Plasma endothelial cell-specific molecule-1 (ESM-1) in management of community-acquired pneumonia

Endothelial cell-specific molecule (ESM)-1 is a soluble proteoglycan expressed by the vascular endothelium and which also circulates in the bloodstream. Inflammatory cytokines and proangiogenic growth factors increase its expression, and increased serum levels are found in immunocompetent patients w...

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Veröffentlicht in:Clinical chemistry and laboratory medicine 2014-03, Vol.52 (3), p.445-451
Hauptverfasser: Kao, Shang-Jyh, Chuang, Chun-Yi, Tang, Chih-Hsin, Lin, Chien-Huang, Bien, Mauo-Ying, Yu, Ming-Chih, Bai, Kuan-Jen, Yang, Shun-Fa, Chien, Ming-Hsien
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container_end_page 451
container_issue 3
container_start_page 445
container_title Clinical chemistry and laboratory medicine
container_volume 52
creator Kao, Shang-Jyh
Chuang, Chun-Yi
Tang, Chih-Hsin
Lin, Chien-Huang
Bien, Mauo-Ying
Yu, Ming-Chih
Bai, Kuan-Jen
Yang, Shun-Fa
Chien, Ming-Hsien
description Endothelial cell-specific molecule (ESM)-1 is a soluble proteoglycan expressed by the vascular endothelium and which also circulates in the bloodstream. Inflammatory cytokines and proangiogenic growth factors increase its expression, and increased serum levels are found in immunocompetent patients with sepsis. The aim of this study was to investigate differential changes in plasma levels of ESM-1 before and after antibiotic treatment in hospitalized adult patients with community-acquired pneumonia (CAP). Plasma ESM-1 levels were measured in 82 adult patients with CAP and 82 healthy controls using a commercial enzyme-linked immunosorbent assay (ELISA). Upon initial hospitalization, Acute Physiology and Chronic Health Evaluation II (APACHE II), CURB-65, and Pneumonia Severity Index (PSI) scores were determined to assess CAP severity in these patients. Results showed a decline in the number of white blood cells (WBCs) and neutrophils, and decreases in the concentrations of C-reactive protein (CRP) and ESM-1 after antibiotic treatment. The plasma concentration of ESM-1, but not CRP or the WBC count, was correlated with the severity of CAP based on the PSI (r=0.554, p
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Inflammatory cytokines and proangiogenic growth factors increase its expression, and increased serum levels are found in immunocompetent patients with sepsis. The aim of this study was to investigate differential changes in plasma levels of ESM-1 before and after antibiotic treatment in hospitalized adult patients with community-acquired pneumonia (CAP). Plasma ESM-1 levels were measured in 82 adult patients with CAP and 82 healthy controls using a commercial enzyme-linked immunosorbent assay (ELISA). Upon initial hospitalization, Acute Physiology and Chronic Health Evaluation II (APACHE II), CURB-65, and Pneumonia Severity Index (PSI) scores were determined to assess CAP severity in these patients. Results showed a decline in the number of white blood cells (WBCs) and neutrophils, and decreases in the concentrations of C-reactive protein (CRP) and ESM-1 after antibiotic treatment. The plasma concentration of ESM-1, but not CRP or the WBC count, was correlated with the severity of CAP based on the PSI (r=0.554, p&lt;0.001), CURB-65 (r=0.510, p&lt;0.001), and APACHE II scores (r=0.447, p&lt;0.001). 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subjects Adult
Anti-Bacterial Agents - therapeutic use
Antibiotics
biochemical marker
Biomarkers - blood
C-reactive protein
C-Reactive Protein - analysis
Community-Acquired Infections - blood
Community-Acquired Infections - drug therapy
community-acquired pneumonia
Cytokines
endothelial cell-specific molecule-1
Endothelial cells
Endothelium
Enzyme-linked immunosorbent assay
Growth factors
Hospitalization
Humans
Inflammation
Leukocyte Count
Leukocytes
Leukocytes (neutrophilic)
Male
Middle Aged
Neoplasm Proteins - blood
Patients
Plasma
Plasma levels
Pneumonia
Pneumonia - blood
Pneumonia - drug therapy
pneumonia severity index
Proteoglycans
Proteoglycans - blood
Sepsis
Serum levels
Treatment Outcome
title Plasma endothelial cell-specific molecule-1 (ESM-1) in management of community-acquired pneumonia
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