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Dynamic indices of fractalkine in ischemic stroke

https://doi.org/10.29413/ABS.2025-10.1.14

Abstract

Background. The problem of a personalized approach to patients with ischemic stroke does not lose its relevance. Research is being conducted aimed at searching for points of application in the pathogenesis of cerebral infarction and the possibility of influencing them in order to have a positive impact on the recovery prognosis of patients.

The aim of the work. To study the level of fractalkine (FKN) in the blood serum of patients with ischemic stroke (atherothrombotic subtype) in dynamics. The data obtained in the future can serve as the basis for the possible use of fractalkine as one of the treatment options for patients with acute cerebral ischemia.

Materials and methods. Sixty people took part in the study. Group I (control) – healthy people; Group II – patients with hypertensive crisis without signs of acute changes in target organs; Group III – patients with atherothrombotic pathogenetic subtype of ischemic stroke on the background of hypertensive crisis.

Results. It was revealed that the level of fractalkine in patients with hypertensive crisis, and in patients on the first day after the development of ischemic stroke, was 3.2 times higher than in the control group (p < 0.001). The fractalkine content in the blood serum of patients with ischemic stroke remained high for ten days. The highest level was recorded on days 4–5 from the onset of the disease and exceeded the initial level by 27.5 % (p < 0.001). Positive correlations were established between fractalkine indicators and indicators of the NIHSS (National Institutes of Health Stroke Scale) and Rankin scales, and blood pressure (p < 0.001).

Conclusion. Studying the role of fractalkine in the pathogenesis of cerebral infarction remains a promising direction. The results obtained with further research in this area may become the basis for the subsequent development of fundamentally new approaches in the treatment of patients with acute cerebral events.

About the Authors

A. Yu. Ma-Van-de
Chita State Medical Academy
Russian Federation

Aleksey Yu. Ma-Van-de – Teaching Assistant at  the  Department of  Neurology, Neurosurgery and  Medical Genetics,

Gorkogo str. 39A, Chita 672090



E. V. Fefelova
Chita State Medical Academy
Russian Federation

Elena V. Fefelova – Dr. Sc. (Med.), Docent, Professor at the Department of Pathological Physiology, 

Gorkogo str. 39A, Chita 672090



Yu. A. Shirshov
Chita State Medical Academy
Russian Federation

Yuri A. Shirshov – Cand. Sc. (Med.), Professor, Head of the Department of Neurology, Neurosurgery and Medical Genetics,

Gorkogo str. 39A, Chita 672090



V. D. Ma-Van-de
Chita State Medical Academy
Russian Federation

Vasilina D. Ma-Van-de – Teaching Assistant of the Department of Intermediate Level Therapy,

Gorkogo str. 39A, Chita 672090



References

1. Gusev EI, Konovalov AN, Skvortsova VI. Neurology. National guidelines. Moscow: GEOTAR-Media; 2019; (1). (In Russ.).

2. Fugate JE, Rabinstein AA. Absolute and relative contraindications to IV rt-PA for acute ischemic stroke. Neurohospitalist. 2015; 5(3): 110-121. doi: 10.1177/1941874415578532

3. Endres M, Moro MA, Nolte CH, Dames C, Buckwalter MS, Meisel A. Immune pathways in etiology, acute phase, and chronic sequelae of ischemic stroke. Circ Res. 2022; 130(8): 1167-1186. doi: 10.1161/CIRCRESAHA.121.319994

4. Liu RR, Song PP, Gu XH, Liang WD, Sun W, Hua Q, et al. Comprehensive landscape of immune infiltration and aberrant pathway activation in ischemic stroke. Front Immunol. 2022; 12: 766724. doi: 10.3389/fimmu.2021.766724

5. Ghelani DP, Kim HA, Zhang SR, Drummond GR, Sobey CG, De Silva TM. Ischemic stroke and infection: A brief update on mechanisms and potential therapies. Biochem Pharmacol. 2021; 193: 114768. doi: 10.1016/j.bcp.2021.114768

6. Ma-Van-de АYu, Fefelova ЕV, Shirshov YuA. The role of individual neuroinflammation molecules in pathogenesis ischemic stroke. Part I. Transbaikalian Medical Bulletin. 2024; (1): 139-147. (In Russ.). doi: 10.52485/19986173_2024_1_139

7. Mao M, Xu Y, Zhang XY, Yang L, An XB, Qu Y, et al. MicroRNA-195 prevents hippocampal microglial/macrophage polarization towards the M1 phenotype induced by chronic brain hypoperfusion through regulating CX3CL1/CX3CR1 signaling J Neuroinflammation. 2020; 17(1): 244. doi: 10.1186/s12974-020-01919-w

8. Navabi SP, Badreh F, Khombi Shooshtari M, Hajipour S, Moradi Vastegani S, Khoshnam SE. Microglia-induced neuroinflammation in hippocampal neurogenesis following traumatic brain injury. Heliyon. 2024; 10(16): e35869. doi: 10.1016/j.heliyon.2024.e35869

9. Fan QYu, Gayen M, Singh N, Gao F, He WX, Hu XY, et al. The intracellular domain of CX3CL1 regulates adult neurogenesis and Alzheimer’s amyloid pathology. J Experim Med. 2019; 216(8): 1891-1903. doi: 10.1084/jem.20182238

10. Clark AK, Malcangio M. Fractalkine/CX3CR1 signaling during neuropathic pain. Front Cell Neurosci. 2014; (8): 121. doi: 10.3389/fncel.2014.00121

11. Russian Society of Neurologists. Ischemic stroke and transient ischemic attack: Clinical guidelines. Moscow; 2024. (In Russ.).

12. Russian Society of Cardiology. Arterial hypertension in adults: Clinical guidelines. Moscow; 2024. (In Russ.).

13. Powers WJ, Rabinstein AA, Ackerson T, Adeoye OM, Bambakidis NC, Becker K, et al. 2018 Guidelines for the early management of patients with acute ischemic stroke: A guideline for healthcare professionals from the American Heart Association/American Stroke Association. Stroke. 2018; 49(3): e46-e99. doi: 10.1161/STR.0000000000000158

14. Shmonin AA, Maltseva MN, Melnikova EV, Ivanova GE. The Modified Rankin Scale (mRS) is a universal tool for assessing independence and disability of patients in medical rehabilitation. Consilium Medicum. 2017; 19(2.1): 8-13. (In Russ.).

15. Pezeshkian F, Shahriarirad R, Mahram H. An overview of the role of chemokine CX3CL1 (Fractalkine) and CX3C chemokine receptor 1 in systemic sclerosis. Immun Inflamm Dis. 2024; 12(10): e70034. doi: 10.1002/iid3.70034

16. Finneran D, Li Q, Subbarayan MS, Joly-Amado A, Kamath S, Dengler DG, et al. Concentration and proteolysis of CX3CL1 may regulate the microglial response to CX3CL1. Glia. 2023; 71(2): 245- 258. doi: 10.1002/glia.24269

17. Palsamy K, Chen JY, Skaggs K, Qadeer Y, Connors M, Cutler N, et al. Microglial depletion after brain injury prolongs inflammation and impairs brain repair, adult neurogenesis and proregenerative signaling. Glia. 2023; 71(11): 2642-2663. doi: 10.1002/glia.24444

18. Microglia regulate motor neuron plasticity via reciprocal fractalkine/adenosine signaling. bioRxiv. 2024; 2024.05.07.592939. doi: 10.1101/2024.05.07.592939

19. Zhan L, Qiu M, Zheng J, Lai M, Lin K, Dai J, et al. Fractalkine/ CX3CR1 axis is critical for neuroprotection induced by hypoxic postconditioning against cerebral ischemic injury. Cell Commun Signal. 2024; 22(1): 457. doi: 10.1186/s12964-024-01830-4

20. Boehme SA, Lio FM, Maciejewski-Lenoir D, Bacon KB, Conlon PJ. The chemokine fractalkine inhibits Fas-mediated cell death of brain microglia. J Immunol. 2000; 165(1): 397-403. doi: 10.4049/jimmunol.165.1.397

21. Mordovin VF, Zyubanova IV, Manukyan MA, Dorzhieva IK, Vtorushina AA, Khunkhinova SA, et al. The role of immune-inflammatory mechanisms in the pathogenesis of hypertension. Siberian Journal of Clinical and Experimental Medicine. 2023; 38(1): 21-27. (In Russ.). doi: 10.29001/2073-8552-2023-38-1-21-27

22. Ho CY, Lin YT, Chen HH, Ho WY, Sun GC, Hsiao M, et al. CX3CR1-microglia mediates neuroinflammation and blood pressure regulation in the nucleus tractus solitarii of fructoseinduced hypertensive rats. J Neuroinflammation. 2020; 17(1): 185. doi: 10.1186/s12974-020-01857-7


Review

For citations:


Ma-Van-de A.Yu., Fefelova E.V., Shirshov Yu.A., Ma-Van-de V.D. Dynamic indices of fractalkine in ischemic stroke. Acta Biomedica Scientifica. 2025;10(1):136-143. (In Russ.) https://doi.org/10.29413/ABS.2025-10.1.14

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