Postmortem serum protein growth arrest-specific 6 levels in sepsis-related deaths.
Details
Serval ID
serval:BIB_6969FA847922
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Postmortem serum protein growth arrest-specific 6 levels in sepsis-related deaths.
Journal
International Journal of Legal Medicine
ISSN
1437-1596 (Electronic)
ISSN-L
0937-9827
Publication state
Published
Issued date
2015
Peer-reviewed
Oui
Volume
129
Number
5
Pages
1079-1084
Language
english
Notes
Publication types: Journal ArticlePublication Status: ppublish
Abstract
Growth arrest-specific 6 (Gas6) is widely expressed in leukocytes, platelets, endothelial cells, and monocytes. It regulates various processes including granulocyte adhesion to the endothelium, cell migration, thrombus stabilization, and cytokine release. In humans, increased plasma Gas6 levels have been described in patients with sepsis and septic shock. In this study, Gas6 concentrations were measured in postmortem serum from femoral blood in a series of sepsis-related fatalities and control cases. The aims were twofold: first, to determine whether Gas6 can be reliably determined in postmortem serum; and second, to assess its diagnostic potential in identifying sepsis-related deaths. Two study groups were prospectively formed, a sepsis-related fatalities group (24 cases) and a control group (24 cases) including cases of deep vein thrombosis and fatal pulmonary embolism, cases of systemic inflammatory response syndrome in severe trauma, cases of end-stage renal failure, and cases of hanging (non-septic, non-SIRS, non-end stage renal failure cases). The preliminary results of this study seem to indicate that Gas6 can be effectively measured in postmortem serum. However, Gas6 levels in sepsis-related fatalities do not appear to be clearly distinguishable from concentrations in pulmonary embolism, severe trauma, and end-stage renal failure cases. These findings tend to support previous reports that indicated that Gas6 behaves as an acute phase reactant and can be considered a general marker of inflammation rather than a specific biomarker of sepsis.
Pubmed
Web of science
Create date
05/08/2015 7:41
Last modification date
20/08/2019 14:24