NEUROSURGICAL FOCUS Neurosurg Focus 51 (3):E3, 2021
NEUROSURGICAL FOCUS Neurosurg Focus 51 (3):E3, 2021 Transcriptome-wide analysis of intracranial artery in patients with moyamoya disease showing upregulation of immune response, and downregulation of oxidative phosphorylation and DNA repair *Fumiaki Kanamori, MD,1 Kinya Yokoyama, MD, PhD,1 Akinobu Ota, PhD,2 Kazuhiro Yoshikawa, PhD,3 Sivasundaram Karnan, PhD,2 Mikio Maruwaka, MD, PhD,4 Kenzo Shimizu, MD,5 Shinji Ota, MD,6 Kenji Uda, MD, PhD,1 Yoshio Araki, MD, PhD,1 Sho Okamoto, MD, PhD,7 Satoshi Maesawa, MD, PhD,1 Toshihiko Wakabayashi, MD, PhD,1 and Atsushi Natsume, MD, PhD1 1Department of Neurosurgery, Nagoya University Graduate School of Medicine, Nagoya; 2Department of Biochemistry, Aichi Medical University School of Medicine, Nagakute; 3Division of Research Creation and Biobank, Research Creation Support Center, Aichi Medical University, Nagakute; 4Department of Neurosurgery, Toyota Kosei Hospital, Toyota; 5Department of Neurosurgery, Kasugai Municipal Hospital, Kasugai; 6Department of Neurosurgery, Handa City Hospital, Handa; and 7Aichi Rehabilitation Hospital, Nishio, Japan OBJECTIVE Moyamoya disease (MMD) is a rare cerebrovascular disease characterized by progressive occlusion of the internal carotid artery and the secondary formation of collateral vessels. Patients with MMD have ischemic attacks or intracranial bleeding, but the disease pathophysiology remains unknown. In this study, the authors aimed to identify a gene expression profile specific to the intracranial artery in MMD. METHODS This was a single-center, prospectively sampled, retrospective cohort study. Microsamples of the middle cerebral artery (MCA) were collected from patients with MMD (n = 11) and from control patients (n = 9). Using microarray techniques, transcriptome-wide analysis was performed. RESULTS Comparison of MCA gene expression between patients with MMD and control patients detected 62 and 26 genes whose expression was significantly (p < 0.001 and fold change > 2) up- or downregulated, respectively, in the MCA of MMD.
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