Alarmins as biomarkers of gastrointestinal surgical injury - a pilot study
Jazyk angličtina Země Dánsko Médium print
Typ dokumentu časopisecké články
PubMed
29700911
DOI
10.1111/apm.12798
Knihovny.cz E-zdroje
- Klíčová slova
- Alarmins, biomarkers, gastrointestinal, major abdominal surgery,
- MeSH
- alarminy krev MeSH
- biologické markery krev MeSH
- C-reaktivní protein analýza MeSH
- chirurgie trávicího traktu * MeSH
- dospělí MeSH
- kalgranulin A krev MeSH
- lidé středního věku MeSH
- lidé MeSH
- pilotní projekty MeSH
- prospektivní studie MeSH
- protein HMGB1 krev MeSH
- senioři MeSH
- Check Tag
- dospělí MeSH
- lidé středního věku MeSH
- lidé MeSH
- mužské pohlaví MeSH
- senioři MeSH
- ženské pohlaví MeSH
- Publikační typ
- časopisecké články MeSH
- Názvy látek
- alarminy MeSH
- biologické markery MeSH
- C-reaktivní protein MeSH
- kalgranulin A MeSH
- protein HMGB1 MeSH
The dysregulation of inflammatory response to surgical injury affects outcomes. Alarmins, the earliest bioactive substances from damaged cells, play a crucial role in initiating the inflammation. We analyzed serum levels of alarmins (S100A8, S100A12, high mobility group box, and heat shock protein 70) after major abdominal surgery (MAS) in surgical (S) (n = 82) and nonsurgical (NS) groups (n = 35). The main objective was determining a role of selected alarmins in host response to MAS. The secondary objectives were (i) evaluation of the relationship among alarmins and selected biomarkers (C-reactive protein, interleukin-6), (ii) influence of the place of gastrointestinal resection, and (iii) role of alarmins in MAS for cancer. Except for HMGB1, the levels of all alarmins were higher in the S group compared with the NS group. In the S group, positive correlations were found between S100A8 and both IL-6 and CRP. Additionally, the S100A8 level was higher (p < 0.01) in patients who underwent upper gastrointestinal tract (GIT) surgery compared to middle and lower GIT resections. Alarmins levels did not differ between cancer and noncancer patients. MAS is able to elicit increase in alarmin levels. S100A8 can be considered a potential biomarker of surgical injury, especially in the upper part of the GIT.
Department of Surgery University Hospital Ostrava Ostrava Poruba Czech Republic
Institute of Laboratory Diagnostics University Hospital Ostrava Ostrava Poruba Czech Republic
Citace poskytuje Crossref.org
Surgical injury: comparing open surgery and laparoscopy by markers of tissue damage