Expression and significance of serum heparin binding protein in acute renal failure in patients with sepsis
LI Li′na1 CHEN Xinguang2 LYU You3▲
1.Department of Emergency, Beijing Luhe Hospital Capital Medical University, Beijing 101120, China;
2.Department of Emergency, the First Hospital of Tsinghua University, Beijing 100015, China;
3.Department of Cardiology, Beijing Hospital, Beijing 100730, China
Abstract:Objective To investigate the purpose of this study was to investigate the expression and significance of serum heparin binding protein (HBP) in the process of acute renal failure in patients with sepsis and to understand its clinical value. Methods From September 2014 to September 2015, 124 patients with sepsis admitted to the emergency Department of Beijing Luhe Hospital Affiliated to Capital Medical University were selected. According to the occurrence of acute renal failure, 42 patients in the acute renal failure group with sepsis (group A), 82 patients in the group without acute renal failure group with sepsis (group B), 60 patients with acute renal failure without sepsis (group C), and 60 healthy volunteers (group D) were selected as the healthy control group. Venous blood was collected in each group within 24 h after admission and after corresponding treatment, and serum HBP and serum creatinine concentrations were measured. Results Before treatment, compared with the healthy control group, the HBP level of group A and group B was significantly higher than that of group C and group D (P < 0.05), while the serum HBP level of group A with acute renal failure was significantly higher than that of group B (P < 0.05). After treatment, only group A showed A significant decrease in HBP level (P < 0.05). Conclusion HBP can be used as a method to evaluate the occurrence of acute renal failure in patients with sepsis and to evaluate its therapeutic effect.
李丽娜1 陈新光2 吕游3▲. 血清肝素结合蛋白在脓毒血症患者急性肾衰竭过程中的表达与意义[J]. 中国医药导报, 2019, 16(11): 109-111,141.
LI Li′na1 CHEN Xinguang2 LYU You3▲. Expression and significance of serum heparin binding protein in acute renal failure in patients with sepsis. 中国医药导报, 2019, 16(11): 109-111,141.
[1] Hall IE,Coca SG,Perazella MA,et al. Risk of poor outcomes with novel and traditional biomarkers at clinical AKI diagnosis [J]. Clin J Am Soc Nephrol,2011,6(12):2740-2749.
[2] Cornet AD,Smit EG,Beishuizen A,et al. The role of heparin and allied compounds in the treatment of sepsis [J]. Thromb Haemost,2007,98(3):579-586.
[3] Ostergaard E,Flodgaard H. A neutrophil-derived proteolytic inactive elastase homologue (hHBP) mediates reversible contraction of fibroblasts and endothelial cell monolayers and stimulates monocyte survival and thrombospondin secretion [J]. J Leukoc Biol,1992,51(4):316-323.
[4] Zarychanski R,Doucette S,Fergusson D,et al. Early intrave- nous unfractionated heparin and mortality inseptic shock [J]. Crit Care Med,2008,36(11):2973-2979.
[5] Slofstra SH,van fstra SHi,Buurman WA,et al. Low molecular weight heparin attenuates multiple organ failure in a murine model of disseminated intravascular coagulation [J]. Crit Care Med,2005,33(6):1365-1370.
[6] 许程,徐元宏.脓毒症早期预警生物标志物的研究进展[J].检验医学,2015,30(5):533-536.
[7] Kellum JA,Lameire N. Diagnosis,evaluation,and manage -ment of acute kidney injury:a KDIGO summary (Part 1) [J]. Crit Care,2013,17(1):204.
[8] Hotchkiss RS,Karl IE. The pathophysiology and treatment of sepsis [J]. N Engl J Med,2003,348(2):138-150.
[9] Gomez H,Ince C,De Backer D,et al. A unified theory of sepsis-induced acute kidney injury: inflammation,microcirculatory dysfunction,bioenergetics,and the tubular cell adaptation to injury [J]. Shock,2014,41(1):3-11.
[10] Soehnlein O,Lindbom L. Neutrophil-derived azurocidin alarms the immune system [J]. J Leukoc Biol,2009,85(3):344-351.
[11] Soehnlein O,Xie X,Ulbrich H,et al. Neutrophil-derived heparin-binding protein (HBP/CAP37) deposited on endothelium enhances monocyte arrest under flow conditions [J]. J Immunol,2005,174(10):6399-6405.
[12] Herwald H,Cramer H,Moamer HH,et al. Mprotein,a classical bacterial virulence determinant,forms complexes with fibrinogen that induce vascular leakage [J]. Cell,2004,116(3):367-379.
[13] Gautam N,Olofsson AM,Herwald H,et al. Heparin-binding protein (HBP/CAP37): a missing link in neutrophil-evoked alteration of vascular permeability [J]. Nat Med,2001,7(10):1123-1127.
[14] Bentzer P,Fisher J,Kong HJ,et al. Heparin-binding protein is important for vascular leak in sepsis [J]. Intensive Care Med Exp,2016,4(1):33.
[15] Linder A,Christensson B,Herwald H,et al. Heparin-binding protein:an early marker of circulatory failure in sepsis [J]. Clin Infect Dis,2009,49(7):1044-1050.
[16] Linder A,Arnold R,Boyd JH,et al. Heparin-binding protein measurement improves the prediction of severe infection with organ dysfunction in the emergency department [J]. Crit Care Med,2015,43(11):2378-2386.
[17] Linder A,Akesson P,Inghammar M,et al. Elevated plasma levels of heparin-binding protein in intensive care unit patients with severe sepsis and septic shock [J]. Crit Care,2012,16(3):R90.
[18] Olofsson AM,Vestberg M,Herwald H,et al. Heparin-binding protein targeted to mitochondrial compartments protects endothelial cells from apoptosis [J]. J Clin Invest,1999,104(7):885-894.
[19] Fjell CD,Thair S,Hsu JL,et al. Cytokines and signaling molecules predict clinical outcomes in sepsis [J]. PLoS One,2013,8(11):e79207.
[20] Lee TD,Gonzalez mL,Kumar P,et al. CAP37,a nertrophil-derived inflammatory mediator,augments leukocyte adhesion to endothelial monolayers [J]. Microcasc Res,2003, 66(1):38-48.