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Table 1 Cytokine/chemokine biomarkers identified in the literature search (with some selected references)

From: Sepsis biomarkers: a review

Sepsis marker

Evaluated in experimental studies

Evaluated in clinical studies

Evaluated as a prognostic factor

Comment

GRO-alpha [49, 50]

√

C (m)

√

Higher in septic shock than in sepsis

High mobility group-box 1 protein (HMGB-1) [51, 52]

√

C

√

No difference between survivors and non-survivors at 28 days

IL-1 receptor antagonist [53–55]

√

A

√

Correlation with SOFA score

IL-1β [56, 57]

√

A

 

Increased in septic compared with non-septic individuals

IL-2 [58]

 

B

√

Increased in parallel with disease severity

IL-4 [59]

 

C (s)

√

Increased levels associated with development of sepsis

IL-6 [48, 60]

√

B

√*

Distinguished between survivors and non-survivors at 28 days

IL-8 [61, 62]

 

B

√***

Prediction of MOF, DIC

IL-10 [63–65]

√

B

√**

Higher in septic shock than sepsis, distinguished between survivors and non-survivors at 28 days

IL-12 [66, 67]

√

C

√

Predictive of lethal outcome from postoperative sepsis

IL-13 [68, 69]

√

B

√

Higher in septic shock than sepsis

IL-18 [37, 70]

√

B(s)

√

Distinguished between survivors and non-survivors at 28 days

Macrophage inflammatory protein (MIP)-1 and- 2 [71, 72]

√

A

√

Increased in sepsis compared with healthy controls

Macrophage migration inhibitory factor (MIF) [42, 73]

√

A

√**

Distinguished between survivors and non-survivors at 28 days

Monocyte chemotactic protein (MCP)-1 and 2 [42, 74]

√

B

√*

Distinguished between survivors and non-survivors at 28 days

Osteopontin [75]

 

B

 

Increased in sepsis compared with healthy controls

RANTES [76, 77]

√

B

 

Increased in sepsis compared with healthy controls

TNF [78, 79]

√

C

√

Distinguished between survivors and non-survivors at 28 days in patients with septic shock

  1. *sensitivity and specificity of less than 90%; **sensitivity of more than 90% but specificity of less than 90%; ***sensitivity and specificity more than 90%; A, Clinical study with less than 20 patients; B, Clinical study with 20 to 50 patients; C, Clinical study with more than 50 patients; (s), surgical patients only; (m), medical patients only.
  2. DIC: disseminated intravascular coagulopathy; MOF: multiple organ failure; SOFA: sequential organ failure assessment.