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Relationship Between Carotid Intima–Media Thickness, Serum Endocan and Hyaluronic Acid Levels in Multiple Sclerosis  
Yazarlar (6)
Dr. Öğr. Üyesi Selcen DURAN Dr. Öğr. Üyesi Selcen DURAN
Kırşehir Ahi Evran Üniversitesi, Türkiye
Asuman ÇELİKBİLEK
Sincan Training And Research Hospital, Türkiye
Dr. Öğr. Üyesi Ahmet Said ÇİL Dr. Öğr. Üyesi Ahmet Said ÇİL
Kırşehir Ahi Evran Üniversitesi, Türkiye
Doç. Dr. Bilal İLANBEY Doç. Dr. Bilal İLANBEY
Kırşehir Ahi Evran Üniversitesi, Türkiye
Dr. Öğr. Üyesi Aydan KÖYSÜREN Dr. Öğr. Üyesi Aydan KÖYSÜREN
Kırşehir Ahi Evran Üniversitesi, Türkiye
Dr. Öğr. Üyesi Burç Esra ŞAHİN Dr. Öğr. Üyesi Burç Esra ŞAHİN
Kırşehir Ahi Evran Üniversitesi, Türkiye
Devamını Göster
Özet
Background: Multiple sclerosis (MS) is an immune-mediated neuroinflammatory disorder with a multifactorial etiology involving genetic susceptibility, environmental triggers, and vascular contributions. Carotid intima–media thickness (CIMT) is a significant marker of endothelial dysfunction. Endothelial cell-specific molecule-1 (endocan) and hyaluronic acid, key components implicated in endothelial and vascular remodeling, may significantly contribute to the inflammatory and vascular pathologies observed in MS. We aimed to investigate the relationship between CIMT and endothelial biomarkers, such as endocan and hyaluronic acid, in patients with MS. Methods: In this cross-sectional study, 100 patients with relapsing–remitting MS and 56 healthy controls were included. Demographic, clinical, laboratory, and imaging data were documented. CIMT was measured bilaterally using high-resolution B-mode ultrasonography. Serum endocan and hyaluronic acid levels were quantified via enzyme-linked immunosorbent assays. Results: MS patients exhibited significantly higher CIMT and serum endocan levels compared with controls (p < 0.001). CIMT values were significantly elevated in MS patients, with longer disease duration, higher expanded disability status scale scores, and an older diagnosis age (p < 0.05). However, serum endocan and hyaluronic acid levels did not significantly differ between MS subgroups based on disease duration, disability severity, and diagnosis age. Additionally, there was no correlation between CIMT and serum endocan and hyaluronic acid levels in MS patients (p > 0.05). Conclusions: Increased CIMT and serum endocan levels in MS patients may indicate endothelial dysfunction suggesting vascular involvement in MS. The lack of a correlation between CIMT and endocan and hyaluronic acid levels reveals the complexity of vascular and immune interactions in MS, which needs further research.
Anahtar Kelimeler
carotid intima–media thickness | endocan | endothelial dysfunction | hyaluronic acid | multiple sclerosis | vascular pathology
Makale Türü Özgün Makale
Makale Alt Türü SSCI, AHCI, SCI, SCI-Exp dergilerinde yayınlanan tam makale
Dergi Adı Life
Dergi ISSN 2075-1729 Wos Dergi Scopus Dergi
Dergi Grubu Q1
Makale Dili İngilizce
Basım Tarihi 09-2025
Cilt No 15
Sayı 9
Doi Numarası 10.3390/life15091388