Abstract

ObjectiveThe association between ELP4 rs986527 polymorphism and the occurrence and development of intracranial arachnoid cyst was studied in this paper.MethodsEighty‐five patients diagnosed with intracranial arachnoid cysts by cerebral computed tomography scan were selected. Sixty‐three healthy volunteers for medical examination in hospitals served as controls. The cognition, depressive symptoms, and the likelihood of headache, dizziness, head trauma history, dementia, depression, and epilepsy were assessed. ELP4 genotypes and its allele frequency were determined by PCR, endonuclease restriction analysis, and gel electrophoresis.ResultsELP4 rs986527 had three genotypes: TT, TC, and CC. The intracranial arachnoid cyst group showed no statistically significant difference in genotype frequencies compared with healthy controls. There was no significant correlation between ELP4 rs986527 polymorphism and location of intracranial arachnoid cyst. TC and C genotype frequencies were associated with a higher incidence of clinical symptoms than TT genotype frequencies, and C allele frequencies were associated with a significantly higher incidence of clinical symptoms compared with T allele frequencies. There was no significant difference in TNF‐α and IL‐1β levels between TT/TC/CC genotypes before treatment. After treatment, the levels of TNF‐α and IL‐1β were significantly decreased in different genotypes, and the decrease in CC was the greatest. The frequency of TT and TC genotypes was higher than that of CC genotypes.ConclusionELP4 rs986527 polymorphism affected the incidence of clinical symptoms and the levels of TNF‐α and IL‐1β in patients with intracranial arachnoid cysts.

Highlights

  • The arachnoid membrane is the last meninges that differentiate during fetal development (Liao et al, 2018)

  • We investigated the association between elongator protein complex 4 (ELP4) rs986527 polymorphism and the occurrence and development of intracranial arachnoid cysts

  • Intracranial arachnoid cysts were examined by magnetic resonance imaging (MRI)

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Summary

| INTRODUCTION

The arachnoid membrane is the last meninges that differentiate during fetal development (Liao et al, 2018). Arachnoid cysts may occur when cerebrospinal fluid flow changes in the early stages of subarachnoid space formation leading to rupture of the developing arachnoid membrane (Zhang et al, 2018). Intracranial arachnoid cysts are congenital malformations characterized by abnormal cerebrospinal fluid accumulation in the cerebral cistern and major brain fissures in the arachnoid and subarachnoid spaces (Chen et al, 2017). Local mass effects may contribute to local neurological deficits depending on adjacent neural structures or bone anatomy. These lesions may rupture, leading to subdural hematomas or hemorrhage (Sima, Sun, & Zhou, 2017). We investigated the association between elongator protein complex 4 (ELP4) rs986527 polymorphism and the occurrence and development of intracranial arachnoid cysts

| MATERIALS AND METHODS
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