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[脓毒症生物标志物的研究进展]

[Research advances of sepsis biomarkers].

作者信息

Zeng Z, Peng Y Z, Yuan Z Q

机构信息

State Key Laboratory of Trauma, Burns and Combined Injury, Institute of Burn Research, the First Affiliated Hospital of Army Medical University (the Third Military Medical University), Chongqing 400038, China.

出版信息

Zhonghua Shao Shang Yu Chuang Mian Xiu Fu Za Zhi. 2023 Jul 20;39(7):679-684. doi: 10.3760/cma.j.cn501225-20230320-00086.

DOI:10.3760/cma.j.cn501225-20230320-00086
PMID:37805698
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11630190/
Abstract

Sepsis is a life-threatening condition for patients. Biomarkers can be used for the diagnosis, treatment, and prognostic assessment of sepsis. In recent years, new biomarkers for sepsis have been discovered, and more than 250 biomarkers have been identified so far. The complexity of the sepsis process and the increased sensitivity of various detection techniques will lead to the emergence of new biomarkers. However, there is still a lack of specific diagnostic biomarkers and effective therapeutic approaches for sepsis in clinical practice. Therefore, the search for reliable biomarkers and the evaluation of the role of biomarkers in sepsis will undoubtedly aid in clinical decision-making. This article reviews the advances on research of sepsis biomarkers in order to improve understanding of current biomarkers of sepsis, and provide reference for the application of biomarkers in clinical diagnosis, treatment, and prognosis of sepsis.

摘要

脓毒症对患者来说是一种危及生命的病症。生物标志物可用于脓毒症的诊断、治疗及预后评估。近年来,已发现用于脓毒症的新型生物标志物,迄今已鉴定出250多种生物标志物。脓毒症过程的复杂性以及各种检测技术敏感性的提高将导致新生物标志物的出现。然而,临床实践中仍缺乏用于脓毒症的特异性诊断生物标志物和有效的治疗方法。因此,寻找可靠的生物标志物并评估生物标志物在脓毒症中的作用无疑将有助于临床决策。本文综述了脓毒症生物标志物的研究进展,以增进对当前脓毒症生物标志物的了解,并为生物标志物在脓毒症临床诊断、治疗及预后中的应用提供参考。

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本文引用的文献

1
Evaluation of qSOFA combined with inflammatory mediators for diagnosing sepsis and predicting mortality among emergency department.评价 qSOFA 联合炎症介质对急诊科脓毒症的诊断和死亡率预测的价值。
Clin Chim Acta. 2023 Apr 1;544:117352. doi: 10.1016/j.cca.2023.117352. Epub 2023 Apr 17.
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Role of regulation of PD-1 and PD-L1 expression in sepsis.PD-1 和 PD-L1 表达调控在脓毒症中的作用。
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Sci Rep. 2022 Nov 21;12(1):20002. doi: 10.1038/s41598-022-16744-9.
4
The Value of Neutrophil/Lymphocyte Ratio Combined with Red Blood Cell Distribution Width in Evaluating the Prognosis of Emergency Patients with Sepsis.中性粒细胞/淋巴细胞比值联合红细胞分布宽度在评估脓毒症急诊患者预后中的价值
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5
Diagnostic and Prognostic Value of Interleukin-6 in Emergency Department Sepsis Patients.白细胞介素-6在急诊科脓毒症患者中的诊断及预后价值
Infect Drug Resist. 2022 Sep 21;15:5557-5566. doi: 10.2147/IDR.S384351. eCollection 2022.
6
Decreased Monocyte HLA-DR Expression in Patients with Sepsis and Acute Kidney Injury.脓毒症合并急性肾损伤患者单核细胞 HLA-DR 表达降低。
Medicina (Kaunas). 2022 Sep 1;58(9):1198. doi: 10.3390/medicina58091198.
7
Potential of circulating lncRNA CASC2 as a biomarker in reflecting the inflammatory cytokines, multi-organ dysfunction, disease severity, and mortality in sepsis patients.循环长链非编码 RNA CASC2 作为反映脓毒症患者炎症细胞因子、多器官功能障碍、疾病严重程度和死亡率的生物标志物的潜力。
J Clin Lab Anal. 2022 Aug;36(8):e24569. doi: 10.1002/jcla.24569. Epub 2022 Jun 26.
8
Is blood lymphocyte count a prognostic biomarker in bacteremia?血淋巴细胞计数是否为菌血症的预后生物标志物?
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Inflammatory mediators of cytokines and chemokines in sepsis: From bench to bedside.脓毒症中细胞因子和趋化因子的炎症介质:从基础到临床。
Hum Exp Toxicol. 2022 Jan-Dec;41:9603271221078871. doi: 10.1177/09603271221078871.
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Point-of-care detection of cytokines in cytokine storm management and beyond: Significance and challenges.细胞因子风暴管理及其他领域中细胞因子的即时检测:意义与挑战
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