Caspase-1-Dependent Pyroptosis of Peripheral Blood Mononuclear Cells Is Associated with the Severity and Mortality of Septic Patients

Purpose. Pyroptosis has been known to play a vital role in the inflammation process which was induced by infection, injury, or inflammatory disease. The present study was aimed at evaluating the percentage of peripheral blood mononuclear cell (PBMC) pyroptosis in septic patients and assessing the co...

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Veröffentlicht in:BioMed research international 2020, Vol.2020 (2020), p.1-8, Article 9152140
Hauptverfasser: Li, Zhanfei, Bai, Xiangjun, Liu, Xinghua, Dong, Xijie, Zheng, Qiang, Liu, Qinxin, Liu, Yukun, Wang, Yuchang, Gao, Wei
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container_issue 2020
container_start_page 1
container_title BioMed research international
container_volume 2020
creator Li, Zhanfei
Bai, Xiangjun
Liu, Xinghua
Dong, Xijie
Zheng, Qiang
Liu, Qinxin
Liu, Yukun
Wang, Yuchang
Gao, Wei
description Purpose. Pyroptosis has been known to play a vital role in the inflammation process which was induced by infection, injury, or inflammatory disease. The present study was aimed at evaluating the percentage of peripheral blood mononuclear cell (PBMC) pyroptosis in septic patients and assessing the correlation of PBMC pyroptosis with the severity and the mortality of septic patients. Methods. 128 trauma-induced patients with sepsis were enrolled in this prospective cohort study. Blood samples were collected, and PBMC pyroptosis was measured by flow cytometry within 24 hours after sepsis was diagnosed. Results. Percentage of PBMC pyroptosis was positively correlated with the acute physiology and chronic health evaluation (APACHE) II score and sequential organ failure assessment (SOFA) score (all P14.17%) and increased risk of the 28-day mortality (hazard ratio=1.234, 95% CI, 1.014–1.502). Conclusion. The percentage of PBMC pyroptosis increases in septic patients, and the increased percentage of PBMC pyroptosis is associated with the severity of sepsis and the 28-day mortality of patients with sepsis.
doi_str_mv 10.1155/2020/9152140
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Pyroptosis has been known to play a vital role in the inflammation process which was induced by infection, injury, or inflammatory disease. The present study was aimed at evaluating the percentage of peripheral blood mononuclear cell (PBMC) pyroptosis in septic patients and assessing the correlation of PBMC pyroptosis with the severity and the mortality of septic patients. Methods. 128 trauma-induced patients with sepsis were enrolled in this prospective cohort study. Blood samples were collected, and PBMC pyroptosis was measured by flow cytometry within 24 hours after sepsis was diagnosed. Results. Percentage of PBMC pyroptosis was positively correlated with the acute physiology and chronic health evaluation (APACHE) II score and sequential organ failure assessment (SOFA) score (all P&lt;0.01). The area under the curve (AUC) for the percentage of PBMC pyroptosis on a receiver operating characteristic curve was 0.79 (95% confidence interval (CI), 0.68–0.90). A Cox proportional hazard model identified an association between an increased percentage of PBMC pyroptosis (&gt;14.17%) and increased risk of the 28-day mortality (hazard ratio=1.234, 95% CI, 1.014–1.502). Conclusion. The percentage of PBMC pyroptosis increases in septic patients, and the increased percentage of PBMC pyroptosis is associated with the severity of sepsis and the 28-day mortality of patients with sepsis.</description><identifier>ISSN: 2314-6133</identifier><identifier>EISSN: 2314-6141</identifier><identifier>DOI: 10.1155/2020/9152140</identifier><identifier>PMID: 32258157</identifier><language>eng</language><publisher>Cairo, Egypt: Hindawi Publishing Corporation</publisher><subject>Abdomen ; Adult ; Age ; Apoptosis ; Bacterial infections ; Biotechnology &amp; Applied Microbiology ; Blood ; Caspase 1 - blood ; Caspase-1 ; China ; Confidence intervals ; Disease ; Ethylenediaminetetraacetic acid ; Evaluation ; Female ; Flow cytometry ; Health hazards ; Humans ; Infection ; Infections ; Inflammation ; Inflammatory diseases ; Laboratories ; Leukocytes (mononuclear) ; Leukocytes, Mononuclear - metabolism ; Life Sciences &amp; Biomedicine ; Male ; Medical prognosis ; Medical research ; Medicine, Experimental ; Medicine, Research &amp; Experimental ; Middle Aged ; Mortality ; Patient outcomes ; Peripheral blood mononuclear cells ; Prospective Studies ; Pyroptosis ; Research &amp; Experimental Medicine ; Science &amp; Technology ; Sepsis ; Sepsis - blood ; Sepsis - mortality ; Severity of Illness Index ; Statistical models ; Studies ; Trauma ; Variance analysis</subject><ispartof>BioMed research international, 2020, Vol.2020 (2020), p.1-8, Article 9152140</ispartof><rights>Copyright © 2020 Yuchang Wang et al.</rights><rights>COPYRIGHT 2020 John Wiley &amp; Sons, Inc.</rights><rights>Copyright © 2020 Yuchang Wang et al. This is an open access article distributed under the Creative Commons Attribution License (the “License”), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License. http://creativecommons.org/licenses/by/4.0</rights><rights>Copyright © 2020 Yuchang Wang et al. 2020</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>true</woscitedreferencessubscribed><woscitedreferencescount>31</woscitedreferencescount><woscitedreferencesoriginalsourcerecordid>wos000522222400005</woscitedreferencesoriginalsourcerecordid><citedby>FETCH-LOGICAL-c499t-268194cc2ca472388f6644bf932600b1fb688c79ff22898c30292ad14c6dfa4c3</citedby><cites>FETCH-LOGICAL-c499t-268194cc2ca472388f6644bf932600b1fb688c79ff22898c30292ad14c6dfa4c3</cites><orcidid>0000-0002-7916-0992 ; 0000-0003-0947-9823</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC7066402/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC7066402/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,315,728,781,785,886,4025,27927,27928,27929,53795,53797</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/32258157$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><contributor>Braun, Rudolf K.</contributor><contributor>Rudolf K Braun</contributor><creatorcontrib>Li, Zhanfei</creatorcontrib><creatorcontrib>Bai, Xiangjun</creatorcontrib><creatorcontrib>Liu, Xinghua</creatorcontrib><creatorcontrib>Dong, Xijie</creatorcontrib><creatorcontrib>Zheng, Qiang</creatorcontrib><creatorcontrib>Liu, Qinxin</creatorcontrib><creatorcontrib>Liu, Yukun</creatorcontrib><creatorcontrib>Wang, Yuchang</creatorcontrib><creatorcontrib>Gao, Wei</creatorcontrib><title>Caspase-1-Dependent Pyroptosis of Peripheral Blood Mononuclear Cells Is Associated with the Severity and Mortality of Septic Patients</title><title>BioMed research international</title><addtitle>BIOMED RES INT</addtitle><addtitle>Biomed Res Int</addtitle><description>Purpose. Pyroptosis has been known to play a vital role in the inflammation process which was induced by infection, injury, or inflammatory disease. The present study was aimed at evaluating the percentage of peripheral blood mononuclear cell (PBMC) pyroptosis in septic patients and assessing the correlation of PBMC pyroptosis with the severity and the mortality of septic patients. Methods. 128 trauma-induced patients with sepsis were enrolled in this prospective cohort study. Blood samples were collected, and PBMC pyroptosis was measured by flow cytometry within 24 hours after sepsis was diagnosed. Results. Percentage of PBMC pyroptosis was positively correlated with the acute physiology and chronic health evaluation (APACHE) II score and sequential organ failure assessment (SOFA) score (all P&lt;0.01). The area under the curve (AUC) for the percentage of PBMC pyroptosis on a receiver operating characteristic curve was 0.79 (95% confidence interval (CI), 0.68–0.90). A Cox proportional hazard model identified an association between an increased percentage of PBMC pyroptosis (&gt;14.17%) and increased risk of the 28-day mortality (hazard ratio=1.234, 95% CI, 1.014–1.502). Conclusion. The percentage of PBMC pyroptosis increases in septic patients, and the increased percentage of PBMC pyroptosis is associated with the severity of sepsis and the 28-day mortality of patients with sepsis.</description><subject>Abdomen</subject><subject>Adult</subject><subject>Age</subject><subject>Apoptosis</subject><subject>Bacterial infections</subject><subject>Biotechnology &amp; Applied Microbiology</subject><subject>Blood</subject><subject>Caspase 1 - blood</subject><subject>Caspase-1</subject><subject>China</subject><subject>Confidence intervals</subject><subject>Disease</subject><subject>Ethylenediaminetetraacetic acid</subject><subject>Evaluation</subject><subject>Female</subject><subject>Flow cytometry</subject><subject>Health hazards</subject><subject>Humans</subject><subject>Infection</subject><subject>Infections</subject><subject>Inflammation</subject><subject>Inflammatory diseases</subject><subject>Laboratories</subject><subject>Leukocytes (mononuclear)</subject><subject>Leukocytes, Mononuclear - metabolism</subject><subject>Life Sciences &amp; 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Pyroptosis has been known to play a vital role in the inflammation process which was induced by infection, injury, or inflammatory disease. The present study was aimed at evaluating the percentage of peripheral blood mononuclear cell (PBMC) pyroptosis in septic patients and assessing the correlation of PBMC pyroptosis with the severity and the mortality of septic patients. Methods. 128 trauma-induced patients with sepsis were enrolled in this prospective cohort study. Blood samples were collected, and PBMC pyroptosis was measured by flow cytometry within 24 hours after sepsis was diagnosed. Results. Percentage of PBMC pyroptosis was positively correlated with the acute physiology and chronic health evaluation (APACHE) II score and sequential organ failure assessment (SOFA) score (all P&lt;0.01). The area under the curve (AUC) for the percentage of PBMC pyroptosis on a receiver operating characteristic curve was 0.79 (95% confidence interval (CI), 0.68–0.90). A Cox proportional hazard model identified an association between an increased percentage of PBMC pyroptosis (&gt;14.17%) and increased risk of the 28-day mortality (hazard ratio=1.234, 95% CI, 1.014–1.502). Conclusion. The percentage of PBMC pyroptosis increases in septic patients, and the increased percentage of PBMC pyroptosis is associated with the severity of sepsis and the 28-day mortality of patients with sepsis.</abstract><cop>Cairo, Egypt</cop><pub>Hindawi Publishing Corporation</pub><pmid>32258157</pmid><doi>10.1155/2020/9152140</doi><tpages>8</tpages><orcidid>https://orcid.org/0000-0002-7916-0992</orcidid><orcidid>https://orcid.org/0000-0003-0947-9823</orcidid><oa>free_for_read</oa></addata></record>
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subjects Abdomen
Adult
Age
Apoptosis
Bacterial infections
Biotechnology & Applied Microbiology
Blood
Caspase 1 - blood
Caspase-1
China
Confidence intervals
Disease
Ethylenediaminetetraacetic acid
Evaluation
Female
Flow cytometry
Health hazards
Humans
Infection
Infections
Inflammation
Inflammatory diseases
Laboratories
Leukocytes (mononuclear)
Leukocytes, Mononuclear - metabolism
Life Sciences & Biomedicine
Male
Medical prognosis
Medical research
Medicine, Experimental
Medicine, Research & Experimental
Middle Aged
Mortality
Patient outcomes
Peripheral blood mononuclear cells
Prospective Studies
Pyroptosis
Research & Experimental Medicine
Science & Technology
Sepsis
Sepsis - blood
Sepsis - mortality
Severity of Illness Index
Statistical models
Studies
Trauma
Variance analysis
title Caspase-1-Dependent Pyroptosis of Peripheral Blood Mononuclear Cells Is Associated with the Severity and Mortality of Septic Patients
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