Serum CXCL12 concentration in patients with severe traumatic brain injury are associated with mortality.

Clin Chim Acta

Department of Emergency Surgery, Yiwu Central Hospital, 699 Jiangdong Road, Yiwu 322000, Zhejiang Province, China.

Published: February 2016

Background: CXC chemokine ligand-12 (CXCL12) is released during brain injury. The objective of this study was to investigate relationship between serum CXCL12 concentration, mortality and trauma severity in patients with traumatic brain injury (TBI).

Methods: We determined serum CXCL12 concentration of 132 controls and 132 patients with severe TBI. Trauma severity was assessed using Glasgow Coma Scale (GCS) score. The end-point of the study was 30-day mortality.

Results: Serum CXCL12 concentration were significantly higher in the patients than in the controls (13.3±6.8 vs. 1.5±0.5 ng/ml, P<0.001). There was a negative correlation between CXCL12 concentration and GCS scores (r=-0.588, P<0.001). The optimal cutoff value of CXCL12 as a mortality indicator was estimated to be 15.4 ng/ml, which yielded a sensitivity of 71.0% and a specificity of 72.2%, with the area under curve at 0.808 [95% confidence (CI), 0.730-0.871]. Serum CXCL12 concentration>19.5 ng/ml were associated independently with 30-day mortality (odds ratio, 6.951; 95% CI, 2.027-18.477; P<0.001) and 30-day overall survival (hazard ratio, 4.398; 95% CI, 2.088-15.286; P<0.001).

Conclusions: Increased serum CXCL12 concentration is associated highly with trauma severity and mortality following TBI.

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.cca.2015.12.033DOI Listing

Publication Analysis

Top Keywords

serum cxcl12
16
cxcl12 concentration
16
brain injury
12
patients severe
8
traumatic brain
8
trauma severity
8
serum
4
concentration
4
patients
4
concentration patients
4

Similar Publications

Notably, the C-X-C Motif Chemokine Ligand 12/C-X-C Chemokine Receptor Type 4 (CXCL12/CXCR4) signalling pathway's activation is markedly increased in a mouse model of abdominal aortic aneurysms (AAA). Nonetheless, the precise contribution of this pathway to AAA development remains to be elucidated. The AAA mouse model was induced by local incubation with elastase and oral administration of β-aminopropionitrile.

View Article and Find Full Text PDF

A Targeted Proteomics Approach Reveals a Serum Protein Signature as a Diagnostic Biomarker for Colorectal Cancer.

J Inflamm Res

December 2024

Central Laboratory, The Affiliated Panyu Central Hospital, Guangzhou Medical University, Guangzhou, Guangdong, 511400, People's Republic of China.

Background: Circulating proteins secreted by tumors are an important source of cancer biomarkers. This study aims to investigate the changes in the content of tumor immune-related circulating proteins in peripheral blood from patients with colorectal cancer (CRC).

Methods: Olink's proximity extension assay was used to detect the levels of 92 tumor immune-related circulating proteins in peripheral blood from CRC patients.

View Article and Find Full Text PDF
Article Synopsis
  • Generalized anxiety disorder (GAD) is a common mental illness characterized by uncontrollable worries, influenced by various factors like genetics, environment, and daily stress.
  • A study involving 50 GAD patients and 38 healthy controls found that GAD patients had significantly higher serum levels of epidermal growth factor (EGF), which correlated positively with the severity of their symptoms.
  • While EGF levels showed potential as a diagnostic biomarker for GAD, serum levels of stromal cell-derived factor-1 (SDF-1) did not significantly differ between GAD patients and healthy controls.
View Article and Find Full Text PDF

Introduction: Immunogenic cell death (ICD) is a unique cell death triggered by chemotherapy. However, studies elucidating the potential therapeutic role of ICD and the underlying mechanism in diabetic nephropathy (DN) are limited.

Methods: WGCNA was conducted on the human kidney biopsy data linked to DN, analyzing gene sets associated with ICD.

View Article and Find Full Text PDF

Want AI Summaries of new PubMed Abstracts delivered to your In-box?

Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!