TGF-β blood levels distinguish between influenza A (H1N1) pdm09 virus sepsis and sepsis due to other forms of community-acquired pneumonia

EJ Rendón-Ramirez, A Ortiz-Stern… - Viral …, 2015 - liebertpub.com
EJ Rendón-Ramirez, A Ortiz-Stern, C Martinez-Mejia, MC Salinas-Carmona, A Rendon
Viral Immunology, 2015liebertpub.com
There is a strong interest in finding adequate biomarkers to aid in the diagnosis and
prognosis of influenza A (H1N1) pdm09 virus infection. In this study, serum levels of
inflammatory cytokines and laboratory markers were evaluated to assess their usefulness as
biomarkers of influenza A (H1N1) pdm09 and their association with fatal cases. Serum
samples of consecutive patients with a clinical presentation suggestive of influenza A
(H1N1) pdm09 and progression to sepsis were evaluated. Serum inflammatory cytokines …
Abstract
There is a strong interest in finding adequate biomarkers to aid in the diagnosis and prognosis of influenza A (H1N1)pdm09 virus infection. In this study, serum levels of inflammatory cytokines and laboratory markers were evaluated to assess their usefulness as biomarkers of influenza A (H1N1)pdm09 and their association with fatal cases. Serum samples of consecutive patients with a clinical presentation suggestive of influenza A (H1N1)pdm09 and progression to sepsis were evaluated. Serum inflammatory cytokines and routine laboratory tests were performed and correlated with positivity for influenza A (H1N1)pdm09 influenza by real time reverse transcription polymerase chain reaction and the results of three clinical severity scores (Sequential Organ Failure Assessment [SOFA], CURB-65, and Acute Physiology and Chronic Health Evaluation II [APACHE II]). High SOFA scores and some of its individual components, but not CURB-65 or APACHE II scores, correlate with fatal cases regardless of etiology. Total and unconjugated bilirubin, Ca++, Cl, prothrombin times, and partial thromboplastin times discriminate influenza A (H1N1)pdm09 from other causes of community-acquired pneumonia. High levels of IL-8, IL-10, and IL-17 were increased in influenza A (H1N1)pdm09 patients when compared with controls (p<0.05). IL-6 levels were significantly elevated in influenza A (H1N1)pdm09 patients and non-(H1N1)pdm09 patients when compared with controls (p<0.05). TGF-β serum levels discern between healthy controls, influenza A (H1N1)pdm09 patients, and patients with other causes of community-acquired pneumonia. TGF-β levels were negatively correlated with SOFA on admission in influenza A (H1N1)pdm09 patients. TGF-β levels are a useful tool for differentiating influenza A (H1N1)pdm09 from other causes of pneumonia progressing to sepsis.
Mary Ann Liebert
以上显示的是最相近的搜索结果。 查看全部搜索结果