Biomarkers for Sepsis: What Is and What Might Be?

被引:103
作者
Biron, Bethany M. [1 ]
Ayala, Alfred [1 ]
Lomas-Neira, Joanne L. [1 ]
机构
[1] Brown Univ, Rhode Isl Hosp, Dept Surg, Div Surg Res,Warren Alpert Med Sch, Providence, RI 02903 USA
基金
美国国家卫生研究院;
关键词
pro-/anti-inflammatory; immune; endothelial; procalcitonin; lactic acid; genomic profile;
D O I
10.4137/BMI.S29519
中图分类号
R-3 [医学研究方法]; R3 [基础医学];
学科分类号
1001 ;
摘要
Every year numerous individuals develop the morbid condition of sepsis. Therefore, novel biomarkers that might better inform clinicians treating such patients are sorely needed. Difficulty in identifying such markers is in part due to the complex heterogeneity of sepsis, resulting from the broad and vague definition of this state/condition based on numerous possible clinical signs and symptoms as well as an incomplete understanding of the underlying pathobiology of this complex condition. This review considers some of the attempts that have been made so far, looking at both the pro-and anti-inflammatory response to sepsis, as well as genomic analysis, as sources of potential biomarkers. Irrespective, for functional biomarker(s) of sepsis to successfully translate from the laboratory to a clinical setting, the biomarker must be target specific and sensitive as well as easy to implement/interpret, and be cost effective, such that they can be utilized routinely in patient diagnosis and treatment.
引用
收藏
页码:7 / 17
页数:11
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