{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,5]],"date-time":"2026-09-05T17:05:40Z","timestamp":1788627940901,"version":"build-2803163510"},"reference-count":50,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"5","content-domain":{"domain":["www.ahajournals.org"],"crossmark-restriction":true},"short-container-title":["Stroke"],"published-print":{"date-parts":[[2026,5]]},"abstract":"<jats:sec>\n                    <jats:title>BACKGROUND:<\/jats:title>\n                    <jats:p>\n                      Neutrophil granulocytes actively contribute to tissue damage after ischemic stroke. The membrane protein CD (cluster of differentiation)177 is detectable on variable neutrophil numbers in most individuals (CD177 wild-type [CD177\n                      <jats:sup>WT<\/jats:sup>\n                      ] genotype), whereas \u22485% of the general population completely lack CD177 (CD177-deficient [CD177\n                      <jats:sup>null<\/jats:sup>\n                      ] genotype). Despite its known relevance in vasculitis, the role of ischemic stroke remains unknown.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>METHODS:<\/jats:title>\n                    <jats:p>\n                      In 2 prospective cohorts of patients with first-ever ischemic stroke (PROSCIS-B [Prospective Cohort With Incident Stroke Berlin], NOFF-S [Neutrophils: Origin, Fate &amp; Function Stroke]), we assessed the effect of CD177\n                      <jats:sup>null<\/jats:sup>\n                      and CD177\n                      <jats:sup>WT<\/jats:sup>\n                      status on stroke severity and outcome (National Institutes of Health Stroke Scale and modified Rankin Scale) over 1 year or 3 months poststroke, respectively. By flow cytometry, we stratified CD177 expression level as CD177\n                      <jats:sup>neg<\/jats:sup>\n                      , CD177\n                      <jats:sup>dim<\/jats:sup>\n                      , and CD177\n                      <jats:sup>high<\/jats:sup>\n                      . The predictive value of the CD177 state was evaluated by multivariable regression and discrimination analyses.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>RESULTS:<\/jats:title>\n                    <jats:p>\n                      In PROSCIS\u2010B (n=579; mean age, 68.1 years; 38.5% women) and NOFF-S (n=236, 68.4 years, 36.9% women), similar rates of patients were CD177\n                      <jats:sup>null<\/jats:sup>\n                      (n=26 [4.5%] and n=10 [4.2%], respectively). Patients with CD177\n                      <jats:sup>null<\/jats:sup>\n                      had a higher probability of unfavorable stroke outcome (modified Rankin Scale score 3\u20136) than patients with CD177\n                      <jats:sup>WT<\/jats:sup>\n                      (n=8 of 21 [38.1%] versus 90 of 462 [19.5%] with follow-up,\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      =0.05, in PROSCIS-B; n=8 of 10 [80.0%] versus n=23 of 142 [16.2%] with follow-up,\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &lt;0.0001, in NOFF-S). This association remained when adjusted for age, sex, initial stroke severity defined by National Institutes of Health Stroke Scale score, stroke subtype defined by TOAST (Trial of ORG 10172 in Acute Stroke Treatment), and reperfusion treatment (relative risk, 3.8 [95% CI, 2.0\u20137.1];\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &lt;0.001, in NOFF-S). In NOFF-S, the proportion of CD177\n                      <jats:sup>dim<\/jats:sup>\n                      neutrophils at admission was negatively associated with stroke severity at admission, while that of CD177\n                      <jats:sup>high<\/jats:sup>\n                      neutrophils predicted a favorable clinical outcome after 3 months. CD177 expression level significantly improved the prediction of stroke outcome in addition to clinical adjustment variables in area under the curve, net reclassification improvement, and integrated discrimination improvement analyses (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      =0.004,\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      =0.001, and\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &lt;0.001, respectively, for CD177\n                      <jats:sup>high<\/jats:sup>\n                      ).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>CONCLUSIONS:<\/jats:title>\n                    <jats:p>CD177 expression at admission is an easy-to-measure biomarker for patient stratification. CD177 holds potential as a therapeutic target to modulate immune responses after stroke.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>REGISTRATION:<\/jats:title>\n                    <jats:p>\n                      URL:\n                      <jats:ext-link xmlns:xlink=\"http:\/\/www.w3.org\/1999\/xlink\" ext-link-type=\"uri\" xlink:href=\"https:\/\/www.clinicaltrials.gov\">https:\/\/www.clinicaltrials.gov<\/jats:ext-link>\n                      ; Unique identifier: NCT01363856. URL:\n                      <jats:ext-link xmlns:xlink=\"http:\/\/www.w3.org\/1999\/xlink\" ext-link-type=\"uri\" xlink:href=\"https:\/\/drks.de\/search\/en\/trial\/Unique\">https:\/\/drks.de\/search\/en\/trial\/Unique<\/jats:ext-link>\n                      identifier: DRKS00030825.\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.1161\/strokeaha.125.054673","type":"journal-article","created":{"date-parts":[[2026,2,26]],"date-time":"2026-02-26T10:00:11Z","timestamp":1772100011000},"page":"1283-1297","update-policy":"https:\/\/doi.org\/10.1161\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":3,"title":["CD177 Expression on Neutrophils Predicts Ischemic Stroke Outcome in Humans"],"prefix":"10.1161","volume":"57","clinical-trial-number":[{"clinical-trial-number":"nct01363856","registry":"10.18810\/clinical-trials-gov"}],"author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1470-424X","authenticated-orcid":true,"given":"Janine","family":"Gronewold","sequence":"first","affiliation":[{"name":"Department of Neurology (J.G., N.H., Y.Z., M.F., A.M.Y., A.L., C.W., E.D., B.F., A.M., A.G., C.G., E.M.N., M.d.S.R., M.N., D.M.H.), University Hospital Essen, University of Duisburg-Essen, Germany."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8098-0402","authenticated-orcid":true,"given":"Nina","family":"Hagemann","sequence":"additional","affiliation":[{"name":"Department of Neurology (J.G., N.H., Y.Z., M.F., A.M.Y., A.L., C.W., E.D., B.F., A.M., A.G., C.G., E.M.N., M.d.S.R., M.N., D.M.H.), University Hospital Essen, University of Duisburg-Essen, Germany."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5059-1329","authenticated-orcid":true,"given":"Yiqiao","family":"Zhang","sequence":"additional","affiliation":[{"name":"Department of Neurology (J.G., N.H., Y.Z., M.F., A.M.Y., A.L., C.W., E.D., B.F., A.M., A.G., C.G., E.M.N., M.d.S.R., M.N., D.M.H.), University Hospital Essen, University of Duisburg-Essen, Germany."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8277-3052","authenticated-orcid":true,"given":"Marcel","family":"Jung","sequence":"additional","affiliation":[{"name":"Institute for Experimental Immunology and Imaging (M.J., A. Kraus, A.A.T., V.S., M.G.), University Hospital Essen, University of Duisburg-Essen, Germany."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael","family":"Fleischer","sequence":"additional","affiliation":[{"name":"Department of Neurology (J.G., N.H., Y.Z., M.F., A.M.Y., A.L., C.W., E.D., B.F., A.M., A.G., C.G., E.M.N., M.d.S.R., M.N., D.M.H.), University Hospital Essen, University of Duisburg-Essen, Germany."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6863-7612","authenticated-orcid":true,"given":"Ayan","family":"Mohamud Yusuf","sequence":"additional","affiliation":[{"name":"Department of Neurology (J.G., N.H., Y.Z., M.F., A.M.Y., A.L., C.W., E.D., B.F., A.M., A.G., C.G., E.M.N., M.d.S.R., M.N., D.M.H.), University Hospital Essen, University of Duisburg-Essen, Germany."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0193-6789","authenticated-orcid":true,"given":"AnRan","family":"Li","sequence":"additional","affiliation":[{"name":"Department of Neurology (J.G., N.H., Y.Z., M.F., A.M.Y., A.L., C.W., E.D., B.F., A.M., A.G., C.G., E.M.N., M.d.S.R., M.N., D.M.H.), University Hospital Essen, University of Duisburg-Essen, Germany."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0213-9642","authenticated-orcid":true,"given":"Chen","family":"Wang","sequence":"additional","affiliation":[{"name":"Department of Neurology (J.G., N.H., Y.Z., M.F., A.M.Y., A.L., C.W., E.D., B.F., A.M., A.G., C.G., E.M.N., M.d.S.R., M.N., D.M.H.), University Hospital Essen, University of Duisburg-Essen, Germany."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6901-2163","authenticated-orcid":true,"given":"Egor","family":"Dzyubenko","sequence":"additional","affiliation":[{"name":"Department of Neurology (J.G., N.H., Y.Z., M.F., A.M.Y., A.L., C.W., E.D., B.F., A.M., A.G., C.G., E.M.N., M.d.S.R., M.N., D.M.H.), University Hospital Essen, University of Duisburg-Essen, Germany."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rene","family":"Scholtysik","sequence":"additional","affiliation":[{"name":"Institute for Cell Biology (R.S., L.K.-H.), University Hospital Essen, University of Duisburg-Essen, Germany."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ludger","family":"Klein-Hitpass","sequence":"additional","affiliation":[{"name":"Institute for Cell Biology (R.S., L.K.-H.), University Hospital Essen, University of Duisburg-Essen, Germany."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andreas","family":"Kraus","sequence":"additional","affiliation":[{"name":"Institute for Experimental Immunology and Imaging (M.J., A. Kraus, A.A.T., V.S., M.G.), University Hospital Essen, University of Duisburg-Essen, Germany."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9802-2317","authenticated-orcid":true,"given":"Ali A.","family":"Tuz","sequence":"additional","affiliation":[{"name":"Institute for Experimental Immunology and Imaging (M.J., A. Kraus, A.A.T., V.S., M.G.), University Hospital Essen, University of Duisburg-Essen, Germany."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vikramjeet","family":"Singh","sequence":"additional","affiliation":[{"name":"Institute for Experimental Immunology and Imaging (M.J., A. Kraus, A.A.T., V.S., M.G.), University Hospital Essen, University of Duisburg-Essen, Germany."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8837-9489","authenticated-orcid":true,"given":"Benedikt","family":"Frank","sequence":"additional","affiliation":[{"name":"Department of Neurology (J.G., N.H., Y.Z., M.F., A.M.Y., A.L., C.W., E.D., B.F., A.M., A.G., C.G., E.M.N., M.d.S.R., M.N., D.M.H.), University Hospital Essen, University of Duisburg-Essen, Germany."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Adrian","family":"M\u00f6nig","sequence":"additional","affiliation":[{"name":"Department of Neurology (J.G., N.H., Y.Z., M.F., A.M.Y., A.L., C.W., E.D., B.F., A.M., A.G., C.G., E.M.N., M.d.S.R., M.N., D.M.H.), University Hospital Essen, University of Duisburg-Essen, Germany."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andreas","family":"Giese","sequence":"additional","affiliation":[{"name":"Department of Neurology (J.G., N.H., Y.Z., M.F., A.M.Y., A.L., C.W., E.D., B.F., A.M., A.G., C.G., E.M.N., M.d.S.R., M.N., D.M.H.), University Hospital Essen, University of Duisburg-Essen, Germany."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Claudia","family":"Graser","sequence":"additional","affiliation":[{"name":"Department of Neurology (J.G., N.H., Y.Z., M.F., A.M.Y., A.L., C.W., E.D., B.F., A.M., A.G., C.G., E.M.N., M.d.S.R., M.N., D.M.H.), University Hospital Essen, University of Duisburg-Essen, Germany."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ellen Madita","family":"Niklas","sequence":"additional","affiliation":[{"name":"Department of Neurology (J.G., N.H., Y.Z., M.F., A.M.Y., A.L., C.W., E.D., B.F., A.M., A.G., C.G., E.M.N., M.d.S.R., M.N., D.M.H.), University Hospital Essen, University of Duisburg-Essen, Germany."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marianna","family":"da Silva Rafael","sequence":"additional","affiliation":[{"name":"Department of Neurology (J.G., N.H., Y.Z., M.F., A.M.Y., A.L., C.W., E.D., B.F., A.M., A.G., C.G., E.M.N., M.d.S.R., M.N., D.M.H.), University Hospital Essen, University of Duisburg-Essen, Germany."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marthina","family":"Nanthagopal","sequence":"additional","affiliation":[{"name":"Department of Neurology (J.G., N.H., Y.Z., M.F., A.M.Y., A.L., C.W., E.D., B.F., A.M., A.G., C.G., E.M.N., M.d.S.R., M.N., D.M.H.), University Hospital Essen, University of Duisburg-Essen, Germany."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jens","family":"Neumann","sequence":"additional","affiliation":[{"name":"Department of Neurology, University Hospital Magdeburg, Otto-von-Guericke University, Germany (J.N.)."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7433-313X","authenticated-orcid":true,"given":"Anna","family":"Kufner","sequence":"additional","affiliation":[{"name":"Center for Stroke Research Berlin (CSB) (A. Kufner, T.G.L., M.E.), Charit\u00e9 Universit\u00e4tsmedizin Berlin, Germany."},{"name":"Klinik f\u00fcr Neurologie mit Experimenteller Neurologie (A. Kufner, M.E.), Charit\u00e9 Universit\u00e4tsmedizin Berlin, Germany."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8471-8049","authenticated-orcid":true,"given":"Thomas G.","family":"Liman","sequence":"additional","affiliation":[{"name":"Center for Stroke Research Berlin (CSB) (A. Kufner, T.G.L., M.E.), Charit\u00e9 Universit\u00e4tsmedizin Berlin, Germany."},{"name":"German Center for Neurodegenerative Disease DZNE (T.G.L., M.E.), Charit\u00e9 Universit\u00e4tsmedizin Berlin, Germany."},{"name":"Department of Neurology, Carl von Ossietzky University of Oldenburg, Germany (T.G.L.)."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6835-3713","authenticated-orcid":true,"given":"Yi","family":"Liu","sequence":"additional","affiliation":[{"name":"Department of Neurology, Central Municipal Hospital, Dalian University of Technology, Liaoning, China (Y.L.)."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jens","family":"Minnerup","sequence":"additional","affiliation":[{"name":"Department of Neurology, University of L\u00fcbeck and University Hospital Schleswig-Holstein, Campus L\u00fcbeck, Germany (J.M.)."},{"name":"Department of Neurology, University of M\u00fcnster, Germany (J.M., L.K.)."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5439-9633","authenticated-orcid":true,"given":"Luisa","family":"Klotz","sequence":"additional","affiliation":[{"name":"Department of Neurology, University of M\u00fcnster, Germany (J.M., L.K.)."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2446-948X","authenticated-orcid":true,"given":"Bernd","family":"Giebel","sequence":"additional","affiliation":[{"name":"Institute for Transfusion Medicine (B.G., T.T.), University Hospital Essen, University of Duisburg-Essen, Germany."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8659-8610","authenticated-orcid":true,"given":"Tobias","family":"Tertel","sequence":"additional","affiliation":[{"name":"Institute for Transfusion Medicine (B.G., T.T.), University Hospital Essen, University of Duisburg-Essen, Germany."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6520-3720","authenticated-orcid":true,"given":"Matthias","family":"Endres","sequence":"additional","affiliation":[{"name":"Center for Stroke Research Berlin (CSB) (A. Kufner, T.G.L., M.E.), Charit\u00e9 Universit\u00e4tsmedizin Berlin, Germany."},{"name":"Klinik f\u00fcr Neurologie mit Experimenteller Neurologie (A. 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