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Table 1 Selected biomarker studies and disease association studies in Critical Care (2008)

From: Year in review 2008: Critical Care - sepsis

Molecule

Reference

Number studied

Patient type or animal model

Main findings

sTREM

Huh and colleagues [10]

80

VAP patients

sTREM in BAL fluid was highest in bacterial infection patients, high in viral/mycobacterial pneumonia patients and low in noninfected patients

Eosinopenia

Abidi and colleagues [11]

198

Sepsis patients

Low eosinophil levels discriminate infection from noninfectious inflammation and are comparable with PCT and CRP as predictors

Gelsolin

Wang and colleagues [12]

91

Surgical patients

Gelsolin is an actin scavenger, and reduced levels of gelsolin are associated with worsening sepsis

Kerbs von Lungren 6

Nathani and colleagues [13]

42

ARDS and at-risk patients

Kerbs von Lungren 6 is an alveolar type 2 cell marker associated with increased risk of ARDS

Copeptin

Seligman and colleagues [14]

71

VAP patients

Copeptin is a derivative of preproAVP and a strong predictor of mortality in VAP

Protein disulfide isomerase

Zhou and colleagues [15]

30

CLP or LPS-treated rats

PDI suppresses TNF gene expression in septic states; reduced PDI upregulates TNF

Bim and Bid gene expression

Weber and colleagues [16]

37

Septic patients

Bim and Bid proapoptotic genes are strongly upregulated in sepsis and lymphocyte depletion

Endothelin-1

Trachsel and colleagues [17]

28

LPS-treated pigs

Endothelin-1 levels correlate with pulmonary hypertension and responsiveness to inhaled nitric oxide

Reactive oxygen species

Martins and colleagues [18]

41

Septic patients

ROS are upregulated in myeloid cells and are correlated with adverse outcome

Akt and ERK1/2

Li and colleagues [19]

77

C57/BL6 mice

Akt and ERK1/2 mediate in part pulmonary injury/fibrosis from high tidal volume ventilation

  1. Akt, serine/threonine kinase B; ARDS, acute respiratory distress syndrome; AVP, arginine vasopressin; BAL, bronchoalveolar lavage; CLP, cecal ligation and puncture; CRP, C-reactive protein; ERK1/2, extracellular signal regulated kinase 1/2b; LPS, lipopolysaccharide; PCT, procalcitonin; PDI, protein disulfide isomerase; ROS, reactive oxygen species; sTREM, soluble triggering receptor expressed on myeloid cells; VAP, ventilator-associated pneumonia.