Table 2 Candidate acute and 3-month protein markers statistically significantly associated to neurological outcome in the present study, for which experimental ischemic stroke models provide evidence or suggestion of a causal influence on functional outcome.

From: Investigation of 91 proteins implicated in neurobiological processes identifies multiple candidate plasma biomarkers of stroke outcome

Protein

Full protein name

Gene, localisation

Highest expression (GTEx)

Ischemic stroke outcome study

Animal model

Clinical study

Knockout

Induced overexpression or agonistic treatment

Induced inactivation, down-regulation or inhibition

Other

Proteins inversely associated to the NIH Stroke Scale

NTRK2

BDNF/NT-3 growth factors receptor

Common alias: Tropomyosin-Related Kinase B (TrkB)

NTRK2, 9q21

Brain

 

Improved neurological recovery31,32, reduced infarct size31

 

Interference in isoform processing: improved neurological outcome, reduced infarct size33

Candidate NTRK2 SNPs associated to neurological outcome35 and post-stroke depression36,37.

Low blood levels of BDNF (ligand) associated to poor functional outcome2,8,9,10

Treatment with Neurotrophin-3 (ligand): improved sensorimotor recovery38,39

NTRK3

NT-3 growth factor receptor

NTRK3, 15q25

Arterial tissue

    

DDR1

Epithelial discoidin domain-containing receptor 1

DDR1, 6p21

Brain

  

Improved neurological outcome, reduced infarct size40

Treatment with Imatinib (non-selective inhibition): improved neurological outcome41, varying effects on infarct size41,42,43

Imatinib added to iv thrombolysis: possible effect on functional outcome (phase II trial)44.

Phase III ongoing (Clinical Trials/NCT03639922)

PDGF-R-alpha

Platelet-derived growth factor receptor alpha

PDGFRA, 4q12

Ovary

   

RGMA

Repulsive guidance molecule A

RGMA, 15q26

Esophagus

  

Improved neurological outcome45,46, reduced infarct size45

  

BCAN

Brevican core protein

BCAN, 1q23

Brain

Four-gene KO: delayed sensorimotor recovery within first 14 days, no effect on infarct size47

    

NCAN

Neurocan core protein

NCAN, 19p13

Brain

  

Direct delivery (infarct cavity): no effect on functional outcome48

 

CD38

ADP-ribosyl cyclase/cyclic ADP-ribose hydrolase 1

CD38, 4p15

Spleen

Improved neurological recovery, reduced infarct size49

 

Day 5 intraventricular siRNA administration: Poorer neurological outcome, no effect on infarct size50

  

GDF-8

Growth/differentiation factor 8

MSTN, 2q32

Cervix

  

Improved skeletal muscle restoration and motoric recovery51

  

CD200R1

Cell surface glycoprotein CD200 receptor 1

CD200R1, 3q13

Spleen

Poorer neurological outcome, no effect on infarct size30

 

Inhibited functional recovery52

  

Protein positively associated to the NIH stroke scale

NMNAT1

Nicotinamide/nicotinic acid mononucleotide adenylyl-transferase 1

NMNAT1, 1p36

Thyroid gland

 

Improved outcome, reduced infarct size53,54

Increased infarct size54

  
  1. SNP Single Nucleotide Polymorphism, KO Knockout, iv intravenous, siRNA Small interfering RNA.