Plasma Patterns of Tumor Necrosis Factor-α (TNF) and TNF Soluble Receptors During Acute Meningococcal Infections and the Effect of Plasma Exchange

In 39 patients with acute meningococcal infections, the plasma concentrations of tumor necrosis factor-α (TNF) and its soluble receptors (sRs) TNFsR-p55 and TNFsR-p75 were measured from admission till recovery. At admission, patients with shock had significantly higher TNF, TNFsR-p55, and TNFsR-p75...

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Veröffentlicht in:Clinical infectious diseases 1998-04, Vol.26 (4), p.918-923
Hauptverfasser: van Deuren, Marcel, Frieling, Johan T. M., Jongekrijg, Johanna van der Ven, Neeleman, Chris, Russel, Frans G. M., van Lier, Henk J. J., Bartelink, Anton K. M., van der Meer, Jos W. M.
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container_end_page 923
container_issue 4
container_start_page 918
container_title Clinical infectious diseases
container_volume 26
creator van Deuren, Marcel
Frieling, Johan T. M.
Jongekrijg, Johanna van der Ven
Neeleman, Chris
Russel, Frans G. M.
van Lier, Henk J. J.
Bartelink, Anton K. M.
van der Meer, Jos W. M.
description In 39 patients with acute meningococcal infections, the plasma concentrations of tumor necrosis factor-α (TNF) and its soluble receptors (sRs) TNFsR-p55 and TNFsR-p75 were measured from admission till recovery. At admission, patients with shock had significantly higher TNF, TNFsR-p55, and TNFsR-p75 values than patients without shock. In addition, during the first 24 hours, patients with shock had higher TNFsR-p75 to TNFsR-p55 ratios, indicating that in shock the increase of TNFsR-p75 exceeds that of TNFsR-p55. TNF measured more than 12 hours after admission failed to differentiate between shock and nonshock because TNF concentrations normalized within 12–24 hours. However, because concentrations of TNFsRs remained elevated for 5–6 days, at that time plasma TNFsRs still differentiated between shock and nonshock. Plasma exchange or whole blood exchange (PEBE), performed in 20 patients with shock, accelerated the decrease of plasma TNFsRs. However, because of a rebound after each PEBE session, the overall half-lives of both TNFsRs were not affected by PEBE.
doi_str_mv 10.1086/513933
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TNF measured more than 12 hours after admission failed to differentiate between shock and nonshock because TNF concentrations normalized within 12–24 hours. However, because concentrations of TNFsRs remained elevated for 5–6 days, at that time plasma TNFsRs still differentiated between shock and nonshock. Plasma exchange or whole blood exchange (PEBE), performed in 20 patients with shock, accelerated the decrease of plasma TNFsRs. However, because of a rebound after each PEBE session, the overall half-lives of both TNFsRs were not affected by PEBE.</description><identifier>ISSN: 1058-4838</identifier><identifier>EISSN: 1537-6591</identifier><identifier>DOI: 10.1086/513933</identifier><identifier>PMID: 9564476</identifier><identifier>CODEN: CIDIEL</identifier><language>eng</language><publisher>Chicago, IL: The University of Chicago Press</publisher><subject>Acute Disease ; Adolescent ; Adult ; Antigens, CD - blood ; Bacterial diseases ; Bacterial diseases of the nervous system. 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In addition, during the first 24 hours, patients with shock had higher TNFsR-p75 to TNFsR-p55 ratios, indicating that in shock the increase of TNFsR-p75 exceeds that of TNFsR-p55. TNF measured more than 12 hours after admission failed to differentiate between shock and nonshock because TNF concentrations normalized within 12–24 hours. However, because concentrations of TNFsRs remained elevated for 5–6 days, at that time plasma TNFsRs still differentiated between shock and nonshock. Plasma exchange or whole blood exchange (PEBE), performed in 20 patients with shock, accelerated the decrease of plasma TNFsRs. However, because of a rebound after each PEBE session, the overall half-lives of both TNFsRs were not affected by PEBE.</description><subject>Acute Disease</subject><subject>Adolescent</subject><subject>Adult</subject><subject>Antigens, CD - blood</subject><subject>Bacterial diseases</subject><subject>Bacterial diseases of the nervous system. 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M.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Plasma Patterns of Tumor Necrosis Factor-α (TNF) and TNF Soluble Receptors During Acute Meningococcal Infections and the Effect of Plasma Exchange</atitle><jtitle>Clinical infectious diseases</jtitle><addtitle>Clinical Infectious Diseases</addtitle><date>1998-04-01</date><risdate>1998</risdate><volume>26</volume><issue>4</issue><spage>918</spage><epage>923</epage><pages>918-923</pages><issn>1058-4838</issn><eissn>1537-6591</eissn><coden>CIDIEL</coden><abstract>In 39 patients with acute meningococcal infections, the plasma concentrations of tumor necrosis factor-α (TNF) and its soluble receptors (sRs) TNFsR-p55 and TNFsR-p75 were measured from admission till recovery. At admission, patients with shock had significantly higher TNF, TNFsR-p55, and TNFsR-p75 values than patients without shock. In addition, during the first 24 hours, patients with shock had higher TNFsR-p75 to TNFsR-p55 ratios, indicating that in shock the increase of TNFsR-p75 exceeds that of TNFsR-p55. TNF measured more than 12 hours after admission failed to differentiate between shock and nonshock because TNF concentrations normalized within 12–24 hours. However, because concentrations of TNFsRs remained elevated for 5–6 days, at that time plasma TNFsRs still differentiated between shock and nonshock. Plasma exchange or whole blood exchange (PEBE), performed in 20 patients with shock, accelerated the decrease of plasma TNFsRs. However, because of a rebound after each PEBE session, the overall half-lives of both TNFsRs were not affected by PEBE.</abstract><cop>Chicago, IL</cop><pub>The University of Chicago Press</pub><pmid>9564476</pmid><doi>10.1086/513933</doi><tpages>6</tpages></addata></record>
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source Jstor Complete Legacy; Oxford University Press Journals All Titles (1996-Current); MEDLINE; EZB-FREE-00999 freely available EZB journals
subjects Acute Disease
Adolescent
Adult
Antigens, CD - blood
Bacterial diseases
Bacterial diseases of the nervous system. Bacterial myositis
Biological and medical sciences
Blood
Blood plasma
Child
Child, Preschool
Clinical Articles
Cytokines
Exchange Transfusion, Whole Blood
Female
Half lives
Hospital admissions
Human bacterial diseases
Humans
Infectious diseases
Male
Medical sciences
Meningococcal infections
Meningococcal Infections - blood
Meningococcal Infections - immunology
Meningococcal Infections - therapy
Middle Aged
Neisseria meningitidis
Plasma Exchange
Prospective Studies
Receptors
Receptors, Tumor Necrosis Factor - blood
Receptors, Tumor Necrosis Factor, Type I
Receptors, Tumor Necrosis Factor, Type II
Sepsis
Tumor necrosis factor receptors
Tumor Necrosis Factor-alpha - metabolism
Tumor necrosis factors
title Plasma Patterns of Tumor Necrosis Factor-α (TNF) and TNF Soluble Receptors During Acute Meningococcal Infections and the Effect of Plasma Exchange
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