Elevated plasmatic level of soluble IL-7 receptor is associated with increased mortality in septic shock patients

Purpose Adjunctive immunoadjuvant therapies are now proposed in the treatment of septic patients that develop immune dysfunctions. However, a prerequisite is to identify patients at high risk of death that would benefit from such therapy. Knowing that rhIL-7 is a putative candidate for septic shock...

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Veröffentlicht in:Intensive care medicine 2014-08, Vol.40 (8), p.1089-1096
Hauptverfasser: Demaret, Julie, Villars-Méchin, Astrid, Lepape, Alain, Plassais, Jonathan, Vallin, Hélène, Malcus, Christophe, Poitevin-Later, Françoise, Monneret, Guillaume, Venet, Fabienne
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Sprache:eng
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Zusammenfassung:Purpose Adjunctive immunoadjuvant therapies are now proposed in the treatment of septic patients that develop immune dysfunctions. However, a prerequisite is to identify patients at high risk of death that would benefit from such therapy. Knowing that rhIL-7 is a putative candidate for septic shock treatment, we evaluated the association between increased plasmatic level of soluble CD127 (sCD127, IL-7 receptor alpha chain) and mortality after septic shock. Methods sCD127 plasmatic level was measured in 70 septic shock patients sampled at day 1–2 (D1) and day 3–4 (D3) after the onset of shock and 41 healthy volunteers. Results Compared with survivors, non-survivors presented with significantly higher sCD127 concentrations at D1 and D3 ( p  
ISSN:0342-4642
1432-1238
DOI:10.1007/s00134-014-3346-0