Increased 25-hydroxycholesterol as an indicator for patients with vestibular neuritis

BackgroundVestibular neuritis (VN) is one of the most common diseases in vestibular vertigo. 25-hydroxycholesterol (25-HC) was correlated to neuroinflammation, however, whether the level of serum 25-HC could be used to diagnose the VN occurrence remains unclear.MethodsThe enrolled patients were divi...

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Main Authors: Xuhua Song, Jingwei Liang, Congzhe Tian
Format: Article
Language:English
Published: Frontiers Media S.A. 2025-06-01
Series:Frontiers in Neurology
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Online Access:https://www.frontiersin.org/articles/10.3389/fneur.2025.1600185/full
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author Xuhua Song
Jingwei Liang
Congzhe Tian
author_facet Xuhua Song
Jingwei Liang
Congzhe Tian
author_sort Xuhua Song
collection DOAJ
description BackgroundVestibular neuritis (VN) is one of the most common diseases in vestibular vertigo. 25-hydroxycholesterol (25-HC) was correlated to neuroinflammation, however, whether the level of serum 25-HC could be used to diagnose the VN occurrence remains unclear.MethodsThe enrolled patients were divided into VN and healthy control groups. Afterwards, the potential risk factors were assessed in these two groups. Subsequently, the complete blood count was performed upon hospital admission.ResultsThe serum 25-HC and C-reactive protein (CRP) were detected in two groups using liquid chromatography-mass spectrometry and a high-sensitive immunonephelometric assay. Moreover, the correlation of 25-HC to inflammatory factors was analyzed. Finally, the receiver operating characteristic curve analysis was performed to predict the diagnosis effect of 25-HC in VN occurrence. The age, gender, BMI, living habits, disease history, and cholesterol did not affect the VN occurrence. However, 25-HC was dramatically increased in VN patients, meanwhile, peripheral blood leukocyte and neutrophil/lymphocyte ratio were also elevated in VN patients. Importantly, 25-HC was positively correlated to CRP and leukocytes. Additionally, the level of serum 25-HC could be used to predict the VN occurrence.ConclusionSerum 25-HC may diagnose the occurrence of VN.
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spelling doaj-art-079f360c95154481b51a9ef6feccc5bc2025-08-20T02:36:59ZengFrontiers Media S.A.Frontiers in Neurology1664-22952025-06-011610.3389/fneur.2025.16001851600185Increased 25-hydroxycholesterol as an indicator for patients with vestibular neuritisXuhua SongJingwei LiangCongzhe TianBackgroundVestibular neuritis (VN) is one of the most common diseases in vestibular vertigo. 25-hydroxycholesterol (25-HC) was correlated to neuroinflammation, however, whether the level of serum 25-HC could be used to diagnose the VN occurrence remains unclear.MethodsThe enrolled patients were divided into VN and healthy control groups. Afterwards, the potential risk factors were assessed in these two groups. Subsequently, the complete blood count was performed upon hospital admission.ResultsThe serum 25-HC and C-reactive protein (CRP) were detected in two groups using liquid chromatography-mass spectrometry and a high-sensitive immunonephelometric assay. Moreover, the correlation of 25-HC to inflammatory factors was analyzed. Finally, the receiver operating characteristic curve analysis was performed to predict the diagnosis effect of 25-HC in VN occurrence. The age, gender, BMI, living habits, disease history, and cholesterol did not affect the VN occurrence. However, 25-HC was dramatically increased in VN patients, meanwhile, peripheral blood leukocyte and neutrophil/lymphocyte ratio were also elevated in VN patients. Importantly, 25-HC was positively correlated to CRP and leukocytes. Additionally, the level of serum 25-HC could be used to predict the VN occurrence.ConclusionSerum 25-HC may diagnose the occurrence of VN.https://www.frontiersin.org/articles/10.3389/fneur.2025.1600185/fullvestibular neuritis25-HCCRPdiagnosisinflammation
spellingShingle Xuhua Song
Jingwei Liang
Congzhe Tian
Increased 25-hydroxycholesterol as an indicator for patients with vestibular neuritis
Frontiers in Neurology
vestibular neuritis
25-HC
CRP
diagnosis
inflammation
title Increased 25-hydroxycholesterol as an indicator for patients with vestibular neuritis
title_full Increased 25-hydroxycholesterol as an indicator for patients with vestibular neuritis
title_fullStr Increased 25-hydroxycholesterol as an indicator for patients with vestibular neuritis
title_full_unstemmed Increased 25-hydroxycholesterol as an indicator for patients with vestibular neuritis
title_short Increased 25-hydroxycholesterol as an indicator for patients with vestibular neuritis
title_sort increased 25 hydroxycholesterol as an indicator for patients with vestibular neuritis
topic vestibular neuritis
25-HC
CRP
diagnosis
inflammation
url https://www.frontiersin.org/articles/10.3389/fneur.2025.1600185/full
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AT jingweiliang increased25hydroxycholesterolasanindicatorforpatientswithvestibularneuritis
AT congzhetian increased25hydroxycholesterolasanindicatorforpatientswithvestibularneuritis