Fuyang 236000, Anhui, ChinaObjective To investigate the correlation between plasma vascular cell adhesion molecule-1 (VCAM-1) levels and cortical regional blood flow impairment in patients with cerebral small vessel disease (CSVD). Methods All 67 patients with CSVD diagnosed and treated in Fu Yang People's Hospital in Anhui from October 2021 to June 2023 were selected, and 55 subjects were selected as the control group. Using 3.0T MRI with 3D arterial spin labeling (3D-ASL) perfusion imaging technology to measure the cerebral blood flow (CBF) in different cortical regions, and the levels of plasma VCAM-1 were measured by enzyme-linked immunosorbent assay (ELISA). Pearson correlation analysis and partial correlation analysis were used to investigate the correlation between plasma VCAM-1 levels and CBF values in each cortical region. Results Correlation analysis showed that plasma VCAM-1 was negatively correlated with CBF value in the left superior temporal gyrus (r = - 0.285, P = 0.021), supramarginal gyrus (r = - 0.250, P = 0.044), insula lobe (r = - 0.270, P = 0.030), medial prefrontal cortex (r = - 0.329, P = 0.008), middle temporal gyrus (r = - 0.282, P = 0.023), paracentral lobule (r = - 0.274, P = 0.027), and in the right middle temporal gyrus (r = - 0.298, P = 0.016), postcentral gyrus (r = - 0.264, P = 0.033), superior temporal gyrus (r = - 0.275, P = 0.027), supramarginal gyrus (r = - 0.293, P = 0.018), insula (r = - 0.255, P = 0.041) in CSVD group, while the CBF value in the left medial prefrontal cortex in CSVD group was significantly lower than that in control group [(33.46 ± 8.27) ml/(min·100 g) vs. (36.56 ± 8.74) ml/(min·100 g); t = - 2.009, P = 0.047]. Conclusions Plasma VCAM-1 of CSVD patients may serve as a serological marker to evaluate local blood flow damage, suggesting that hypertension causes endothelial damage and inflammatory response.http://www.cjcnn.org/index.php/cjcnn/article/view/3067cerebral small vessel diseasesvascular cell adhesion molecule-1hemodynamicsmagnetic resonance imaging
spellingShingle CHEN Ju-luo
LIU Lu
MA Pei-qi
WANG Fu-xing
WANG You-meng
Correlation analysis between impaired cortical blood flow and plasma vascular cell adhesion molecule-1 levels in patients with cerebral small vessel disease
Chinese Journal of Contemporary Neurology and Neurosurgery
cerebral small vessel diseases
vascular cell adhesion molecule-1
hemodynamics
magnetic resonance imaging
title Correlation analysis between impaired cortical blood flow and plasma vascular cell adhesion molecule-1 levels in patients with cerebral small vessel disease
title_full Correlation analysis between impaired cortical blood flow and plasma vascular cell adhesion molecule-1 levels in patients with cerebral small vessel disease
title_fullStr Correlation analysis between impaired cortical blood flow and plasma vascular cell adhesion molecule-1 levels in patients with cerebral small vessel disease
title_full_unstemmed Correlation analysis between impaired cortical blood flow and plasma vascular cell adhesion molecule-1 levels in patients with cerebral small vessel disease
title_short Correlation analysis between impaired cortical blood flow and plasma vascular cell adhesion molecule-1 levels in patients with cerebral small vessel disease
title_sort correlation analysis between impaired cortical blood flow and plasma vascular cell adhesion molecule 1 levels in patients with cerebral small vessel disease
topic cerebral small vessel diseases
vascular cell adhesion molecule-1
hemodynamics
magnetic resonance imaging
url http://www.cjcnn.org/index.php/cjcnn/article/view/3067
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