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Elevated levels of plasma biomarkers, especially markers of systemic inflammation (interleukin-6 and interleukin-8), epithelial injury (receptor for advanced glycation end products and surfactant protein D) and endothelial injury (angiopoietin 2), as well as dysregulated coagulation markers (low levels of protein C and high levels of plasminogen activator inhibitor 1), have all been associated with adverse SARS results

In addition to well-established cerebrovascular and inflammatory mechanisms, emerging research highlights the gut microbiota's role in shaping stroke outcomes through the MGBA, influencing neuroinflammation, BBB integrity, and neuronal recovery (Wang et al., 2023a)

As early as the Aushooryan Dynasty, circa 2200 B.C