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Soluble IL-33 receptor predicts survival in acute kidney injury 可溶性IL-33受体预测急性肾损伤患者的生存
Q3 Medicine Pub Date : 2022-06-06 DOI: 10.33393/jcb.2022.2386
S. Erfurt, Meike Hoffmeister, S. Oess, Katharina Asmus, S. Patschan, O. Ritter, D. Patschan
ABSTRACT Introduction: The prediction of acute kidney injury (AKI)-related outcomes remains challenging. Herein we prospectively quantified soluble ST2 (sST2), the circulating isoform of the IL-33 receptor, in hospitalized patients with AKI. Methods: In-hospital subjects with AKI of various etiology were identified through the in-hospital AKI alert system of the Brandenburg University hospital. sST2 was measured within a maximum of 48 hours from the time of diagnosis of AKI. The following endpoints were defined: in-hospital death, dialysis, recovery of kidney function until demission. Results: In total, 151 individuals were included in the study. The in-hospital mortality was 16.6%, dialysis therapy became mandatory in 39.7%, no recovery of kidney function occurred in 27.8%. sST2 was significantly higher in nonsurvivors (p = 0.024) but did not differ in the two other endpoints. The level of sST2 increased significantly with the severity of AKI. Further differences were detected in subjects with heart insufficiency (lower sST2), and in patients that required ICU treatment, or ventilatory therapy, or vasopressors (all higher). Conclusions: The current study suggests sST2 as biomarker of “acute distress”: it predicts post-AKI survival and substantially increases in subjects with a higher degree of cumulative morbidity under acute circumstances (e.g., ICU therapy, vasopressor administration).
摘要:急性肾损伤(AKI)相关结果的预测仍然具有挑战性。在此,我们前瞻性地定量了AKI住院患者中IL-33受体的循环亚型可溶性ST2 (sST2)。方法:通过勃兰登堡大学医院的院内AKI预警系统对各种病因的住院AKI患者进行识别。sST2在AKI诊断后最多48小时内测量。定义了以下终点:院内死亡、透析、肾功能恢复直至死亡。结果:151人被纳入研究。住院死亡率为16.6%,强制透析治疗为39.7%,肾功能未恢复为27.8%。sST2在非幸存者中显著升高(p = 0.024),但在其他两个终点没有差异。随着AKI的加重,sST2水平显著升高。在心功能不全患者(sST2较低)和需要ICU治疗、通气治疗或血管加压药物治疗的患者(均较高)中发现了进一步的差异。结论:目前的研究表明sST2是“急性窘迫”的生物标志物:它可以预测aki后的生存,并且在急性情况下(例如ICU治疗,给药血管加压剂)累积发病率较高的受试者中,sST2显著增加。
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引用次数: 5
Assessment of background levels of autoantibodies as a prognostic marker for severe SARS-CoV-2 infection 评估自身抗体背景水平作为严重SARS-CoV-2感染的预后标志物
Q3 Medicine Pub Date : 2022-05-03 DOI: 10.33393/jcb.2022.2337
F. Sullivan, Agnes Tello, P. Rauchhaus, Virginia Hernandez Santiago, F. Daly
ABSTRACT Background: Patients with more severe forms of SARS-CoV-2 exhibit activation of immunological cascades. Participants (current or ex-smokers with at least 20 years pack history) in a trial (Early Diagnosis of Lung Cancer, Scotland [ECLS]) of autoantibody detection to predict lung cancer risk had seven autoantibodies measured 5 years before the pandemic. This study compared the response to Covid infection in study participants who tested positive and negative to antibodies to tumour-associated antigens: p53, NY-ESO-1, CAGE, GBU4-5, HuD, MAGE A4 and SOX2. Methods: Autoantibody data from the ECLS study was deterministically linked to the EAVE II database, a national, real-time prospective cohort using Scotland’s health data infrastructure, to describe the epidemiology of SARS-CoV-2 infection, patterns of healthcare use and outcomes. The strength of associations was explored using a network algorithm for exact contingency table significance testing by permutation. Results: There were no significant differences discerned between SARS-CoV-2 test results and EarlyCDT-Lung test results (p = 0.734). An additional analysis of intensive care unit (ICU) admissions detected no significant differences between those who tested positive and negative. Subgroup analyses showed no difference in COVID-19 positivity or death rates amongst those diagnosed with chronic obstructive pulmonary disease (COPD) with positive and negative EarlyCDT results. Conclusions: This hypothesis-generating study demonstrated no clinically valuable or statistically significant associations between EarlyCDT positivity in 2013-15 and the likelihood of SARS-CoV-2 positivity in 2020, ICU admission or death in all participants (current or ex-smokers with at least 20 years pack history) or in those with COPD or lung cancer.
背景:重症SARS-CoV-2患者表现出免疫级联反应的激活。在一项用于预测肺癌风险的自身抗体检测试验(苏格兰肺癌早期诊断[ECLS])中,参与者(当前或戒烟者,至少有20年的吸烟史)在大流行前5年检测了7种自身抗体。本研究比较了肿瘤相关抗原p53、NY-ESO-1、CAGE、GBU4-5、HuD、MAGE A4和SOX2抗体检测呈阳性和阴性的研究参与者对Covid感染的反应。方法:来自ECLS研究的自身抗体数据与EAVE II数据库确定关联,EAVE II数据库是一个使用苏格兰卫生数据基础设施的全国性实时前瞻性队列,用于描述SARS-CoV-2感染的流行病学、医疗保健使用模式和结果。利用网络算法对精确列联表进行排列显著性检验,探讨了关联的强度。结果:SARS-CoV-2检测结果与早期cdt - lung检测结果无显著差异(p = 0.734)。另一项对重症监护病房(ICU)入院情况的分析发现,检测呈阳性和阴性的患者之间没有显著差异。亚组分析显示,在诊断为慢性阻塞性肺疾病(COPD)且早期cdt结果呈阳性和阴性的患者中,COVID-19阳性或死亡率没有差异。结论:这项产生假设的研究表明,2013- 2015年早期cdt阳性与2020年SARS-CoV-2阳性、ICU入院或死亡的可能性之间没有临床价值或统计学意义,所有参与者(当前或戒烟者,至少有20年的吸烟史)或COPD或肺癌患者。
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引用次数: 0
The role of microRNAs in COVID-19 with a focus on miR-200c microrna在COVID-19中的作用,重点是miR-200c
Q3 Medicine Pub Date : 2022-03-21 DOI: 10.33393/jcb.2022.2356
Hadi Sodagar, Shahriar Alipour, S. Hassani, S. Aziz, M. Ansari, Rahim Asghari
ABSTRACT Objective: Epigenetics is a quickly spreading scientific field, and the study of epigenetic regulation in various diseases such as infectious diseases is emerging. The microribonucleic acids (miRNAs) as one of the types of epigenetic processes bind to their target messenger RNAs (mRNAs) and regulate their stability and/or translation. This study aims to evaluate non-coding RNAs (ncRNAs) with a focus on miR-200c in COVID-19. In this review, we first define the epigenetics and miRNAs, and then the role of miRNAs in diseases focusing on lung diseases is explained. Finally, in this study, we will investigate the role and position of miRNAs with a focus on miR-200c in viral and severe acute respiratory syndrome–related coronavirus (SARS-CoV2) infections. Methods: Systematic search of MEDLINE, PubMed, Web of Science, Embase, and Cochrane Library was conducted for all relative papers from 2000 to 2021 with the limitations of the English language. Finally, we selected 128 articles which fit the best to our objective of study, among which 5 articles focused on the impact of miR-200c. Results: Due to the therapeutic results of various drugs in different races and populations, epigenetic processes, especially miRNAs, are important. The overall results showed that different types of miRNAs can be effective on the process of various lung diseases through different target pathways and genes. It is likely that amplified levels of miR-200c may lead to decreased angiotensin-converting enzyme-2 (ACE2) expression, which in turn may increase the potential of infection, inflammation, and the complications of coronavirus disease. Conclusion: miR-200c and its correlation with ACE2 can be used as early prognostic and diagnostic markers.
摘要目的:表观遗传学是一个快速发展的科学领域,对表观遗传学在传染病等多种疾病中的调控的研究正在兴起。微核糖核酸(miRNAs)作为表观遗传过程的一种,与靶信使rna (mrna)结合并调节其稳定性和/或翻译。本研究旨在评估非编码rna (ncRNAs),重点关注miR-200c在COVID-19中的作用。在这篇综述中,我们首先定义了表观遗传学和miRNAs,然后重点解释了miRNAs在肺部疾病中的作用。最后,在本研究中,我们将重点研究miR-200c在病毒和严重急性呼吸综合征相关冠状病毒(SARS-CoV2)感染中的作用和位置。方法:系统检索MEDLINE、PubMed、Web of Science、Embase和Cochrane图书馆2000 - 2021年的所有相关论文,但受英语语言的限制。最后,我们选择了128篇最符合我们研究目的的文章,其中有5篇是关于miR-200c的影响。结果:由于不同药物在不同种族和人群中的治疗效果,表观遗传过程,特别是miRNAs,是重要的。综上所述,不同类型的mirna可以通过不同的靶通路和基因对各种肺部疾病的过程起作用。miR-200c水平升高可能导致血管紧张素转换酶-2 (ACE2)表达降低,进而可能增加感染、炎症和冠状病毒病并发症的可能性。结论:miR-200c及其与ACE2的相关性可作为早期预后和诊断指标。
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引用次数: 5
MicroRNAs from urinary exosomes as alternative biomarkers in the differentiation of benign and malignant prostate diseases. 来自尿外泌体的microrna作为良性和恶性前列腺疾病分化的替代生物标志物
Q3 Medicine Pub Date : 2022-02-10 eCollection Date: 2022-01-01 DOI: 10.33393/jcb.2022.2317
Jonas Holdmann, Lukas Markert, Claudia Klinger, Michael Kaufmann, Karin Schork, Michael Turewicz, Martin Eisenacher, Stephan Degener, Nici M Dreger, Stephan Roth, Andreas Savelsbergh
ABSTRACT Introduction: Prostate cancer (PCa) is the second most frequently diagnosed cancer and the fifth most cancer-related cause of death worldwide. Various tools are used in the diagnosis of PCa, such as the Prostate-Specific Antigen (PSA) value or digital rectal examination. A final differentiation from benign prostate diseases such as benign prostatic hyperplasia (BPH) can often only be made by a transrectal prostate biopsy. This procedure carries post-procedural complications for the patients and may lead to hospitalization. Urinary exosomes contain unique components, such as microRNAs (miRNAs) with information about their original tissue. As miRNAs appear to play a role in the development of PCa, they might be useful to develop procedures that could potentially make transrectal biopsies avoidable in certain situations. Methods: The current study aimed to investigate whether miRNAs from urinary exosomes can be used to differentiate PCa from BPH. For this purpose, urine samples from 28 patients with PCa and 25 patients with BPH were collected and analysed using next-generation sequencing to obtain expression profiles. Results and conclusion: The two miRNAs hsa-miR-532-3p and hsa-miR-6749-5p showed a significant differential expression within the group of patients with PCa in a training subset of the data containing 32 patients. They were further validated on the independent test data subset containing 20 patients. Additionally, a machine learning algorithm was used to generate a miRNA pattern to distinguish the two disease entities. Both approaches seem to be suitable for the search of alternative diagnostic tools for the differentiation of benign and malignant prostate diseases.
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引用次数: 7
Diagnostic utility of FGF-23 in mineral bone disorder during chronic kidney disease. FGF-23在慢性肾病期间矿物骨紊乱中的诊断价值
Q3 Medicine Pub Date : 2022-01-08 eCollection Date: 2022-01-01 DOI: 10.33393/jcb.2022.2328
Luisa Albanese, Gemma Caliendo, Giovanna D'Elia, Luana Passariello, Anna Maria Molinari, Claudio Napoli, Maria Teresa Vietri
ABSTRACT Our data confirm that intact fibroblast growth factor 23 (iFGF-23) concentration is increased in patients with chronic kidney disease (CKD) and that it increases with disease progression (stages I-V). Therefore, iFGF-23 could be considered an early biomarker in the course of chronic kidney disease-mineral bone disorder (CKD-MBD), which has several aspects that make it potentially useful in clinical practice. The availability of an automated method for iFGF-23 assay may represent an added value in the management of the patient with CKD-MBD already from the early stages of the disease, before the increase of the routinely used laboratory parameters, 1-84 parathyroid hormone (PTH) and 25-OH-vitamin D (25-OH-vitD), which occur in more advanced stages of the disease.
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引用次数: 3
Pharmacokinetics of the disialoganglioside, GD2, a circulating tumor biomarker for neuroblastoma, in nonhuman primates. 神经母细胞瘤循环肿瘤生物标志物GD2在非人灵长类动物体内的药代动力学。
Q3 Medicine Pub Date : 2021-12-03 eCollection Date: 2021-01-01 DOI: 10.33393/jcb.2021.2329
Frank M Balis, Cynthia Lester McCully, Christine M Busch, Elizabeth Fox, Katherine E Warren
ABSTRACT Background: The ganglioside GD2 is a potential circulating tumor biomarker for the childhood cancer neuroblastoma. Interpreting the levels of a circulating tumor biomarker depends in part on a knowledge of the biomarker’s clinical pharmacology. Methods: We studied the plasma and cerebrospinal fluid (CSF) pharmacokinetics of the C18 lipoform of GD2 in two nonhuman primates with indwelling subcutaneous CSF lateral ventricular reservoir systems. GD2 was quantified with a validated high-performance liquid chromatography (HPLC)/tandem mass spectrometry assay. GD2 was administered as a short intravenous infusion and frequent plasma and CSF samples were drawn over 72 hours. Results: GD2 plasma concentration declined monoexponentially with a half-life of 16 hours. Clearance was 0.0136 and 0.0131 L/h and volume of distribution (Vd) was 0.035 and 0.038 L/kg in the two animals. Vd was equivalent to plasma volume. Greater than 98% of GD2 in plasma is in a bound form consistent with its known association with lipoproteins and accounting for its limited volume of distribution. GD2 did not cross over from plasma into the CSF. Conclusions: The pharmacokinetic profile of GD2 is favorable for a circulating tumor biomarker. This study demonstrates the value of characterizing the clinical pharmacology of circulating biomarkers to better understand their clinical behavior.
{"title":"Pharmacokinetics of the disialoganglioside, G<sub>D2</sub>, a circulating tumor biomarker for neuroblastoma, in nonhuman primates.","authors":"Frank M Balis,&nbsp;Cynthia Lester McCully,&nbsp;Christine M Busch,&nbsp;Elizabeth Fox,&nbsp;Katherine E Warren","doi":"10.33393/jcb.2021.2329","DOIUrl":"https://doi.org/10.33393/jcb.2021.2329","url":null,"abstract":"ABSTRACT Background: The ganglioside GD2 is a potential circulating tumor biomarker for the childhood cancer neuroblastoma. Interpreting the levels of a circulating tumor biomarker depends in part on a knowledge of the biomarker’s clinical pharmacology. Methods: We studied the plasma and cerebrospinal fluid (CSF) pharmacokinetics of the C18 lipoform of GD2 in two nonhuman primates with indwelling subcutaneous CSF lateral ventricular reservoir systems. GD2 was quantified with a validated high-performance liquid chromatography (HPLC)/tandem mass spectrometry assay. GD2 was administered as a short intravenous infusion and frequent plasma and CSF samples were drawn over 72 hours. Results: GD2 plasma concentration declined monoexponentially with a half-life of 16 hours. Clearance was 0.0136 and 0.0131 L/h and volume of distribution (Vd) was 0.035 and 0.038 L/kg in the two animals. Vd was equivalent to plasma volume. Greater than 98% of GD2 in plasma is in a bound form consistent with its known association with lipoproteins and accounting for its limited volume of distribution. GD2 did not cross over from plasma into the CSF. Conclusions: The pharmacokinetic profile of GD2 is favorable for a circulating tumor biomarker. This study demonstrates the value of characterizing the clinical pharmacology of circulating biomarkers to better understand their clinical behavior.","PeriodicalId":37524,"journal":{"name":"Journal of Circulating Biomarkers","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-12-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/cd/4f/jcb-10-26.PMC8655510.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39831009","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
Serum IL-33 as a biomarker in different diseases: useful parameter or much need for clarification? 血清IL-33作为不同疾病的生物标志物:有用的参数还是需要澄清?
Q3 Medicine Pub Date : 2021-11-30 eCollection Date: 2021-01-01 DOI: 10.33393/jcb.2021.2327
Stefan Erfurt, Meike Hoffmeister, Stefanie Oess, Katharina Asmus, Oliver Ritter, Susann Patschan, Daniel Patschan
ABSTRACT Interleukin-33 (IL-33), a member of the IL-1 family, is critically involved in the modulation of the activity of a diverse range of immunocompetent cells. Essential roles have been implicated in cardioprotection, in both innate and adaptive immune responses in mucosal organs, and in the maintenance of adipose tissue cells. Over the past 10 years, several studies evaluated the usability of IL-33 as a biomarker in diseases of inflammatory and noninflammatory origin. Our group is currently evaluating the predictive role of serum IL-33 in acute kidney injury (AKI). The aim of the article is to discuss selected studies on IL-33 in different diseases and its potential role as a biomarker molecule.
{"title":"Serum IL-33 as a biomarker in different diseases: useful parameter or much need for clarification?","authors":"Stefan Erfurt,&nbsp;Meike Hoffmeister,&nbsp;Stefanie Oess,&nbsp;Katharina Asmus,&nbsp;Oliver Ritter,&nbsp;Susann Patschan,&nbsp;Daniel Patschan","doi":"10.33393/jcb.2021.2327","DOIUrl":"https://doi.org/10.33393/jcb.2021.2327","url":null,"abstract":"ABSTRACT Interleukin-33 (IL-33), a member of the IL-1 family, is critically involved in the modulation of the activity of a diverse range of immunocompetent cells. Essential roles have been implicated in cardioprotection, in both innate and adaptive immune responses in mucosal organs, and in the maintenance of adipose tissue cells. Over the past 10 years, several studies evaluated the usability of IL-33 as a biomarker in diseases of inflammatory and noninflammatory origin. Our group is currently evaluating the predictive role of serum IL-33 in acute kidney injury (AKI). The aim of the article is to discuss selected studies on IL-33 in different diseases and its potential role as a biomarker molecule.","PeriodicalId":37524,"journal":{"name":"Journal of Circulating Biomarkers","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-11-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/05/1e/jcb-10-20.PMC8634375.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39940188","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 6
Circulating erythroblast abnormality associated with systemic pathologies may indicate bone marrow damage. 与系统性病理相关的循环红细胞异常可能表明骨髓损伤。
Q3 Medicine Pub Date : 2021-08-31 eCollection Date: 2021-01-01 DOI: 10.33393/jcb.2021.2220
Stefan Schreier, Prapaphan Budchart, Suparerk Borwornpinyo, Wichit Arpornwirat, Wannapong Triampo
ABSTRACT Background: The circulating rare cell population is diverse and rich in diagnostic information. Its characterization and clinical exploitation by cell-based liquid biopsy is an ongoing research task. Bone marrow is one of the major contributors to the peripheral blood rare cell population and, consequently, determines individual rare cell profiles thus depending on bone marrow health status. Bone marrow damage has been associated with aggressive or late-stage systemic diseases and egress of various bone marrow cells into the blood circulation. The association of quantity and heterogeneity of circulating erythroblast with bone marrow damage is of particular interest. Methods: Circulating CD71high/CD45-/Hoechsthigh blast cells from healthy, noncancer- and cancer-afflicted donors were enriched by CD45 depletion and analyzed by immunofluorescence microscopy. Results: A new finding of aberrant and mitotic circulating erythroid-like cells that appear similar across blood donors afflicted with various systemic pathologies is reported. Further presented is a classification of said erythroblast-like cells in nine subcategories according to morphological differences between phenotypically similar cells. Conclusion: Aberrant and mitotic bone marrow-derived rare circulating erythroid-like cells can be detected in the blood of afflicted individuals but not in healthy donors, suggesting the cause of bone marrow damage.
{"title":"Circulating erythroblast abnormality associated with systemic pathologies may indicate bone marrow damage.","authors":"Stefan Schreier,&nbsp;Prapaphan Budchart,&nbsp;Suparerk Borwornpinyo,&nbsp;Wichit Arpornwirat,&nbsp;Wannapong Triampo","doi":"10.33393/jcb.2021.2220","DOIUrl":"https://doi.org/10.33393/jcb.2021.2220","url":null,"abstract":"ABSTRACT Background: The circulating rare cell population is diverse and rich in diagnostic information. Its characterization and clinical exploitation by cell-based liquid biopsy is an ongoing research task. Bone marrow is one of the major contributors to the peripheral blood rare cell population and, consequently, determines individual rare cell profiles thus depending on bone marrow health status. Bone marrow damage has been associated with aggressive or late-stage systemic diseases and egress of various bone marrow cells into the blood circulation. The association of quantity and heterogeneity of circulating erythroblast with bone marrow damage is of particular interest. Methods: Circulating CD71high/CD45-/Hoechsthigh blast cells from healthy, noncancer- and cancer-afflicted donors were enriched by CD45 depletion and analyzed by immunofluorescence microscopy. Results: A new finding of aberrant and mitotic circulating erythroid-like cells that appear similar across blood donors afflicted with various systemic pathologies is reported. Further presented is a classification of said erythroblast-like cells in nine subcategories according to morphological differences between phenotypically similar cells. Conclusion: Aberrant and mitotic bone marrow-derived rare circulating erythroid-like cells can be detected in the blood of afflicted individuals but not in healthy donors, suggesting the cause of bone marrow damage.","PeriodicalId":37524,"journal":{"name":"Journal of Circulating Biomarkers","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/93/c6/jcb-10-14.PMC8493595.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39555343","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 2
Circulating progastrin-releasing peptide in the diagnosis of Small Cell Lung Cancer (SCLC) and in therapeutic monitoring. 循环原胃泌素释放肽在小细胞肺癌(SCLC)诊断和治疗监测中的应用。
Q3 Medicine Pub Date : 2021-07-07 eCollection Date: 2021-01-01 DOI: 10.33393/jcb.2021.2212
Vittoria Barchiesi, Vittorio Simeon, Claudia Sandomenico, Monica Cantile, Dionigio Cerasuolo, Paolo Chiodini, Alessandro Morabito, Ernesta Cavalcanti
ABSTRACT Introduction: Progastrin-releasing peptide (proGRP), a precursor of GRP, has been recently reported as a putative circulating biomarker for differential diagnosis between non–small cell lung cancer (NSCLC) and SCLC. We evaluated the diagnostic effectiveness of proGRP to differentiate patients with NSCLC and SCLC and the usefulness of combined measurement of proGRP and neuron-specific enolase (NSE) for diagnosing SCLC. Methods: Serum proGRP, NSE, cytokeratin 19 fragment 21-1 (CYFRA 21.1), squamous cell carcinoma antigen (SCC Ag) and carcinoembryonic antigen (CEA) were prospectively collected and measured in patients with a new diagnosis of lung cancer. Serum proGRP was also measured in healthy subjects. The serum proGRP, NSE, CYFRA 21.1 and CEA concentrations were determined by an electrochemiluminescence immunoassay and the serum SCC Ag concentration was determined by an automated immunofluorescence assay. Differences between proGRP and NSE in patients with SCLC and NSCLC were evaluated and compared using Mann-Whitney test. Results: A total of 77 patients affected by SCLC (n = 17) and NSCLC (n = 60) were enrolled in the present study. Moreover, 50 cases of healthy subjects were analyzed for proGRP. SCLC patients showed a significantly higher proGRP (1,484 pg/mL; range 168-3,777) levels compared to NSCLC patients (45 pg/mL; range 31.7-60.6), p<0.0001. In healthy subjects the median proGRP level was 36.1 (28.8-43.5) pg/mL, significantly lower than SCLC patients. ProGRP showed a higher specificity when compared to NSE, with a difference in proportion of 47.5% (95% confidence interval 32.5% to 62.5%, p<0.001). Serial measurements of proGRP in SCLC patients showed a decrease in responsive chemotherapy patients. Conclusions: ProGRP is an accurate biomarker for diagnosis of SCLC and for discrimination of SCLC from NSCLC.
{"title":"Circulating progastrin-releasing peptide in the diagnosis of Small Cell Lung Cancer (SCLC) and in therapeutic monitoring.","authors":"Vittoria Barchiesi,&nbsp;Vittorio Simeon,&nbsp;Claudia Sandomenico,&nbsp;Monica Cantile,&nbsp;Dionigio Cerasuolo,&nbsp;Paolo Chiodini,&nbsp;Alessandro Morabito,&nbsp;Ernesta Cavalcanti","doi":"10.33393/jcb.2021.2212","DOIUrl":"https://doi.org/10.33393/jcb.2021.2212","url":null,"abstract":"ABSTRACT Introduction: Progastrin-releasing peptide (proGRP), a precursor of GRP, has been recently reported as a putative circulating biomarker for differential diagnosis between non–small cell lung cancer (NSCLC) and SCLC. We evaluated the diagnostic effectiveness of proGRP to differentiate patients with NSCLC and SCLC and the usefulness of combined measurement of proGRP and neuron-specific enolase (NSE) for diagnosing SCLC. Methods: Serum proGRP, NSE, cytokeratin 19 fragment 21-1 (CYFRA 21.1), squamous cell carcinoma antigen (SCC Ag) and carcinoembryonic antigen (CEA) were prospectively collected and measured in patients with a new diagnosis of lung cancer. Serum proGRP was also measured in healthy subjects. The serum proGRP, NSE, CYFRA 21.1 and CEA concentrations were determined by an electrochemiluminescence immunoassay and the serum SCC Ag concentration was determined by an automated immunofluorescence assay. Differences between proGRP and NSE in patients with SCLC and NSCLC were evaluated and compared using Mann-Whitney test. Results: A total of 77 patients affected by SCLC (n = 17) and NSCLC (n = 60) were enrolled in the present study. Moreover, 50 cases of healthy subjects were analyzed for proGRP. SCLC patients showed a significantly higher proGRP (1,484 pg/mL; range 168-3,777) levels compared to NSCLC patients (45 pg/mL; range 31.7-60.6), p<0.0001. In healthy subjects the median proGRP level was 36.1 (28.8-43.5) pg/mL, significantly lower than SCLC patients. ProGRP showed a higher specificity when compared to NSE, with a difference in proportion of 47.5% (95% confidence interval 32.5% to 62.5%, p<0.001). Serial measurements of proGRP in SCLC patients showed a decrease in responsive chemotherapy patients. Conclusions: ProGRP is an accurate biomarker for diagnosis of SCLC and for discrimination of SCLC from NSCLC.","PeriodicalId":37524,"journal":{"name":"Journal of Circulating Biomarkers","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-07-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/a3/59/jcb-10-9.PMC8267854.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39176433","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 4
Value of clinical laboratory test for early prediction of mortality in patients with COVID-19: the BGM score. 临床实验室检测对早期预测COVID-19患者死亡率的价值:BGM评分。
Q3 Medicine Pub Date : 2021-02-08 eCollection Date: 2021-01-01 DOI: 10.33393/jcb.2021.2194
Laura Macias-Muñoz, Robin Wijngaard, Bernardino González-de la Presa, José Luis Bedini, Manuel Morales-Ruiz, Wladimiro Jiménez

Background: COVID-19 causes high mortality and long hospitalization periods. The aim of this study was to search for new early prognostic strategies accessible to most health care centers.

Methods: Laboratory results, demographic and clinical data from 500 patients with positive SARS-CoV-2 infection were included in our study. The data set was split into training and test set prior to generating different multivariate models considering the occurrence of death as the response variable. A final computational method called the BGM score was obtained by combining the previous models and is available as an interactive web application.

Results: The logistic regression model comprising age, creatinine (CREA), D-dimer (DD), C-reactive protein (CRP), platelet count (PLT), and troponin I (TNI) showed a sensitivity of 47.3%, a specificity of 98.7%, a kappa of 0.56, and a balanced accuracy of 0.73. The CART classification tree yielded TNI, age, DD, and CRP as the most potent early predictors of mortality (sensitivity = 68.4%, specificity = 92.5%, kappa = 0.61, and balanced accuracy = 0.80). The artificial neural network including age, CREA, DD, CRP, PLT, and TNI yielded a sensitivity of 66.7%, a specificity of 92.3%, a kappa of 0.54, and a balanced accuracy of 0.79. Finally, the BGM score surpassed the prediction accuracy performance of the independent multivariate models, yielding a sensitivity of 73.7%, a specificity of 96.5%, a kappa of 0.74, and a balanced accuracy of 0.85.

Conclusions: The BGM score may support clinicians in managing COVID-19 patients and providing focused interventions to those with an increased risk of mortality.

背景:COVID-19死亡率高,住院时间长。这项研究的目的是寻找新的早期预后策略,可访问的大多数卫生保健中心。方法:收集500例SARS-CoV-2感染阳性患者的实验室结果、人口学和临床资料。将数据集分成训练集和测试集,以死亡的发生为响应变量,生成不同的多变量模型。最后的计算方法称为BGM评分,是通过结合前面的模型得到的,并可作为一个交互式web应用程序。结果:年龄、肌酐(CREA)、d -二聚体(DD)、c反应蛋白(CRP)、血小板计数(PLT)、肌钙蛋白I (TNI)组成的logistic回归模型灵敏度为47.3%,特异性为98.7%,kappa为0.56,平衡准确率为0.73。CART分类树得出TNI、年龄、DD和CRP是最有效的死亡率早期预测因子(敏感性= 68.4%,特异性= 92.5%,kappa = 0.61,平衡准确性= 0.80)。包括年龄、CREA、DD、CRP、PLT和TNI在内的人工神经网络的敏感性为66.7%,特异性为92.3%,kappa为0.54,平衡准确性为0.79。最后,BGM评分超过了独立多元模型的预测精度表现,敏感性为73.7%,特异性为96.5%,kappa为0.74,平衡精度为0.85。结论:BGM评分可以支持临床医生管理COVID-19患者,并为死亡风险增加的患者提供重点干预措施。
{"title":"Value of clinical laboratory test for early prediction of mortality in patients with COVID-19: the BGM score.","authors":"Laura Macias-Muñoz,&nbsp;Robin Wijngaard,&nbsp;Bernardino González-de la Presa,&nbsp;José Luis Bedini,&nbsp;Manuel Morales-Ruiz,&nbsp;Wladimiro Jiménez","doi":"10.33393/jcb.2021.2194","DOIUrl":"https://doi.org/10.33393/jcb.2021.2194","url":null,"abstract":"<p><strong>Background: </strong>COVID-19 causes high mortality and long hospitalization periods. The aim of this study was to search for new early prognostic strategies accessible to most health care centers.</p><p><strong>Methods: </strong>Laboratory results, demographic and clinical data from 500 patients with positive SARS-CoV-2 infection were included in our study. The data set was split into training and test set prior to generating different multivariate models considering the occurrence of death as the response variable. A final computational method called the BGM score was obtained by combining the previous models and is available as an interactive web application.</p><p><strong>Results: </strong>The logistic regression model comprising age, creatinine (CREA), D-dimer (DD), C-reactive protein (CRP), platelet count (PLT), and troponin I (TNI) showed a sensitivity of 47.3%, a specificity of 98.7%, a kappa of 0.56, and a balanced accuracy of 0.73. The CART classification tree yielded TNI, age, DD, and CRP as the most potent early predictors of mortality (sensitivity = 68.4%, specificity = 92.5%, kappa = 0.61, and balanced accuracy = 0.80). The artificial neural network including age, CREA, DD, CRP, PLT, and TNI yielded a sensitivity of 66.7%, a specificity of 92.3%, a kappa of 0.54, and a balanced accuracy of 0.79. Finally, the BGM score surpassed the prediction accuracy performance of the independent multivariate models, yielding a sensitivity of 73.7%, a specificity of 96.5%, a kappa of 0.74, and a balanced accuracy of 0.85.</p><p><strong>Conclusions: </strong>The BGM score may support clinicians in managing COVID-19 patients and providing focused interventions to those with an increased risk of mortality.</p>","PeriodicalId":37524,"journal":{"name":"Journal of Circulating Biomarkers","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-02-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/51/0b/JCB-10-01.PMC7890680.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25476723","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 5
期刊
Journal of Circulating Biomarkers
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