Cardiac arrest & resuscitation

Brain-derived extracellular vesicles as serologic markers of brain injury following cardiac arrest: A pilot feasibility study

ResuscitationPublished Prospective cohort study

Authors' conclusion

This study explores the associations between miRNAs from neuron-derived EVs (NDEs) and circulating protein biomarkers within 6 hours with neurologic outcome, suggesting a panel of very early biomarker may be useful during clinical care.

Study context

Population
Patients resuscitated after out-of-hospital cardiac arrest (OHCA)9 with good outcome
Participants
27 patients
Outcome
Association of miRNA from GluR2-positive serologic extracellular vesicles (EVs) with dichotomised mRS
Follow-up
Discharge
Methodological detailspilot feasibility study, Samples 7/3/2019 to 7/21/2022
  • Pilot feasibility study
  • Samples 7/3/2019 to 7/21/2022

Main finding

As reported in the abstract

miR-124 (EVs measured within 6 hours of resuscitation) vs mRS at discharge · within 6 hours of resuscitation
AUC for miR-124
0.84
Several micro-RNA (miRNA) species including miR-124 statistically associated with modified Rankin Score (mRS) at discharge
p < 0.05

Observational data: associations, not effects.

Further findings

Kendall ranked correlation of miRNA associations

miRNA associations with outcome not strongly correlated with standard serologic markers or amongst themselves

Original publication

Brain-derived extracellular vesicles as serologic markers of brain injury following cardiac arrest: A pilot feasibility study. Resuscitation. Published 15 August 2023. doi:10.1016/j.resuscitation.2023.109937

Composed by AI from the published abstract and checked against it. How Briefs are made →

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