Skip to main content
Top
Published in: Lung 4/2017

01-08-2017

Clinically Promising Biomarkers in Cystic Fibrosis Pulmonary Exacerbations

Authors: L. Keith Scott, Robert Toner

Published in: Lung | Issue 4/2017

Login to get access

Abstract

Cystic fibrosis is a complex genetic disease hallmarked by repetitive infectious exacerbations that leads to destruction of airway architecture, acute on chronic inflammatory changes, and deterioration in lung function. Predicting an exacerbation may help preempt some of these changes by the initiation of swift antibiotic and anti-inflammatory therapy. A search for biomarkers that could predict exacerbations or help guide duration of antibiotic therapy is being aggressively sought. In this review, we discuss the most recent and promising biomarkers that hopefully will assist in the future management of the CF patient.
Literature
2.
go back to reference Cogen JD et al (2017) Characterization of inpatient cystic fibrosis pulmonary exacerbations. Pediatrics 139:e20162642CrossRefPubMed Cogen JD et al (2017) Characterization of inpatient cystic fibrosis pulmonary exacerbations. Pediatrics 139:e20162642CrossRefPubMed
3.
go back to reference Plummer A et al (2016) Duration of intravenous antibiotic therapy in people with cystic fibrosis. Cochrane Database Syst Rev 9:CD006682PubMed Plummer A et al (2016) Duration of intravenous antibiotic therapy in people with cystic fibrosis. Cochrane Database Syst Rev 9:CD006682PubMed
4.
go back to reference Brodt AM et al (2014) Inhaled antibiotics for stable non-cystic fibrosis bronchiectasis: a systematic review. Eur Respir J 44:382–393CrossRefPubMed Brodt AM et al (2014) Inhaled antibiotics for stable non-cystic fibrosis bronchiectasis: a systematic review. Eur Respir J 44:382–393CrossRefPubMed
6.
go back to reference Junge S et al (2016) Factors associated with worse lung function in cystic fibrosis patients with persistent Staphylococcus aureus. PLoS ONE 11:e0166220CrossRefPubMedPubMedCentral Junge S et al (2016) Factors associated with worse lung function in cystic fibrosis patients with persistent Staphylococcus aureus. PLoS ONE 11:e0166220CrossRefPubMedPubMedCentral
7.
go back to reference Louw JJ et al (2012) Serum procalcitonin is not an early marker of pulmonary exacerbation in children with cystic fibrosis. Eur J Pediatr 171:139–142CrossRefPubMed Louw JJ et al (2012) Serum procalcitonin is not an early marker of pulmonary exacerbation in children with cystic fibrosis. Eur J Pediatr 171:139–142CrossRefPubMed
8.
go back to reference Matouk E et al (2016) C-reactive protein in stable cystic fibrosis: an additional indicator of clinical disease activity and risk of future pulmonary exacerbations. J Pulm Respir Med 6:1000375CrossRefPubMedPubMedCentral Matouk E et al (2016) C-reactive protein in stable cystic fibrosis: an additional indicator of clinical disease activity and risk of future pulmonary exacerbations. J Pulm Respir Med 6:1000375CrossRefPubMedPubMedCentral
9.
go back to reference de Koff EM et al (2016) Development of the respiratory tract microbiota in cystic fibrosis. Curr Opin Pulm Med 22:623–628CrossRef de Koff EM et al (2016) Development of the respiratory tract microbiota in cystic fibrosis. Curr Opin Pulm Med 22:623–628CrossRef
10.
12.
go back to reference Erickson YO et al (2009) Elevated procalcitonin and C-reactive protein as potential biomarkers of sepsis in a subpopulation of thrombotic microangiopathy patients. J Clin Apher 24:150–154PubMedPubMedCentral Erickson YO et al (2009) Elevated procalcitonin and C-reactive protein as potential biomarkers of sepsis in a subpopulation of thrombotic microangiopathy patients. J Clin Apher 24:150–154PubMedPubMedCentral
13.
go back to reference Clark TW et al (2015) C-reactive protein level and microbial aetiology in patients hospitalised with acute exacerbation of COPD. Eur Respir J 45:76–86CrossRefPubMed Clark TW et al (2015) C-reactive protein level and microbial aetiology in patients hospitalised with acute exacerbation of COPD. Eur Respir J 45:76–86CrossRefPubMed
14.
go back to reference Shoki AH et al (2013) Systematic review of blood biomarkers in cystic fibrosis pulmonary exacerbations. Chest 144:1659–1670CrossRefPubMed Shoki AH et al (2013) Systematic review of blood biomarkers in cystic fibrosis pulmonary exacerbations. Chest 144:1659–1670CrossRefPubMed
15.
go back to reference Wojewodka G et al (2014) Candidate markers associated with the probability of future pulmonary exacerbations in cystic fibrosis patients. PLoS ONE 9:e88567CrossRefPubMedPubMedCentral Wojewodka G et al (2014) Candidate markers associated with the probability of future pulmonary exacerbations in cystic fibrosis patients. PLoS ONE 9:e88567CrossRefPubMedPubMedCentral
17.
go back to reference Gray RD et al (2010) Sputum and serum calprotectin are useful biomarkers during CF exacerbation. J Cyst Fibros 9:193–198CrossRefPubMed Gray RD et al (2010) Sputum and serum calprotectin are useful biomarkers during CF exacerbation. J Cyst Fibros 9:193–198CrossRefPubMed
18.
go back to reference Reid PA et al (2015) Measurement of serum calprotectin in stable patients predicts exacerbation and lung function decline in cystic fibrosis. Am J Respir Crit Care Med 191:233–236CrossRefPubMedPubMedCentral Reid PA et al (2015) Measurement of serum calprotectin in stable patients predicts exacerbation and lung function decline in cystic fibrosis. Am J Respir Crit Care Med 191:233–236CrossRefPubMedPubMedCentral
19.
go back to reference Salpietro C et al (2013) Nasal high-mobility group box-1 protein in children with allergic rhinitis. Int Arch Allergy Immunol 161:116–121CrossRefPubMed Salpietro C et al (2013) Nasal high-mobility group box-1 protein in children with allergic rhinitis. Int Arch Allergy Immunol 161:116–121CrossRefPubMed
20.
go back to reference Entezari M et al (2012) Inhibition of high-mobility group box 1 protein (HMGB1) enhances bacterial clearance and protects against Pseudomonas aeruginosa pneumonia in cystic fibrosis. Mol Med 18:477–485CrossRefPubMedPubMedCentral Entezari M et al (2012) Inhibition of high-mobility group box 1 protein (HMGB1) enhances bacterial clearance and protects against Pseudomonas aeruginosa pneumonia in cystic fibrosis. Mol Med 18:477–485CrossRefPubMedPubMedCentral
21.
go back to reference Sagel SD et al (2012) Sputum biomarkers of inflammation and lung function decline in children with cystic fibrosis. Am J Respir Crit Care Med 186:857–865CrossRefPubMedPubMedCentral Sagel SD et al (2012) Sputum biomarkers of inflammation and lung function decline in children with cystic fibrosis. Am J Respir Crit Care Med 186:857–865CrossRefPubMedPubMedCentral
22.
go back to reference Quon BS et al (2016) Discovery of novel plasma protein biomarkers to predict imminent cystic fibrosis pulmonary exacerbations using multiple reaction monitoring mass spectrometry. Thorax 71:216–222CrossRefPubMed Quon BS et al (2016) Discovery of novel plasma protein biomarkers to predict imminent cystic fibrosis pulmonary exacerbations using multiple reaction monitoring mass spectrometry. Thorax 71:216–222CrossRefPubMed
23.
go back to reference Talagrand-Reboul E et al (2017) The social life of Aeromonas through biofilm and quorum sensing systems. Front Microbiol 8:37PubMedPubMedCentral Talagrand-Reboul E et al (2017) The social life of Aeromonas through biofilm and quorum sensing systems. Front Microbiol 8:37PubMedPubMedCentral
27.
go back to reference Dryahina K et al (2016) Differentiation of pulmonary bacterial pathogens in cystic fibrosis by volatile metabolites emitted by their in vitro cultures: Pseudomonas aeruginosa, Staphylococcus aureus, Stenotrophomonas maltophilia and the Burkholderia cepacia complex. J Breath Res 10:037102CrossRefPubMed Dryahina K et al (2016) Differentiation of pulmonary bacterial pathogens in cystic fibrosis by volatile metabolites emitted by their in vitro cultures: Pseudomonas aeruginosa, Staphylococcus aureus, Stenotrophomonas maltophilia and the Burkholderia cepacia complex. J Breath Res 10:037102CrossRefPubMed
28.
go back to reference Španěl P et al (2016) Do linear logistic model analyses of volatile biomarkers in exhaled breath of cystic fibrosis patients reliably indicate Pseudomonas aeruginosa infection? J Breath Res 10:036013CrossRefPubMed Španěl P et al (2016) Do linear logistic model analyses of volatile biomarkers in exhaled breath of cystic fibrosis patients reliably indicate Pseudomonas aeruginosa infection? J Breath Res 10:036013CrossRefPubMed
29.
go back to reference Ramachandran S et al (2012) A microRNA network regulates expression and biosynthesis of wild-type and DeltaF508 mutant cystic fibrosis transmembrane conductance regulator. Proc Natl Acad Sci U S A 109:13362–13367CrossRefPubMedPubMedCentral Ramachandran S et al (2012) A microRNA network regulates expression and biosynthesis of wild-type and DeltaF508 mutant cystic fibrosis transmembrane conductance regulator. Proc Natl Acad Sci U S A 109:13362–13367CrossRefPubMedPubMedCentral
30.
31.
32.
go back to reference Konstan MW et al (1994) Bronchoalveolar lavage findings in cystic fibrosis patients with stable, clinically mild lung disease suggest ongoing infection and inflammation. Am J Respir Crit Care Med 150:448–454CrossRefPubMed Konstan MW et al (1994) Bronchoalveolar lavage findings in cystic fibrosis patients with stable, clinically mild lung disease suggest ongoing infection and inflammation. Am J Respir Crit Care Med 150:448–454CrossRefPubMed
33.
go back to reference Roxo-Rosa M et al (2006) Proteomic analysis of nasal cells from cystic fibrosis patients and non-cystic fibrosis control individuals: search for novel biomarkers of cystic fibrosis lung disease. Proteomics 6:2314–2325CrossRefPubMed Roxo-Rosa M et al (2006) Proteomic analysis of nasal cells from cystic fibrosis patients and non-cystic fibrosis control individuals: search for novel biomarkers of cystic fibrosis lung disease. Proteomics 6:2314–2325CrossRefPubMed
Metadata
Title
Clinically Promising Biomarkers in Cystic Fibrosis Pulmonary Exacerbations
Authors
L. Keith Scott
Robert Toner
Publication date
01-08-2017
Publisher
Springer US
Published in
Lung / Issue 4/2017
Print ISSN: 0341-2040
Electronic ISSN: 1432-1750
DOI
https://doi.org/10.1007/s00408-017-0024-3

Other articles of this Issue 4/2017

Lung 4/2017 Go to the issue