The Association of ApoB/ApoA-I Ratio with Intracranial Atherosclerotic Stenosis in Young Patients with Ischemic Stroke - Summary - MDSpire

The Association of ApoB/ApoA-I Ratio with Intracranial Atherosclerotic Stenosis in Young Patients with Ischemic Stroke

  • By

  • Meijuan, Yan

  • Shao, Lihui

  • May 9, 2026

  • 0 min

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Objective:

To investigate the relationship between the serum ApoB/ApoA-I ratio and intracranial atherosclerotic stenosis (ICAS) in young adults with ischemic stroke.

Key Findings:
  • Higher prevalence of diabetes mellitus, smoking, and hyperlipidemia in ICAS group.
  • Increased levels of ApoB and ApoB/ApoA-I ratio in ICAS group compared to non-ICAS group.
  • Lower levels of HDL-C and ApoA-I in ICAS group.
  • Dose-response relationship between ApoB/ApoA-I ratio quartiles and ICAS risk.
Interpretation:

A higher ApoB/ApoA-I ratio is independently associated with ICAS in young ischemic stroke patients, suggesting it may be a significant risk factor.

Limitations:
  • Findings need confirmation through vessel wall imaging in future studies.
  • Study limited to a specific age group (18-45 years).
Conclusion:

The ApoB/ApoA-I ratio may serve as a potential biomarker for assessing ICAS risk in young adults experiencing ischemic stroke.

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