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The Prognostic Value of suPAR Compared to Other Inflammatory Markers in Patients with Severe Sepsis
Malmö högskola, Faculty of Health and Society (HS), Department of Biomedical Science (BMV).ORCID iD: 0000-0001-9847-5132
Malmö högskola, Faculty of Health and Society (HS), Department of Biomedical Science (BMV).ORCID iD: 0000-0002-1415-7426
2012 (English)In: Biomarker Insights, ISSN 1177-2719, E-ISSN 1177-2719, no 7, p. 39-44Article in journal (Refereed)
Abstract [en]

Abstract: It has been suggested that soluble urokinase plasminogen activator (suPAR) can be used as a marker of disease severity and risk of mortality in sepsis. The aim with the present study was to compare plasma levels of suPAR in patients with severe sepsis to control subjects and correlate it with the level of inflammatory activation, severity and mortality. Samples were collected from 27 sepsis patients at the intensive care unit (ICU), Lund, Sweden; 90-day mortalities were registered. The suPAR level was significantly elevated in sepsis patients compared to controls, but not significantly higher in nonsurvivors than survivors. Plasma levels of suPAR did correlate weakly with the SOFA score and myeloperoxidase (MPO) but not with CRP, PCT, IL-6 or IL-10 in patients with severe sepsis. The weak correlation between suPAR and other inflammatory markers might suggest that suPAR reflects general activation of the immune system rather than exerting inflammatory actions.

Place, publisher, year, edition, pages
Libertas Academica , 2012. no 7, p. 39-44
Keywords [en]
inflammatory markers, sepsis, SIRS, soluble urokinase plasminogen activator receptor, suPAR
National Category
Medical and Health Sciences
Identifiers
URN: urn:nbn:se:mau:diva-4598DOI: 10.4137/BMI.S9460ISI: 000215561800005PubMedID: 22550400Scopus ID: 2-s2.0-84860829370Local ID: 15968OAI: oai:DiVA.org:mau-4598DiVA, id: diva2:1401430
Available from: 2020-02-28 Created: 2020-02-28 Last updated: 2025-06-04Bibliographically approved
In thesis
1. Aspects on sepsis: treatment and markers
Open this publication in new window or tab >>Aspects on sepsis: treatment and markers
2012 (English)Doctoral thesis, comprehensive summary (Other academic)
Abstract [en]

Sepsis is one of the greatest challenges in critical care medicine today, while the treatment of sepsis and evaluation of its severity is complicated. The first part of this thesis presents two approaches on the use of antimicrobial peptides in sepsis treatment, relying on both soluble and immobilized peptides. All peptides tested, truncated from human and non-human antimicrobial peptides, did neutralize LPS activity in a dose-dependent manner. Immobilization of the peptides did not inhibit their ability to bind LPS, therefore, the peptides can be considered for extracorporeal LPS removal in sepsis therapy. Interestingly, the soluble peptides inhibited LPS induced cytokine production but potentiated LTA induced cytokine production in human blood. Consequently, care should be taken when considering these peptides in treatment of Gram-positive infections. The second part of this thesis evaluates the inflammatory marker soluble urokinase plasminogen activator receptor (suPAR) in sepsis prognosis. Also, an investigation whether suPAR can be detected in human saliva was undertaken. The results indicate that plasma levels of suPAR are increased in sepsis patients compared to controls, but there was no significant difference between survivors and non-survivors. Plasma levels of suPAR did not correlate with other inflammatory markers, suggesting that suPAR reflects general activation of the immune system rather than exerting inflammatory actions. Moreover, suPAR can be detected in saliva and the levels are more than 10 times higher than the corresponding plasma levels in healthy individuals.

Place, publisher, year, edition, pages
Malmö University. Faculty of Health and Society, 2012. p. 72
Series
Malmö University Health and Society Dissertations, ISSN 1653-5383 ; 2
Keywords
antimicrobial peptides, cytokines, lipoteichoic acid, lipopolysaccharide, soluble urokinase plasminogen activator receptor, sepsis
National Category
Medical and Health Sciences
Identifiers
urn:nbn:se:mau:diva-7342 (URN)13382 (Local ID)978-91-7104-428-0 (ISBN)13382 (Archive number)13382 (OAI)
Note

Note: The papers are not included in the fulltext online.

Available from: 2020-02-28 Created: 2020-02-28 Last updated: 2024-03-06Bibliographically approved

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Gustafsson, AnnaLjunggren, Lennart

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