Association between 24-hour urine volume and 28-day intensive care unit mortality in sepsis patients: a multi-center retrospective cohort study DOI Creative Commons

Yuzhan Lin,

Weiguo Lin, Cheng Fu

et al.

Frontiers in Medicine, Journal Year: 2024, Volume and Issue: 11

Published: Nov. 26, 2024

Background Sepsis is defined as a dysregulated host response to infection that results in life-threatening organ dysfunction. The 24-hour urine volume plays crucial role assessing the prognosis of septic patients. This study aims investigate relationship between and 28-day intensive care unit (ICU) mortality patients exploring dose-response these variables. Methods retrospective cohort analyzed data from 7,218 sepsis eICU Collaborative Research Database. Logistic regression models generalized additive were used examine ICU mortality. Results A negative correlation was found In fully adjusted model, each 50 mL increase significantly reduced risk by 1% (OR = 0.99, 95% CI 0.98–0.99, P < 0.001). nonlinear observed, with an inflection point at ~1,663.5 ml. Below this threshold, increased associated 0.97, CI: 0.96–0.98, 0.001), while above point, not statistically significant. Conclusion demonstrates non-linear

Language: Английский

Paracrine signaling mediators of vascular endothelial barrier dysfunction in sepsis: implications for therapeutic targeting DOI

Shahid Puthiyottil,

Tom Skaria

Tissue Barriers, Journal Year: 2025, Volume and Issue: unknown

Published: May 16, 2025

Vascular endothelial barrier disruption is a critical determinant of morbidity and mortality in sepsis. Whole blood represents key source paracrine signaling molecules inducing vascular This study analyzes whole-genome transcriptome data from sepsis patients' whole available the NCBI GEO database to identify mediators dysfunction, uncovering novel insights that may guide drug repositioning strategies. identifies regulated expression TFPI, MMP9, PROS1, JAG1, S1PR1, S1PR5 which either disrupt or protect function could serve as potential targets for existing drugs. Specifically, TFPI (barrier protective), MMP9 destructive), PROS1 JAG1 destructive) are upregulated, while S1PR1 protective) downregulated. Our observations highlight importance considering both protective disruptive development therapeutic strategies restore integrity septic patients. Identifying druggable regulators pave way precision medicine approaches, enabling personalized treatments target specific improve patient outcomes

Language: Английский

Citations

0

Unraveling the deadly dance: endothelial cells and neutrophils in sepsis-induced acute lung injury/acute respiratory distress syndrome DOI Creative Commons

Xiujuan Xu,

Qi Zhang, Zheng Lv

et al.

Frontiers in Cell and Developmental Biology, Journal Year: 2025, Volume and Issue: 13

Published: May 22, 2025

Sepsis-induced acute lung injury (ALI) and respiratory distress syndrome (ARDS) are severe complications with high morbidity mortality rates, characterized primarily by diffuse alveolar damage, endothelial dysfunction, local inflammatory responses. Neutrophils cells (ECs) play crucial roles in the pathogenesis progression of these diseases. important regulators inflammation, while dysfunction exacerbates vascular permeability cascade. The interaction between neutrophils ECs is vital for development ALI/ARDS induced sepsis, driving pathological processes inflammation tissue damage. Despite advancements treatment strategies such as protective mechanical ventilation fluid management, effective methods rapid recovery or significant improvement outcomes remain lacking. Therefore, we comprehensively summarize current literature to gain deeper insights into neutrophils, ECs, their interactions sepsis-induced ALI/ARDS, hoping provide critical mechanisms underlying sepsis-related potential pathways developing new therapeutic approaches.

Language: Английский

Citations

0

Proteomic Profiling of Endothelial Cell Secretomes After Exposure to Calciprotein Particles Reveals Downregulation of Basement Membrane Assembly and Increased Release of Soluble CD59 DOI Open Access
Alexander D. Stepanov, Д. К. Шишкова, Victoria Markova

et al.

International Journal of Molecular Sciences, Journal Year: 2024, Volume and Issue: 25(21), P. 11382 - 11382

Published: Oct. 23, 2024

Calciprotein particles (CPPs) are essential circulating scavengers of excessive Ca

Language: Английский

Citations

3

Endothelial-derived exosomes: A novel therapeutic strategy for LPS-induced myocardial damage with anisodamine DOI
Fei Tang, Jingnan Zhang,

Li-Yue Xu

et al.

International Journal of Biological Macromolecules, Journal Year: 2024, Volume and Issue: 282, P. 136993 - 136993

Published: Nov. 1, 2024

Language: Английский

Citations

1

Protective Effect of Hibifolin on Lipopolysaccharide‐Induced Acute Lung Injury Through Akt Phosphorylation and NFκB Pathway DOI Open Access

Yan‐Yan Ng,

Yung‐Chuan Ho,

Chi‐Hua Yen

et al.

Environmental Toxicology, Journal Year: 2024, Volume and Issue: unknown

Published: Aug. 9, 2024

ABSTRACT Acute lung injury (ALI) is a difficult condition to manage, especially when it complicated by bacterial sepsis. Hibifolin, flavonoid glycoside, has anti‐inflammatory properties that make potential treatment for ALI. However, more research needed determine its effectiveness in LPS‐induced In this study, male ICR mice were treated with hibifolin before Protein content and neutrophil count bronchoalveolar lavage (BAL) fluid measured BCA assay Giemsa staining method, respectively. The levels of proinflammatory cytokines adhesive molecules detected ELISA assay. expression NFκB p65 phosphorylation, IκB degradation, Akt phosphorylation was assessed western blot Hibifolin pre‐treatment significantly reduced pulmonary vascular barrier dysfunction infiltration into the BAL ALI mice. addition, (IL‐1β, IL‐6, TNF‐α) (ICAM‐1, VCAM‐1) within markedly More, inhibited p65, degradation IκB, lungs conclusion, shows promise improving pathophysiological features responses through pathway upstream factor, phosphorylation.

Language: Английский

Citations

0

Association between 24-hour urine volume and 28-day intensive care unit mortality in sepsis patients: a multi-center retrospective cohort study DOI Creative Commons

Yuzhan Lin,

Weiguo Lin, Cheng Fu

et al.

Frontiers in Medicine, Journal Year: 2024, Volume and Issue: 11

Published: Nov. 26, 2024

Background Sepsis is defined as a dysregulated host response to infection that results in life-threatening organ dysfunction. The 24-hour urine volume plays crucial role assessing the prognosis of septic patients. This study aims investigate relationship between and 28-day intensive care unit (ICU) mortality patients exploring dose-response these variables. Methods retrospective cohort analyzed data from 7,218 sepsis eICU Collaborative Research Database. Logistic regression models generalized additive were used examine ICU mortality. Results A negative correlation was found In fully adjusted model, each 50 mL increase significantly reduced risk by 1% (OR = 0.99, 95% CI 0.98–0.99, P < 0.001). nonlinear observed, with an inflection point at ~1,663.5 ml. Below this threshold, increased associated 0.97, CI: 0.96–0.98, 0.001), while above point, not statistically significant. Conclusion demonstrates non-linear

Language: Английский

Citations

0