Peptidylarginine deiminase 4 concentration, but not PADI4 polymorphisms, is associated with ICU mortality in septic shock patients

The objective of our study was to evaluate the association between peptidylarginine deiminase 4 (PAD4) concentration and its polymorphisms with mortality in patients with septic shock. We prospectively evaluated 175 patients aged over 18 years with septic shock upon intensive care unit (ICU) admissi...

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Veröffentlicht in:Journal of cellular and molecular medicine 2018-10, Vol.22 (10), p.4732-4737
Hauptverfasser: Costa, Nara Aline, Gut, Ana Lúcia, Azevedo, Paula Schmidt, Polegato, Bertha Furlan, Magalhães, Eloá Siqueira, Ishikawa, Larissa Lumi Watanabe, Bruder, Rita de Cassia Siqueira, Silva, Evelyn Aparecida da, Gonçalves, Renan Braga, Tanni, Suzana Erico, Rogero, Marcelo Macedo, Norde, Marina Maintinguer, Cunha, Natália Baraldi, Zornoff, Leonardo Antonio Mamede, Paiva, Sergio Alberto Rupp, Minicucci, Marcos Ferreira
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container_issue 10
container_start_page 4732
container_title Journal of cellular and molecular medicine
container_volume 22
creator Costa, Nara Aline
Gut, Ana Lúcia
Azevedo, Paula Schmidt
Polegato, Bertha Furlan
Magalhães, Eloá Siqueira
Ishikawa, Larissa Lumi Watanabe
Bruder, Rita de Cassia Siqueira
Silva, Evelyn Aparecida da
Gonçalves, Renan Braga
Tanni, Suzana Erico
Rogero, Marcelo Macedo
Norde, Marina Maintinguer
Cunha, Natália Baraldi
Zornoff, Leonardo Antonio Mamede
Paiva, Sergio Alberto Rupp
Minicucci, Marcos Ferreira
description The objective of our study was to evaluate the association between peptidylarginine deiminase 4 (PAD4) concentration and its polymorphisms with mortality in patients with septic shock. We prospectively evaluated 175 patients aged over 18 years with septic shock upon intensive care unit (ICU) admission. However, 48 patients were excluded. Thus, 127 patients were enrolled in the study. At the time of the patients’ enrollment, demographic information was recorded. Blood samples were taken within the first 24 hours of the patient's admission to determine serum PAD4 concentrations and its polymorphism PADI4_89 [rs11203366], PADI4_94 [rs2240340] and PADI4_104 [rs1748033]. The mean age was 63.3 ± 15.2 years, 56.7% were male, PAD4 concentration was 4.62 (2.48‐6.20) ng/mL and the ICU mortality rate was 67.7%. The patients who died in the ICU had higher APACHE II and Sequential Organ Failure Assessment (SOFA) scores. In addition, PAD4 concentration was higher in patients who died during ICU stay. However, there were no differences regarding PADI4 polymorphisms and ICU mortality. In the logistic regression models, PAD4 concentrations were associated with ICU mortality when adjusted for APACHE II score and lactate (OR: 1.477; CI 95%: 1.186‐1.839; P 
doi_str_mv 10.1111/jcmm.13717
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We prospectively evaluated 175 patients aged over 18 years with septic shock upon intensive care unit (ICU) admission. However, 48 patients were excluded. Thus, 127 patients were enrolled in the study. At the time of the patients’ enrollment, demographic information was recorded. Blood samples were taken within the first 24 hours of the patient's admission to determine serum PAD4 concentrations and its polymorphism PADI4_89 [rs11203366], PADI4_94 [rs2240340] and PADI4_104 [rs1748033]. The mean age was 63.3 ± 15.2 years, 56.7% were male, PAD4 concentration was 4.62 (2.48‐6.20) ng/mL and the ICU mortality rate was 67.7%. The patients who died in the ICU had higher APACHE II and Sequential Organ Failure Assessment (SOFA) scores. In addition, PAD4 concentration was higher in patients who died during ICU stay. However, there were no differences regarding PADI4 polymorphisms and ICU mortality. In the logistic regression models, PAD4 concentrations were associated with ICU mortality when adjusted for APACHE II score and lactate (OR: 1.477; CI 95%: 1.186‐1.839; P &lt; .001), and when adjusted for age, gender and APACHE II score (OR: 1.392; CI 95%: 1.145‐1.692; P &lt; .001). In conclusion, PAD4 concentration, but not PADI4_89, PADI4_94 and PADI4_104 polymorphisms, is associated with ICU mortality in septic shock patients.</description><identifier>ISSN: 1582-1838</identifier><identifier>EISSN: 1582-4934</identifier><identifier>DOI: 10.1111/jcmm.13717</identifier><identifier>PMID: 30044533</identifier><language>eng</language><publisher>England: John Wiley and Sons Inc</publisher><subject>Aged ; APACHE ; citrullination ; Female ; Gene Expression ; Hospital Mortality - trends ; Humans ; Intensive Care Units ; Male ; Middle Aged ; neutrophils extracellular traps ; Original ; peptidylarginine deiminase 4 ; Polymorphism, Single Nucleotide ; Prospective Studies ; Protein-Arginine Deiminase Type 4 ; Protein-Arginine Deiminases - blood ; Protein-Arginine Deiminases - genetics ; sepsis ; Shock, Septic - blood ; Shock, Septic - genetics ; Shock, Septic - mortality ; Shock, Septic - pathology ; single nucleotide polymorphisms ; Survival Analysis</subject><ispartof>Journal of cellular and molecular medicine, 2018-10, Vol.22 (10), p.4732-4737</ispartof><rights>2018 The Authors. Journal of Cellular and Molecular Medicine published by John Wiley &amp; Sons Ltd and Foundation for Cellular and Molecular Medicine.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><orcidid>0000-0002-5980-4367</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/PMC6156447/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC6156447/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,864,885,1416,11561,27923,27924,45573,45574,46051,46475,53790,53792</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/30044533$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Costa, Nara Aline</creatorcontrib><creatorcontrib>Gut, Ana Lúcia</creatorcontrib><creatorcontrib>Azevedo, Paula Schmidt</creatorcontrib><creatorcontrib>Polegato, Bertha Furlan</creatorcontrib><creatorcontrib>Magalhães, Eloá Siqueira</creatorcontrib><creatorcontrib>Ishikawa, Larissa Lumi Watanabe</creatorcontrib><creatorcontrib>Bruder, Rita de Cassia Siqueira</creatorcontrib><creatorcontrib>Silva, Evelyn Aparecida da</creatorcontrib><creatorcontrib>Gonçalves, Renan Braga</creatorcontrib><creatorcontrib>Tanni, Suzana Erico</creatorcontrib><creatorcontrib>Rogero, Marcelo Macedo</creatorcontrib><creatorcontrib>Norde, Marina Maintinguer</creatorcontrib><creatorcontrib>Cunha, Natália Baraldi</creatorcontrib><creatorcontrib>Zornoff, Leonardo Antonio Mamede</creatorcontrib><creatorcontrib>Paiva, Sergio Alberto Rupp</creatorcontrib><creatorcontrib>Minicucci, Marcos Ferreira</creatorcontrib><title>Peptidylarginine deiminase 4 concentration, but not PADI4 polymorphisms, is associated with ICU mortality in septic shock patients</title><title>Journal of cellular and molecular medicine</title><addtitle>J Cell Mol Med</addtitle><description>The objective of our study was to evaluate the association between peptidylarginine deiminase 4 (PAD4) concentration and its polymorphisms with mortality in patients with septic shock. We prospectively evaluated 175 patients aged over 18 years with septic shock upon intensive care unit (ICU) admission. However, 48 patients were excluded. Thus, 127 patients were enrolled in the study. At the time of the patients’ enrollment, demographic information was recorded. Blood samples were taken within the first 24 hours of the patient's admission to determine serum PAD4 concentrations and its polymorphism PADI4_89 [rs11203366], PADI4_94 [rs2240340] and PADI4_104 [rs1748033]. The mean age was 63.3 ± 15.2 years, 56.7% were male, PAD4 concentration was 4.62 (2.48‐6.20) ng/mL and the ICU mortality rate was 67.7%. The patients who died in the ICU had higher APACHE II and Sequential Organ Failure Assessment (SOFA) scores. In addition, PAD4 concentration was higher in patients who died during ICU stay. However, there were no differences regarding PADI4 polymorphisms and ICU mortality. In the logistic regression models, PAD4 concentrations were associated with ICU mortality when adjusted for APACHE II score and lactate (OR: 1.477; CI 95%: 1.186‐1.839; P &lt; .001), and when adjusted for age, gender and APACHE II score (OR: 1.392; CI 95%: 1.145‐1.692; P &lt; .001). In conclusion, PAD4 concentration, but not PADI4_89, PADI4_94 and PADI4_104 polymorphisms, is associated with ICU mortality in septic shock patients.</description><subject>Aged</subject><subject>APACHE</subject><subject>citrullination</subject><subject>Female</subject><subject>Gene Expression</subject><subject>Hospital Mortality - trends</subject><subject>Humans</subject><subject>Intensive Care Units</subject><subject>Male</subject><subject>Middle Aged</subject><subject>neutrophils extracellular traps</subject><subject>Original</subject><subject>peptidylarginine deiminase 4</subject><subject>Polymorphism, Single Nucleotide</subject><subject>Prospective Studies</subject><subject>Protein-Arginine Deiminase Type 4</subject><subject>Protein-Arginine Deiminases - blood</subject><subject>Protein-Arginine Deiminases - genetics</subject><subject>sepsis</subject><subject>Shock, Septic - blood</subject><subject>Shock, Septic - genetics</subject><subject>Shock, Septic - mortality</subject><subject>Shock, Septic - pathology</subject><subject>single nucleotide polymorphisms</subject><subject>Survival Analysis</subject><issn>1582-1838</issn><issn>1582-4934</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2018</creationdate><recordtype>article</recordtype><sourceid>24P</sourceid><sourceid>WIN</sourceid><sourceid>EIF</sourceid><recordid>eNpVkU9v1DAQxS0Eon_gwgdAPnLoFjt2EueCVC0UFrWiB3q2Js5sd0pih9hLlSufHG93qWAuM9I8_Z49j7E3UpzLXO_v3TCcS1XL-hk7lqUpFrpR-vlhlkaZI3YS470QqpKqecmOlBBal0ods983OCbq5h6mO_LkkXdIA3mIyDV3wTv0aYJEwZ_xdpu4D4nfXHxcaT6Gfh7CNG4oDvGMU-QQY3AECTv-QGnDV8tbnhUJekozJ8_jzszxuAnuBx8zNcPjK_ZiDX3E14d-ym4vP31ffllcffu8Wl5cLUaldb2oDIJaA7TaCLOuWucaLF2LLTTYyFILg9gp6FrVFqaUOrcGukZV4ES9lqBO2Yc9d9y2A3b7j_V2nGiAabYByP6_8bSxd-GXrWRZ5RdkwLsDYAo_txiTHSg67HvwGLbRFqKuCl2owmTp23-9nkz-Hj4L5F7wQD3OT3sp7C5Su4vUPkZqvy6vrx8n9Qc2ZZhY</recordid><startdate>201810</startdate><enddate>201810</enddate><creator>Costa, Nara Aline</creator><creator>Gut, Ana Lúcia</creator><creator>Azevedo, Paula Schmidt</creator><creator>Polegato, Bertha Furlan</creator><creator>Magalhães, Eloá Siqueira</creator><creator>Ishikawa, Larissa Lumi Watanabe</creator><creator>Bruder, Rita de Cassia Siqueira</creator><creator>Silva, Evelyn Aparecida da</creator><creator>Gonçalves, Renan Braga</creator><creator>Tanni, Suzana Erico</creator><creator>Rogero, Marcelo Macedo</creator><creator>Norde, Marina Maintinguer</creator><creator>Cunha, Natália Baraldi</creator><creator>Zornoff, Leonardo Antonio Mamede</creator><creator>Paiva, Sergio Alberto Rupp</creator><creator>Minicucci, Marcos Ferreira</creator><general>John Wiley and Sons Inc</general><scope>24P</scope><scope>WIN</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>7X8</scope><scope>5PM</scope><orcidid>https://orcid.org/0000-0002-5980-4367</orcidid></search><sort><creationdate>201810</creationdate><title>Peptidylarginine deiminase 4 concentration, but not PADI4 polymorphisms, is associated with ICU mortality in septic shock patients</title><author>Costa, Nara Aline ; Gut, Ana Lúcia ; Azevedo, Paula Schmidt ; Polegato, Bertha Furlan ; Magalhães, Eloá Siqueira ; Ishikawa, Larissa Lumi Watanabe ; Bruder, Rita de Cassia Siqueira ; Silva, Evelyn Aparecida da ; Gonçalves, Renan Braga ; Tanni, Suzana Erico ; Rogero, Marcelo Macedo ; Norde, Marina Maintinguer ; Cunha, Natália Baraldi ; Zornoff, Leonardo Antonio Mamede ; Paiva, Sergio Alberto Rupp ; Minicucci, Marcos Ferreira</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-p3447-68ea3faab4808f6bcc9e5cbeba9e915408eed3adb3b285143b29ad936ac07f1a3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2018</creationdate><topic>Aged</topic><topic>APACHE</topic><topic>citrullination</topic><topic>Female</topic><topic>Gene Expression</topic><topic>Hospital Mortality - trends</topic><topic>Humans</topic><topic>Intensive Care Units</topic><topic>Male</topic><topic>Middle Aged</topic><topic>neutrophils extracellular traps</topic><topic>Original</topic><topic>peptidylarginine deiminase 4</topic><topic>Polymorphism, Single Nucleotide</topic><topic>Prospective Studies</topic><topic>Protein-Arginine Deiminase Type 4</topic><topic>Protein-Arginine Deiminases - blood</topic><topic>Protein-Arginine Deiminases - genetics</topic><topic>sepsis</topic><topic>Shock, Septic - blood</topic><topic>Shock, Septic - genetics</topic><topic>Shock, Septic - mortality</topic><topic>Shock, Septic - pathology</topic><topic>single nucleotide polymorphisms</topic><topic>Survival Analysis</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Costa, Nara Aline</creatorcontrib><creatorcontrib>Gut, Ana Lúcia</creatorcontrib><creatorcontrib>Azevedo, Paula Schmidt</creatorcontrib><creatorcontrib>Polegato, Bertha Furlan</creatorcontrib><creatorcontrib>Magalhães, Eloá Siqueira</creatorcontrib><creatorcontrib>Ishikawa, Larissa Lumi Watanabe</creatorcontrib><creatorcontrib>Bruder, Rita de Cassia Siqueira</creatorcontrib><creatorcontrib>Silva, Evelyn Aparecida da</creatorcontrib><creatorcontrib>Gonçalves, Renan Braga</creatorcontrib><creatorcontrib>Tanni, Suzana Erico</creatorcontrib><creatorcontrib>Rogero, Marcelo Macedo</creatorcontrib><creatorcontrib>Norde, Marina Maintinguer</creatorcontrib><creatorcontrib>Cunha, Natália Baraldi</creatorcontrib><creatorcontrib>Zornoff, Leonardo Antonio Mamede</creatorcontrib><creatorcontrib>Paiva, Sergio Alberto Rupp</creatorcontrib><creatorcontrib>Minicucci, Marcos Ferreira</creatorcontrib><collection>Wiley-Blackwell Open Access Titles</collection><collection>Wiley Free Content</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Journal of cellular and molecular medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Costa, Nara Aline</au><au>Gut, Ana Lúcia</au><au>Azevedo, Paula Schmidt</au><au>Polegato, Bertha Furlan</au><au>Magalhães, Eloá Siqueira</au><au>Ishikawa, Larissa Lumi Watanabe</au><au>Bruder, Rita de Cassia Siqueira</au><au>Silva, Evelyn Aparecida da</au><au>Gonçalves, Renan Braga</au><au>Tanni, Suzana Erico</au><au>Rogero, Marcelo Macedo</au><au>Norde, Marina Maintinguer</au><au>Cunha, Natália Baraldi</au><au>Zornoff, Leonardo Antonio Mamede</au><au>Paiva, Sergio Alberto Rupp</au><au>Minicucci, Marcos Ferreira</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Peptidylarginine deiminase 4 concentration, but not PADI4 polymorphisms, is associated with ICU mortality in septic shock patients</atitle><jtitle>Journal of cellular and molecular medicine</jtitle><addtitle>J Cell Mol Med</addtitle><date>2018-10</date><risdate>2018</risdate><volume>22</volume><issue>10</issue><spage>4732</spage><epage>4737</epage><pages>4732-4737</pages><issn>1582-1838</issn><eissn>1582-4934</eissn><abstract>The objective of our study was to evaluate the association between peptidylarginine deiminase 4 (PAD4) concentration and its polymorphisms with mortality in patients with septic shock. We prospectively evaluated 175 patients aged over 18 years with septic shock upon intensive care unit (ICU) admission. However, 48 patients were excluded. Thus, 127 patients were enrolled in the study. At the time of the patients’ enrollment, demographic information was recorded. Blood samples were taken within the first 24 hours of the patient's admission to determine serum PAD4 concentrations and its polymorphism PADI4_89 [rs11203366], PADI4_94 [rs2240340] and PADI4_104 [rs1748033]. The mean age was 63.3 ± 15.2 years, 56.7% were male, PAD4 concentration was 4.62 (2.48‐6.20) ng/mL and the ICU mortality rate was 67.7%. The patients who died in the ICU had higher APACHE II and Sequential Organ Failure Assessment (SOFA) scores. In addition, PAD4 concentration was higher in patients who died during ICU stay. However, there were no differences regarding PADI4 polymorphisms and ICU mortality. In the logistic regression models, PAD4 concentrations were associated with ICU mortality when adjusted for APACHE II score and lactate (OR: 1.477; CI 95%: 1.186‐1.839; P &lt; .001), and when adjusted for age, gender and APACHE II score (OR: 1.392; CI 95%: 1.145‐1.692; P &lt; .001). In conclusion, PAD4 concentration, but not PADI4_89, PADI4_94 and PADI4_104 polymorphisms, is associated with ICU mortality in septic shock patients.</abstract><cop>England</cop><pub>John Wiley and Sons Inc</pub><pmid>30044533</pmid><doi>10.1111/jcmm.13717</doi><tpages>6</tpages><orcidid>https://orcid.org/0000-0002-5980-4367</orcidid><oa>free_for_read</oa></addata></record>
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subjects Aged
APACHE
citrullination
Female
Gene Expression
Hospital Mortality - trends
Humans
Intensive Care Units
Male
Middle Aged
neutrophils extracellular traps
Original
peptidylarginine deiminase 4
Polymorphism, Single Nucleotide
Prospective Studies
Protein-Arginine Deiminase Type 4
Protein-Arginine Deiminases - blood
Protein-Arginine Deiminases - genetics
sepsis
Shock, Septic - blood
Shock, Septic - genetics
Shock, Septic - mortality
Shock, Septic - pathology
single nucleotide polymorphisms
Survival Analysis
title Peptidylarginine deiminase 4 concentration, but not PADI4 polymorphisms, is associated with ICU mortality in septic shock patients
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