Lipopolysaccharide binding protein and sCD14 as risk markers of stroke-associated pneumonia

被引:4
作者
Gradek-Kwinta, Elzbieta [1 ]
Czyzycki, Mateusz [1 ]
Lopatkiewicz, Anna Maria [1 ]
Klimiec-Moskal, Elzbieta [1 ]
Slowik, Agnieszka [1 ]
Dziedzic, Tomasz [1 ]
机构
[1] Jagiellonian Univ Med Coll, Dept Neurol, Ul Botaniczna 3, PL-31503 Krakow, Poland
关键词
Pneumonia; Stroke; Biomarker; LBP; sCD14; Inflammation; PLASMA ENDOTOXIN; CD14; INFECTIONS;
D O I
10.1016/j.jneuroim.2021.577532
中图分类号
R392 [医学免疫学]; Q939.91 [免疫学];
学科分类号
100102 ;
摘要
To determine the utility of lipopolysaccharide binding protein (LBP) and soluble CD14 (sCD14) as risk markers of stroke-associated pneumonia (SAP). We included 331 stroke patients. The plasma levels of LBP (median: 19.4 vs 15.3 mu g/mL, P < 0.01) and sCD14 (median: 1.5 vs 1.4 mu g/mL, P = 0.04) were elevated in SAP. In multivariate analysis, a higher level of LBP (OR: 1.09, 95%CI: 1.05-1.13), but not sCD14 (OR: 2.16, 0.94-4.97), was associated with SAP. The addition of LBP or sCD14 to the clinical model did not improve its discriminatory ability. Our results suggest the modest value of studied biomarkers for SAP prediction.
引用
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页数:4
相关论文
共 37 条
[1]   Frequency of post-stroke pneumonia: Systematic review and meta-analysis of observational studies [J].
Badve, Monica S. ;
Zhou, Zien ;
van de Beek, Diederik ;
Anderson, Craig S. ;
Hackett, Maree L. .
INTERNATIONAL JOURNAL OF STROKE, 2019, 14 (02) :125-136
[2]   CD14 is an acute-phase protein [J].
Bas, S ;
Gauthier, BR ;
Spenato, U ;
Stingelin, S ;
Gabay, C .
JOURNAL OF IMMUNOLOGY, 2004, 172 (07) :4470-4479
[3]  
BAZIL V, 1991, J IMMUNOL, V147, P1567
[4]   Lipopolysaccharide-binding protein serum levels in patients with severe sepsis due to gram-positive and fungal infections [J].
Blairon, L ;
Wittebole, X ;
Laterre, PF .
JOURNAL OF INFECTIOUS DISEASES, 2003, 187 (02) :287-291
[5]   C-reactive protein in the detection of post-stroke infections: systematic review and individual participant data analysis [J].
Bustamante, Alejandro ;
Vilar-Bergua, Andrea ;
Guettier, Sophie ;
Sanchez-Poblet, Josep ;
Garcia-Berrocoso, Teresa ;
Giralt, Dolors ;
Fluri, Felix ;
Topakian, Raffi ;
Worthmann, Hans ;
Hug, Andreas ;
Molnar, Tihamer ;
Waje-Andreassen, Ulrike ;
Katan, Mira ;
Smith, Craig J. ;
Montaner, Joan .
JOURNAL OF NEUROCHEMISTRY, 2017, 141 (02) :305-314
[6]   Diagnostic Accuracy of Lipopolysaccharide-Binding Protein as Biomarker for Sepsis in Adult Patients: A Systematic Review and Meta-Analysis [J].
Chen, Kuan-Fu ;
Chaou, Chung-Hsien ;
Jiang, Jing-Yi ;
Yu, Hsueh-Wen ;
Meng, Yu-Hsiang ;
Tang, Wei-Chen ;
Wu, Chin-Chieh .
PLOS ONE, 2016, 11 (04)
[7]   Impact of Dysphagia Assessment and Management on Risk of Stroke-Associated Pneumonia: A Systematic Review [J].
Eltringham, Sabrina A. ;
Kilner, Karen ;
Gee, Melanie ;
Sage, Karen ;
Bray, Benjamin D. ;
Pownall, Sue ;
Smith, Craig J. .
CEREBROVASCULAR DISEASES, 2018, 46 (3-4) :97-105
[8]   SOLUBLE CD14 PARTICIPATES IN THE RESPONSE OF CELLS TO LIPOPOLYSACCHARIDE [J].
FREY, EA ;
MILLER, DS ;
JAHR, TG ;
SUNDAN, A ;
BAZIL, V ;
ESPEVIK, T ;
FINLAY, BB ;
WRIGHT, SD .
JOURNAL OF EXPERIMENTAL MEDICINE, 1992, 176 (06) :1665-1671
[9]   A comparison of high-mobility group-box 1 protein, lipopolysaccharide-binding protein and procalcitonin in severe community-acquired infections and bacteraemia:: A prospective study [J].
Gaïni, Shahin ;
Koldkjær, Ole G. ;
Moller, Holger J. ;
Pedersen, Court ;
Pedersen, Svend S. .
CRITICAL CARE, 2007, 11 (04)
[10]   Stroke-Associated Pneumonia: Major Advances and Obstacles [J].
Hannawi, Yousef ;
Hannawi, Bashar ;
Rao, Chethan P. Venkatasubba ;
Suarez, Jose I. ;
Bershad, Eric M. .
CEREBROVASCULAR DISEASES, 2013, 35 (05) :430-443