RESEARCH ARTICLE
Potential Biomarkers in Serum for Ischemic Stroke
Hyeonji Lee1, Jiwon Jeong1, Narae Kim1, Haneul Lee1, Jisu An2, Eun-Jung Yoon2,3, Dongsun Park1,2
1Department of Biology Education, Korea National University of Education
2Laboratory of Veterinary Toxicology, Kangwon National University
3Department of Life Sports Educator, Kongju National University
Correspondence to Dongsun Park, dvmdpark@kangwon.ac.kr
Brain, Digital, & Learning. Volume 15, Number 2, 165–176, June 2025. https://doi.org/10.31216/BDL.2025.15.2.3
Received on May 15, 2025, Revised on May 30, 2025, Accepted on June 4, 2025, Published on June 30, 2025.
Copyright © 2025 Institute of Brain based Education, Korea National University of Education This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (https://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
Abstract
Early detection of ischemic stroke is essential for initiating treatment before irreversible brain injury occurs. This study aimed to identify novel serum biomarkers capable of detecting ischemic stroke in early stages, prior to the development of severe brain damage caused by cerebral artery occlusion. Male Sprague-Dawley rats (9 weeks old; n= 3 per group) underwent middle cerebral artery occlusion for 0 minutes (sham), 30 minutes (0.5 hour), 1 hour, 2 hours, or 3 hours. Next-generation sequencing of brain tissue identified integrin subunit alpha M (Itgam ; CD11B), C-C motif chemokine ligand 2 (Ccl2), and alpha-2-macroglobulin (A2m) as candidate biomarkers. Western blot validation analysis revealed that CD11B and CCL2 levels progressively increased in both brain tissue and serum, correlating with occlusion duration and the extent of brain damage. In contrast, A2M expression decreased in brain tissue but increased in serum with longer occlusion times. Notably, in the 0.5 hour occlusion group, no visible brain damage was observed by 2,3,5-triphenyltetrazolium chloride staining; however, serum levels of CCL2 and A2M were significantly elevated compared to the sham group. These findings suggest that CD11B, CCL2, and A2M are promising early biomarkers for ischemic stroke. Increases in their serum concentrations occur at the earliest stages of ischemia, potentially enabling early diagnosis and therapeutic intervention before irreversible brain damage becomes detectable by conventional imaging techniques.
Keywords
Ischemic stroke, biomarker, CD11B, CCL2, A2M