15-Hydroxyprostaglandin Dehydrogenase Is a Predictor of Stroke-Associated Pneumonia

Yunfei Xu; Haoduo Qiao; Shun Yang; Lin Zhou; Yao Zhao; Qing Xu; Shuying Miao; Dun Yuan; Jie Zhao; Ying Liu

doi:10.3389/fneur.2022.893624

15-Hydroxyprostaglandin Dehydrogenase Is a Predictor of Stroke-Associated Pneumonia

Front Neurol. 2022 May 26:13:893624. doi: 10.3389/fneur.2022.893624. eCollection 2022.

Authors

Yunfei Xu^{1

2

3

4}, Haoduo Qiao^{1

2

3

4}, Shun Yang¹, Lin Zhou^{1

2

3

4}, Yao Zhao^{1

2

3

4}, Qing Xu^{1

2

3

4}, Shuying Miao^{4

5}, Dun Yuan¹, Jie Zhao¹, Ying Liu^{1

2

3

4}

Affiliations

¹ Department of Pathophysiology, Xiangya School of Medicine, Central South University, Changsha, China.
² Department of Neurosurgery, Xiangya Hospital, Central South University, Changsha, China.
³ Sepsis Translational Medicine Key Lab of Hunan Province, Central South University, Changsha, China.
⁴ China-Africa Research Center of Infectious Diseases, Central South University, Changsha, China.
⁵ Department of Pathology, Nanjing Drum Tower Hospital, Nanjing University Medical School, Nanjing, China.

Abstract

Background and purpose: Stroke is a serious fatal and disabling disease. Stroke-associated pneumonia (SAP) is the most common complication of stroke, which may further aggravate the stroke. The prevention and early prediction of SAP is a key clinical strategy. 15-hydroxyprostaglandin dehydrogenase (15-PGDH) is involved in pneumonia, while its relationship with SAP has yet to be determined. Therefore, we investigated the predictive value of 15-PGDH for SAP and visualized their relationship.

Methods: Stroke patients were recruited and divided into SAP group and Non-SAP group. Baseline demographic and clinical data were obtained from the medical record system, blood samples were collected to detect relevant variables and 15-PGDH levels. Patient characteristics were compared with a t-test. Binary logistic regression analysis was performed to determine the predictive value of 15-PGDH for SAP. Restricted cubic splines (RCS) were performed to visualize the relationship between 15-PGDH and SAP risk. Finally, the SAP patient characteristics between the severe group and mild group were compared.

Results: 50 patients were enrolled and divided into SAP group (n = 26) and Non-SAP group (n = 24). 15-PGDH in the SAP group was lower than that in the Non-SAP group (0.258 ± 0.275 vs. 0.784 ± 0.615, p = 0.025). Binary logistic regression analysis revealed that the lower 15-PGDH, the higher the risk of SAP (OR = 0.04, 95%CI, 0.010-0.157, p < 0.001). The RCS model showed the L-shaped relationship between 15-PGDH and SAP.

Conclusions: In stroke patients, serum 15-PGDH is a valuable biomarker for predicting SAP. There is an L-shaped relationship between the level of 15-PGDH and the risk of SAP.

Keywords: 15-PGDH; PGE2; pneumonia; predictor; stroke.