Evaluation of levels of bradykinin, intercellular adhesion molecule-ICAM and electrolytes in patients with ischemic stroke
Abstract
Stroke is one of the leading causes of death worldwide, especially among the elderly. Fifty blood samples were collected from patients (25 females and 25 males) suffering from ischemic stroke (IS) who visited the central health laboratories at the Medical City. The p atients belonged to different age groups ranging from 45 – 65 years. Twenty samples (10 females and 10 males) were collected from healthy individuals who did not suffer from any diseases as a control group. Several biochemical parameters were tested, such as intercellular adhesion molecule ( ICAM ) , bradykinin , sodium and potassium in the patient’s blood serum. The results of the present study indicated a significant elevat ion in ICAM, bradykinin , Na, K in the blood serum of the patient group compared to the control group. The results also showed a highly significant positive correlation between bradykinin concentration and ICAM in the blood serum of the patient group, as the value of the correlation coefficient was 0.724. The results also showed that the area under the curve value for the studied variables, ICAM, bradykinin, was excellent, so they can be cons i dered important diagnostic variables for patients with ischemic stroke.References
Ay, H., Benner, T., Arsava, E. M., Furie, K. L., Singhal, A. B., Jensen, M. B., Ayata, C., Towfighi, A., Smith, E. E., Chong, J. Y., Koroshetz, W. J., & Sorensen, A. G. (2007). A computerized algorithm for etiologic classification of ischemic stroke: The Causative Classification of Stroke System. Stroke, 38(11), 2979–2984.
Bishop, M. L., Duben-Engelkirk, J. L., & Fody, E. P. (2000). Clinical chemistry: Principles, procedures, correlations. Lippincott Williams and Wilkins, Baltimore.
Bui, T. M., Wiesolek, H. L., & Sumagin, R. (2020). ICAM-1: A master regulator of cellular responses in inflammation, injury resolution, and tumorigenesis. Journal of Leukocyte Biology, 108(3), 787–799.
Campbell, B. C. V., De Silva, D. A., Macleod, M. R., Coutts, S. B., Schwamm, L. H., Davis, S. M., & Donnan, G. A. (2019). Ischaemic stroke. Nature Reviews. Disease Primers, 5(1), 70.
Chen, W., Zhu, H. L., Shi, Y., Zhao, M. M., Wang, H., & Zeng, Y. Q. (2012). Comparative analysis on antioxidative ability of muscle between Laiwu pig and Large White. Asian-Australasian Journal of Animal Sciences, 25(8), 1190–1196.
Clark, W. M., Coull, B. M., Briley, D. P., Mainolfi, E., & Rothlein, R. (1993). Circulating intercellular adhesion molecule-1 levels and neutrophil adhesion in stroke. Journal of Neuroimmunology, 44(1), 123–125.
Dagnino, A. P. A., Campos, M. M., & Silva, R. B. M. (2020). Kinins and their receptors in infectious diseases. Pharmaceuticals, 13(9), 215.
Ehtesham, M., Mohmand, M., Raj, K., Hussain, T., Kavita, F., & Kumar, B. (2019). Clinical spectrum of hyponatremia in patients with stroke. Cureus, 11(8), e5310.
Fassbender, K., Mössner, R., Motsch, L., Kischka, U., Grau, A., & Hennerici, M. (1995). Circulating selectin- and immunoglobulin-type adhesion molecules in acute ischemic stroke. Stroke, 26(8), 1361–1364.
Feigin, V. L., Brainin, M., Norrving, B., Martins, S., Sacco, R. L., Hacke, W., Fisher, M., Pandian, J., & Lindsay, P. (2022). World Stroke Organization (WSO): Global Stroke Fact Sheet 2022. International Journal of Stroke, 17(1), 18–29.
Gong, R., Tan, J. L., Liu, G., Liu, X. F., Ma, L., & Shi, S. (2025). Mechanism of disturbed endothelial cell function on angiogenesis following ischemic brain stroke (review). Experimental and Therapeutic Medicine, 29(4), 61.
Gresham, G. E., Phillips, T. F., Wolf, P. A., McNamara, P. M., Kannel, W. B., & Dawber, T. R. (1979). Epidemiologic profile of long-term stroke disability: The Framingham study. Archives of Physical Medicine and Rehabilitation, 60(11), 487–491.
Guyton, A. C., & Hall, J. E. (2015). Textbook of medical physiology. 12th edition. Elsevier Health Sciences.
Habas, K., & Shang, L. (2018). Alterations in intercellular adhesion molecule 1 (ICAM-1) and vascular cell adhesion molecule 1 (VCAM-1) in human endothelial cells. Tissue and Cell, 54, 139–143.
Hasan, T. F., Hasan, H., & Kelley, R. E. (2021). Overview of acute ischemic stroke evaluation and management. Biomedicines, 9(10), 1486.
Haupeltshofer, S., Mencl, S., Szepanowski, R. D., Hansmann, C., Casas, A. I., Abberger, H., Hansen, W., Blusch, A., Deuschl, C., Forsting, M., Hermann, D. M., Langhauser, F., & Kleinschnitz, C. (2024). Delayed plasma kallikrein inhibition fosters post-stroke recovery by reducing thrombo-inflammation. Journal of Neuroinflammation, 21(1), 155.
Hillmann, G., & Beyer, G. (1967). Schnellbestimung von Serum-Kalium Durch Trübungsmessung mit Kalignost nach Eiweissfällung [Rapid determination of serum potassium by turbidity measurement with kalignost after protein precipitation]. Zeitschrift fur Klinische Chemie und Klinische Biochemie, 5(2), 93–94.
Hossain, M. F., Kharel, M., Husna, A. U., Khan, M. A., Aziz, S. N., & Taznin, T. (2023). Prevalence of electrolyte imbalance in patients with acute stroke: A systematic review. Cureus, 15(8), e43149.
Huang, L., Liu, M., Jiang, W., Ding, H., Han, Y., Wen, M., Li, Y., Liu, X., & Zeng, H. (2022). Bradykinin/bradykinin 1 receptor promotes brain microvascular endothelial cell permeability and proinflammatory cytokine release by downregulating Wnt3a. Journal of Biochemical and Molecular Toxicology, 36(12), e23213.
Kasner, S. E., Bath, P. M., Hill, M. D., Volpi, J. J., Giuffre, M., Masuoka, L., Wambeke, D., & Madeddu, P. R. (2025). Recombinant human tissue kallikrein-1 for treating acute ischemic stroke and preventing recurrence. Stroke, 56(3), 745–753.
Koh, Y., & Park, J. (2018). Cell adhesion molecules and exercise. Journal of Inflammation Research, 11, 297–306.
Lalkovičová, M., Bonová, P., Burda, J., & Danielisová, V. (2015). Effect of bradykinin postconditioning on ischemic and toxic brain damage. Neurochemical Research, 40(8), 1728–1738.
Lang, C. E., MacDonald, J. R., & Gnip, C. (2007). Counting repetitions: An observational study of outpatient therapy for people with hemiparesis post-stroke. Journal of Neurologic Physical Therapy, 31(1), 3–10.
Lau, J., Rousseau, J., Kwon, D., Bénard, F., & Lin, K. S. (2020). A systematic review of molecular imaging agents targeting bradykinin B1 and B2 receptors. Pharmaceuticals, 13(8), 199.
Mombouli, J. V., & Vanhoutte, P. M. (1995). Kinins and endothelial control of vascular smooth muscle. Annual Review of Pharmacology and Toxicology, 35, 679–705.
Moreau, M. E., Garbacki, N., Molinaro, G., Brown, N. J., Marceau, F., & Adam, A. (2005). The kallikrein-kinin system: Current and future pharmacological targets. Journal of Pharmacological Sciences, 99(1), 6–38.
Nielsen, H. H., Soares, C. B., Høgedal, S. S., Madsen, J. S., Hansen, R. B., Christensen, A. A., Madsen, C., Clausen, B. H., Frich, L. H., Degn, M., Sibbersen, C., & Lambertsen, K. L. (2020). Acute neurofilament light chain plasma levels correlate with stroke severity and clinical outcome in ischemic stroke patients. Frontiers in Neurology, 11, 448.
Ottenbacher, K. J., Smith, P. M., Illig, S. B., Linn, R. T., Ostir, G. V., & Granger, C. V. (2004). Trends in length of stay, living setting, functional outcome, and mortality following medical rehabilitation. The Journal of the American Medical Association, 292(14), 1687–1695.
Portolés, M. T., Catalá, M., Antón, A., & Pagani, R. (1996). Hepatic response to the oxidative stress induced by E. coli endotoxin: Glutathione as an index of the acute phase during the endotoxic shock. Molecular and Cellular Biochemistry, 159(2), 115–121.
Rakhimbaeva, G. S., & Abdurakhmonova, K. B. K. (2023). ICAM-1 and CRP as biomarkers of 3-month outcome in acute ischaemic stroke. BMJ Neurology Open, 5(2), e000516.
Ramthun, M., Mocelin, A. J., & Alvares Delfino, V. D. (2011). Hypernatremia secondary to post-stroke hypodipsia: Just add water! Nephrology Dialysis Transplantation Plus, 4(4), 236–237.
Relton, J. K., Beckey, V. E., Hanson, W. L., & Whalley, E. T. (1997). CP-0597, a selective bradykinin B2 receptor antagonist, inhibits brain injury in a rat model of reversible middle cerebral artery occlusion. Stroke, 28(7), 1430–1436.
Rex, D. A. B., Deepak, K., Vaid, N., Dagamajalu, S., Kandasamy, R. K., Flo, T. H., & Keshava Prasad, T. S. (2022). A modular map of bradykinin-mediated inflammatory signaling network. Journal of Cell Communication and Signaling, 16(2), 301–310.
Rex, D. A. B., Vaid, N., Deepak, K., Dagamajalu, S., & Prasad, T. S. K. (2022). A comprehensive review on current understanding of bradykinin in COVID-19 and inflammatory diseases. Molecular Biology Reports, 49(10), 9915–9927.
Rubattu, S., Ridker, P., Stampfer, M. J., Volpe, M., Hennekens, C. H., & Lindpaintner, K. (1999). The gene encoding atrial natriuretic peptide and the risk of human stroke. Circulation, 100(16), 1722–1726.
Rubattu, S., Stanzione, R., Di Angelantonio, E., Zanda, B., Evangelista, A., Tarasi, D., Gigante, B., Pirisi, A., Brunetti, E., & Volpe, M. (2004). Atrial natriuretic peptide gene polymorphisms and risk of ischemic stroke in humans. Stroke, 35(4), 814–818.
Sarker, M. H., Hu, D. E., & Fraser, P. A. (2000). Acute effects of bradykinin on cerebral microvascular permeability in the anaesthetized rat. The Journal of Physiology, 528(1), 177–187.
Schrier, R. W. (1990). Body fluid volume regulation in health and disease: A unifying hypothesis. Annals of Internal Medicine, 113(2), 155–159.
Sharma, J. N. (2014). Basic and clinical aspects of bradykinin receptor antagonists. Progress in Drug Research, 69, 1–14.
Supanc, V., Biloglav, Z., Kes, V. B., & Demarin, V. (2011). Role of cell adhesion molecules in acute ischemic stroke. Annals of Saudi Medicine, 31(4), 365–370.
Vink, R., Young, A., Bennett, C. J., Hu, X., Connor, C. O., Cernak, I., & Nimmo, A. J. (2003). Neuropeptide release influences brain edema formation after diffuse traumatic brain injury. Acta Neurochirurgica, Supplement, 86, 257–260.
Wang, J. Y., Zhou, D. H., Li, J., Zhang, M., Deng, J., Gao, C., Li, J., Lian, Y., & Chen, M. (2006). Association of soluble intercellular adhesion molecule 1 with neurological deterioration of ischemic stroke: The Chongqing Stroke Study. Cerebrovascular Diseases, 21, 67–73.
Wang, L., Chen, Y., Feng, D., & Wang, X. (2021). Serum ICAM-1 as a predictor of prognosis in patients with acute ischemic stroke. BioMed Research International, 2021, 5539304.
Wang, M., Zhang, Z., Liu, D., Karhunen, V., Georgakis, M. K., Ren, Y., Ye, D., Gill, D., & Liu, M. (2023). Soluble adhesion molecules and functional outcome after ischemic stroke: A Mendelian randomization study. Journal of Stroke and Cerebrovascular Diseases, 32(6), 107136.
Yakar, Ş., & Baykan, N. (2024). Association of potassium and sodium parameters with the type of stroke. Journal of Surgery and Medicine, 8(5), 81–84.
Yoon, C. H., Hur, J., Oh, I. Y., Park, K. W., Kim, T. Y., Shin, J. H., Kim, J. H., Lee, C. S., Chung, J. K., Park, Y. B., & Kim, H. S. (2006). Intercellular adhesion molecule-1 is upregulated in ischemic muscle, which mediates trafficking of endothelial progenitor cells. Arteriosclerosis, Thrombosis, and Vascular Biology, 26(5), 1066–1072.
Yuen, K. C. J., Sharf, V., Smith, E., Kim, M., Yuen, A. S. M., & MacDonald, P. R. (2022). Sodium and water perturbations in patients who had an acute stroke: Clinical relevance and management strategies for the neurologist. Stroke and Vascular Neurology, 7(3), 258–266.
Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons «Attribution» 4.0 License that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.


