Egyptian Journal of Anaesthesia,
Journal Year:
2024,
Volume and Issue:
40(1), P. 262 - 272
Published: May 9, 2024
Objectives
This
study
evaluates
the
ability
of
serum
presepsin
(PSEP)
and
gelsolin
(GSN)
levels
estimated
in
blood
samples
obtained
at
admission
sepsis-free
patients
to
surgical
ICU
(SICU)
as
early
predictors
for
getting
sepsis
sepsis-related
complications.
Renal Failure,
Journal Year:
2024,
Volume and Issue:
46(2)
Published: June 14, 2024
As
a
pattern
recognition
receptor,
Toll-like
receptor
4
(TLR4)
is
crucial
for
the
development
and
progression
of
acute
kidney
injury
(AKI).
This
study
aims
to
explore
whether
deubiquitinase
Usp9x
influences
TLR4/NF-B
pathway
cause
sepsis-induced
(S-AKI).
The
model
AKI
was
established
in
Sprague-Dawley
rats
using
cecal
ligation
puncture
(CLP)
method,
while
renal
tubular
epithelial
cell
NRK-52E
stimulated
with
lipopolysaccharide
(LPS)
vitro.
All
plasmids
were
transfected
into
cells
according
indicated
group.
TLR4
predicted
by
online
prediction
software
Ubibrowser.
Subsequently,
Western
blot
Pearson
correlation
analysis
identified
protein
as
potential
candidate.
Co-IP
verified
interaction
between
Usp9x.
Further
research
revealed
that
overexpression
inhibited
degradation
downregulating
its
ubiquitination
modification
levels.
Both
vivo
vitro
experiments
observed
interference
effectively
alleviated
inflammatory
response
apoptosis
(RTECs)
induced
CLP
or
LPS,
whereas
reversed
this
situation.
Transfection
sh-Usp9x
suppressed
expression
proteins
associated
TLR4/NF-κB
LPS.
Moreover,
effect
transfection.
Therefore,
interacts
TLR4,
leading
upregulation
through
deubiquitination
modification,
activation
signaling
pathway,
thereby
promoting
inflammation
contributing
injury.
Journal of Drug Delivery and Therapeutics,
Journal Year:
2025,
Volume and Issue:
15(2), P. 129 - 136
Published: Feb. 15, 2025
Acute
kidney
injury
(AKI)
associated
with
sepsis
is
a
major
contributor
to
morbidity
and
mortality
in
critically
ill
patients.
The
progression
of
sepsis-induced
AKI
(S-AKI)
complex
involves
dysregulated
immune
response,
including
systemic
inflammation,
endothelial
dysfunction,
microvascular
injury.
These
mechanisms
compromise
renal
function,
leading
significant
challenges
management.
Early
detection
timely
intervention
are
crucial
improving
outcomes,
yet
effective
treatment
strategies
remain
elusive.
Advances
understanding
the
pathophysiology
S-AKI
have
provided
critical
insights
into
underlying
damage
during
sepsis.
led
identification
potential
biomarkers
that
can
aid
early
diagnosis,
predict
disease
progression,
guide
therapeutic
decisions.
Current
management
includes
fluid
resuscitation,
broad-spectrum
antibiotics,
replacement
therapy
(RRT),
aimed
at
stabilizing
patient
supporting
function.
Emerging
therapies,
such
as
novel
pharmacological
agents
approaches
modulate
under
investigation,
offering
promise
for
clinical
outcomes.
However,
more
research
needed
validate
these
treatments
ensure
their
safety
efficacy.
advancing
S-AKI,
coupled
development
innovative
diagnostic
tools
Future
should
focus
on
bridging
gap
between
basic
science,
practice,
large-scale
trials
optimize
care
outcomes
patients
suffering
from
S-AKI.
Keywords:
Sepsis,
injury,
Immune
Systemic
Endothelial
Microvascular
Bulletin of Russian State Medical University,
Journal Year:
2025,
Volume and Issue:
2025(1)
Published: Feb. 1, 2025
Mortality
among
patients
with
various
forms
of
sepsis
is
36.2–47.7%.
Predicting
the
likelihood
death
associated
critically
important
for
clinical
decision-making,
stratifying
patient
risk,
and
improving
overall
survival.
The
study
aimed
to
develop
a
mathematical
model
predicting
outcome
in
abdominal
surgical
pathology.
involved
64
diagnosed
(AS).
Based
on
AS
outcomes,
group
1
(n
=
46)
favorable
outcomes
2
18)
fatal
were
allocated.
Clinical
scales
laboratory
testing
methods
used
evaluate
parameters
days
1,
3,
7
since
diagnosis.
On
3
7,
SOFA
scores
adverse
significantly
higher,
than
that
outcomes.
Complete
blood
counts
showed
decrease
absolute
lymphocyte
day
compared
1.
As
biochemistry
parameters,
elevated
serum
levels
C-reactive
protein,
urea,
creatinine,
lactate,
procalcitonin,
direct
bilirubin,
as
well
aspartate
aminotransferase,
alanine
alkaline
phosphatase
activity
observed.
Furthermore,
respiratory
index
venous
oxygen
saturation
was
A
logistic
regression
constructed,
software
tool
"Calculator
AS"
developed.
predict
probability
created.
High
CRP
creatinine
levels,
serve
significant
prognostic
markers
AS.
JCR Journal of Clinical Rheumatology,
Journal Year:
2025,
Volume and Issue:
unknown
Published: April 25, 2025
Background
Axial
spondyloarthritis
(axSpA)
is
a
chronic
inflammatory
disease
primarily
affecting
the
spine
and
sacroiliac
joints,
with
anterior
uveitis
(AU)
as
common
extra-articular
manifestation.
Predicting
AU
onset
in
axSpA
patients
challenging,
traditional
statistical
methods
often
fail
to
capture
disease's
complexity.
Methods
This
study
aimed
develop
an
interpretable
machine
learning
(ML)
model
predict
through
historical
cohort
analysis
of
1508
from
tertiary
medical
center.
Clinical
data
involving
54
variables
were
preprocessed
imputation,
factorization,
oversampling,
outlier
capping,
standardization.
Recursive
feature
elimination
identified
12
key
predictors.
Subsequently,
10
ML
algorithms
assessed
using
performance
metrics
visualization
techniques.
Results
The
gradient
boosting
incorporating
factors
showed
high
accuracy
predicting
risk.
Shapley
additive
explanations
revealed
that
hip
involvement,
nonsteroidal
anti-inflammatory
drug
use,
smoking
most
influential
model's
interpretability
provided
clear
insights
into
contribution
each
risk,
supporting
early
diagnosis
personalized
treatment.
Conclusion
predicts
risk
patients,
helping
identify
high-risk
cases
for
intervention
treatment
prevent
complications
such
vision
loss.