The predictive value of serum 25(OH)D, AQP4, and IL-4 levels for edema volume and clinical prognosis after traumatic brain injury

Objective: This study aims to explore the associations between serum 25-hydroxyvitamin D (25(OH)D), aquaporin 4 (AQP4), and interleukin-4 (IL-4) levels with brain edema volume and outcomes in patients with traumatic brain injury (TBI). Methods: = 64). Multivariate logistic regression was employed to identify factors influencing TBI outcomes. Results: < 0.05). ROC curve analysis demonstrated that all tested biomarkers had prognostic value, with serum 25(OH)D on day 1 showing the highest predictive accuracy. Conclusion: Serum levels of 25(OH)D, AQP4, and IL-4 are significantly associated with brain edema volume in TBI patients. Among these markers, serum 25(OH)D levels on the first day post-injury serve as the most reliable prognostic indicator of patient outcomes.

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Publication Details

Journal
Frontiers in Medicine
Published
2026-04-21
DOI
https://doi.org/10.3389/fmed.2026.1788253
Primary Topic
S100 Proteins and Annexins
Type
article
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article

The predictive value of serum 25(OH)D, AQP4, and IL-4 levels for edema volume and clinical prognosis after traumatic brain injury

Zhiying Ding, Yanhong Song, Lixiang Yang, Yuanpeng Wang et al.
Frontiers in Medicine
S100 Proteins and Annexins
article

The predictive value of serum 25(OH)D, AQP4, and IL-4 levels for edema volume and clinical prognosis after traumatic brain injury

Zhiying Ding, Yanhong Song, Lixiang Yang, Yuanpeng Wang, Yunna Tao
article en

Abstract

Objective: This study aims to explore the associations between serum 25-hydroxyvitamin D (25(OH)D), aquaporin 4 (AQP4), and interleukin-4 (IL-4) levels with brain edema volume and outcomes in patients with traumatic brain injury (TBI). Methods: = 64). Multivariate logistic regression was employed to identify factors influencing TBI outcomes. Results: < 0.05). ROC curve analysis demonstrated that all tested biomarkers had prognostic value, with serum 25(OH)D on day 1 showing the highest predictive accuracy. Conclusion: Serum levels of 25(OH)D, AQP4, and IL-4 are significantly associated with brain edema volume in TBI patients. Among these markers, serum 25(OH)D levels on the first day post-injury serve as the most reliable prognostic indicator of patient outcomes.

Frontiers in MedicineVol. 13
Wuxi Taihu Hospital (CN), Wuxi People's Hospital (CN)
No poverty
Openalex Percentile: Top 20%
S100 Proteins and Annexins
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