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Báo cáo y học: "Plasma concentrations of Gas6 (growth arrest specific protein 6) and its soluble tyrosine kinase receptor sAxl in sepsis and systemic inflammatory response syndromes"

Tuyển tập các báo cáo nghiên cứu về y học được đăng trên tạp chí y học quốc tế cung cấp cho các bạn kiến thức về ngành y đề tài: Plasma concentrations of Gas6 (growth arrest specific protein 6) and its soluble tyrosine kinase receptor sAxl in sepsis and systemic inflammatory response syndromes. | Ekman et al. Critical Care 2010 14 R158 http ccforum.eom content 14 4 R158 c CRITICAL CARE RESEARCH Open Access Plasma concentrations of Gas6 growth arrest specific protein 6 and its soluble tyrosine kinase receptor sAxl in sepsis and systemic inflammatory response syndromes Carl Ekman1 Adam Linder2 Per Akesson2 Bjorn Dahlback1 Abstract Introduction Gas6 the protein product of the growth arrest specific gene 6 is present in human circulation at subnanomolar concentrations. It is secreted by endothelial cells and is important for the activation of endothelium during inflammation. Axl the tyrosine kinase receptor for Gas6 is also present in endothelium and can be cleaved and released into the circulation. The soluble of form Axl sAxl which is present in plasma can bind Gas6 and inhibit Axl-mediated cell signalling. Methods We have developed reproducible and accurate enzyme-linked immunosorbent assays for both Gas6 and sAxl and used them to investigate plasma samples from 70 patients with severe sepsis 99 patients with sepsis 42 patients with various infections causing fever but no systemic inflammatory response syndrome SIRS 20 patients with SIRS without verified infection and 100 blood donors that served as controls. Correlations between Gas6 and sAxl concentrations and other commonly used analytes were investigated. Results The patients with severe sepsis sepsis infection or SIRS had all increased concentrations of Gas6 approximately double compared to what was found in the controls. The concentrations of sAxl were also increased in the patient groups compared to the controls. Gas6 correlated with C-reactive protein procalcitonin and interleukin 6 whereas sAxl correlated to bilirubin and procalcitonin. Conclusions We can confirm results of earlier studies showing that circulating Gas6 is increased in sepsis and related syndromes. sAxl is increased but less pronounced than Gas6. The concentrations of Gas6 and sAxl correlate with a number of inflammatory markers .