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Published in: European Journal of Medical Research 1/2023

Open Access 01-12-2023 | Septicemia | Research

Change of serum lipoproteins and its potential use in stratifying patients with sepsis among neonates

Authors: Junfei Guo, Weiming Lai, Yongbing Wu, Huan Li, Zhenhua Fu, Xiaoping Mu

Published in: European Journal of Medical Research | Issue 1/2023

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Abstract

Background

Changes of serum lipoprotein concentration during bacteremia or sepsis are observed and lipoproteins concentration facilitate the evaluation severity of sepsis in adults, but its clinical usage is still unclear. Here, we analyzed the lipoprotein concentration in neonates with sepsis and discussed its use in stratifying patients.

Methods

This is a retrospective study involved 88 culture-proven septic patients. Clinical and microbiology data of involved patients were collected via inquiring databases of our institute. Patients were grouped according to blood culture results or procalcitonin level; the difference between groups were analyzed.

Results

Compared with uninfected group, there is no change of triglyceride (TG) concentrations and significant decrease of Total cholesterol (TC) concentration in septic patients. There is no significant difference between Gram-positive and Gram-negative-related septic patients in terms of serum TG and TC concentration. Other than group with procalcitonin level of 0.5–2 ng/ml, both serum TG and TC concentration were decreased while serum procalcitonin level increasing.

Conclusions

Our results indicated that serum lipoprotein concentration may be recommended to help diagnosis of bacteria and to evaluate the severity of sepsis.
Literature
1.
go back to reference Fernando S, Rochwerg B, Seely A. Clinical implications of the third international consensus definitions for sepsis and septic shock (sepsis-3). CMAJ. 2018;190(36):E1058–9.CrossRefPubMedPubMedCentral Fernando S, Rochwerg B, Seely A. Clinical implications of the third international consensus definitions for sepsis and septic shock (sepsis-3). CMAJ. 2018;190(36):E1058–9.CrossRefPubMedPubMedCentral
2.
go back to reference Rhodes A, Evans L, Alhazzani W, Levy M, Antonelli M, Ferrer R, Kumar A, Sevransky J, Sprung C, Nunnally M, et al. Surviving sepsis campaign: international guidelines for management of sepsis and septic shock: 2016. Intensive Care Med. 2017;43(3):304–77.CrossRefPubMed Rhodes A, Evans L, Alhazzani W, Levy M, Antonelli M, Ferrer R, Kumar A, Sevransky J, Sprung C, Nunnally M, et al. Surviving sepsis campaign: international guidelines for management of sepsis and septic shock: 2016. Intensive Care Med. 2017;43(3):304–77.CrossRefPubMed
3.
go back to reference de Castro R, Medeiros D, Prata-Barbosa A, de Magalhães-Barbosa M. Surviving sepsis campaign international guidelines for the management of septic shock and sepsis-associated organ dysfunction in children. Pediatr Crit Care Med. 2020;21(10):924–5.CrossRefPubMed de Castro R, Medeiros D, Prata-Barbosa A, de Magalhães-Barbosa M. Surviving sepsis campaign international guidelines for the management of septic shock and sepsis-associated organ dysfunction in children. Pediatr Crit Care Med. 2020;21(10):924–5.CrossRefPubMed
4.
go back to reference Tanaka S, Couret D, Tran-Dinh A, Duranteau J, Montravers P, Schwendeman A, Meilhac O. High-density lipoproteins during sepsis: from bench to bedside. Crit Care (London, England). 2020;24(1):134.CrossRef Tanaka S, Couret D, Tran-Dinh A, Duranteau J, Montravers P, Schwendeman A, Meilhac O. High-density lipoproteins during sepsis: from bench to bedside. Crit Care (London, England). 2020;24(1):134.CrossRef
5.
go back to reference Pirillo A, Catapano A, Norata G. HDL in infectious diseases and sepsis. Handb Exp Pharmacol. 2015;224:483–508.CrossRefPubMed Pirillo A, Catapano A, Norata G. HDL in infectious diseases and sepsis. Handb Exp Pharmacol. 2015;224:483–508.CrossRefPubMed
6.
go back to reference Parli S, Trivedi G, Woodworth A, Chang P. Procalcitonin: usefulness in acute care surgery and trauma. Surg Infect. 2018;19(2):131–6.CrossRef Parli S, Trivedi G, Woodworth A, Chang P. Procalcitonin: usefulness in acute care surgery and trauma. Surg Infect. 2018;19(2):131–6.CrossRef
7.
go back to reference Shokripour M, Omidifar N, Salami K, Moghadami M, Samizadeh B. Diagnostic accuracy of immunologic biomarkers for accurate diagnosis of bloodstream infection in patients with malignancy: procalcitonin in comparison with C-reactive protein. Can J Infect Dis Med Microbiol. 2020;2020:8362109.CrossRefPubMedPubMedCentral Shokripour M, Omidifar N, Salami K, Moghadami M, Samizadeh B. Diagnostic accuracy of immunologic biomarkers for accurate diagnosis of bloodstream infection in patients with malignancy: procalcitonin in comparison with C-reactive protein. Can J Infect Dis Med Microbiol. 2020;2020:8362109.CrossRefPubMedPubMedCentral
8.
go back to reference Sachse C, Dressler F, Henkel E. Increased serum procalcitonin in newborn infants without infection. Clin Chem. 1998;44:1343–4.CrossRefPubMed Sachse C, Dressler F, Henkel E. Increased serum procalcitonin in newborn infants without infection. Clin Chem. 1998;44:1343–4.CrossRefPubMed
9.
go back to reference Arizcun Aguilera B, Ruiz González S, Ortiz Movilla R, Malalana Martínez A, Muñoz Labián MC, Cilleruelo Pascual M. High procalcitonin levels in a newborn with erythroderma. Pediatr Infect Dis J. 2016;35(5):593–4.CrossRefPubMed Arizcun Aguilera B, Ruiz González S, Ortiz Movilla R, Malalana Martínez A, Muñoz Labián MC, Cilleruelo Pascual M. High procalcitonin levels in a newborn with erythroderma. Pediatr Infect Dis J. 2016;35(5):593–4.CrossRefPubMed
10.
go back to reference Morgenthaler N, Struck J, Fischer-Schulz C, Seidel-Mueller E, Beier W, Bergmann A. Detection of procalcitonin (PCT) in healthy controls and patients with local infection by a sensitive ILMA. Clin Lab. 2002;48:263–70.PubMed Morgenthaler N, Struck J, Fischer-Schulz C, Seidel-Mueller E, Beier W, Bergmann A. Detection of procalcitonin (PCT) in healthy controls and patients with local infection by a sensitive ILMA. Clin Lab. 2002;48:263–70.PubMed
11.
go back to reference Canturk N, Canturk Z, Okay E, Yirmibesoglu O, Eraldemir B. Risk of nosocomial infections and effects of total cholesterol, HDL cholesterol in surgical patients. Clin Nutr. 2002;21(5):431–6.CrossRefPubMed Canturk N, Canturk Z, Okay E, Yirmibesoglu O, Eraldemir B. Risk of nosocomial infections and effects of total cholesterol, HDL cholesterol in surgical patients. Clin Nutr. 2002;21(5):431–6.CrossRefPubMed
12.
go back to reference Aburawi E, Grubb A, Raitakari O, Viikari J, Pesonen E. Lowered levels of serum albumin and HDL-cholesterol in children with a recent mild infection. Ann Med. 2006;38(2):154–60.CrossRefPubMed Aburawi E, Grubb A, Raitakari O, Viikari J, Pesonen E. Lowered levels of serum albumin and HDL-cholesterol in children with a recent mild infection. Ann Med. 2006;38(2):154–60.CrossRefPubMed
13.
go back to reference Speer T, Zewinger S. High-density lipoprotein (HDL) and infections: a versatile culprit. Eur Heart J. 2018;39(14):1191–3.CrossRefPubMed Speer T, Zewinger S. High-density lipoprotein (HDL) and infections: a versatile culprit. Eur Heart J. 2018;39(14):1191–3.CrossRefPubMed
14.
go back to reference Cirstea M, Walley K, Russell J, Brunham L, Genga K, Boyd J. Decreased high-density lipoprotein cholesterol level is an early prognostic marker for organ dysfunction and death in patients with suspected sepsis. J Crit Care. 2017;38:289–94.CrossRefPubMed Cirstea M, Walley K, Russell J, Brunham L, Genga K, Boyd J. Decreased high-density lipoprotein cholesterol level is an early prognostic marker for organ dysfunction and death in patients with suspected sepsis. J Crit Care. 2017;38:289–94.CrossRefPubMed
15.
go back to reference Ulevitch R, Johnston A, Weinstein D. New function for high density lipoproteins. Their participation in intravascular reactions of bacterial lipopolysaccharides. J Clin Investig. 1979;64(5):1516–24.CrossRefPubMedPubMedCentral Ulevitch R, Johnston A, Weinstein D. New function for high density lipoproteins. Their participation in intravascular reactions of bacterial lipopolysaccharides. J Clin Investig. 1979;64(5):1516–24.CrossRefPubMedPubMedCentral
16.
go back to reference Wurfel M, Kunitake S, Lichenstein H, Kane J, Wright S. Lipopolysaccharide (LPS)-binding protein is carried on lipoproteins and acts as a cofactor in the neutralization of LPS. J Exp Med. 1994;180(3):1025–35.CrossRefPubMed Wurfel M, Kunitake S, Lichenstein H, Kane J, Wright S. Lipopolysaccharide (LPS)-binding protein is carried on lipoproteins and acts as a cofactor in the neutralization of LPS. J Exp Med. 1994;180(3):1025–35.CrossRefPubMed
17.
go back to reference van Zoelen MA, de Vos AF, Larosa GJ, Draing C, von Aulock S, van der Poll T. Intrapulmonary delivery of ethyl pyruvate attenuates lipopolysaccharide- and lipoteichoic acid-induced lung inflammation in vivo. Shock. 2007;28(5):570–5.CrossRefPubMed van Zoelen MA, de Vos AF, Larosa GJ, Draing C, von Aulock S, van der Poll T. Intrapulmonary delivery of ethyl pyruvate attenuates lipopolysaccharide- and lipoteichoic acid-induced lung inflammation in vivo. Shock. 2007;28(5):570–5.CrossRefPubMed
18.
go back to reference Hoogerwerf JJ, de Vos AF, Bresser P, van der Zee JS, Pater JM, de Boer A, Tanck M, Lundell DL, Her-Jenh C, Draing C, et al. Lung inflammation induced by lipoteichoic acid or lipopolysaccharide in humans. Am J Respir Crit Care Med. 2008;178(1):34–41.CrossRefPubMed Hoogerwerf JJ, de Vos AF, Bresser P, van der Zee JS, Pater JM, de Boer A, Tanck M, Lundell DL, Her-Jenh C, Draing C, et al. Lung inflammation induced by lipoteichoic acid or lipopolysaccharide in humans. Am J Respir Crit Care Med. 2008;178(1):34–41.CrossRefPubMed
19.
go back to reference Pizzini A, Kurz K, Orth-Hoeller D, Fille M, Rabensteiner J, Lunger F, Lunger L, Tschurtschenthaler C, Tancevski I, Krause R, et al. The impact of bacteremia on lipoprotein concentrations and patient’s outcome: a retrospective analysis. Eur J Clin Microbiol Infect Dis. 2019;38(7):1279–86.CrossRefPubMedPubMedCentral Pizzini A, Kurz K, Orth-Hoeller D, Fille M, Rabensteiner J, Lunger F, Lunger L, Tschurtschenthaler C, Tancevski I, Krause R, et al. The impact of bacteremia on lipoprotein concentrations and patient’s outcome: a retrospective analysis. Eur J Clin Microbiol Infect Dis. 2019;38(7):1279–86.CrossRefPubMedPubMedCentral
20.
go back to reference Yu Y, Li X, Jiang L, Du M, Liu Z, Cen Z, Wang H, Guo Z, Chang P. Procalcitonin levels in patients with positive blood culture, positive body fluid culture, sepsis, and severe sepsis: a cross-sectional study. Infect Dis. 2016;48(1):63–9.CrossRef Yu Y, Li X, Jiang L, Du M, Liu Z, Cen Z, Wang H, Guo Z, Chang P. Procalcitonin levels in patients with positive blood culture, positive body fluid culture, sepsis, and severe sepsis: a cross-sectional study. Infect Dis. 2016;48(1):63–9.CrossRef
21.
go back to reference Trinder M, Walley K, Boyd J, Brunham L. Causal inference for genetically determined levels of high-density lipoprotein cholesterol and risk of infectious disease. Arterioscler Thromb Vasc Biol. 2020;40(1):267–78.CrossRefPubMed Trinder M, Walley K, Boyd J, Brunham L. Causal inference for genetically determined levels of high-density lipoprotein cholesterol and risk of infectious disease. Arterioscler Thromb Vasc Biol. 2020;40(1):267–78.CrossRefPubMed
22.
go back to reference Gibot S, Cravoisy A, Kolopp-Sarda M, Béné M, Faure G, Bollaert P, Levy B. Time-course of sTREM (soluble triggering receptor expressed on myeloid cells)-1, procalcitonin, and C-reactive protein plasma concentrations during sepsis. Crit Care Med. 2005;33(4):792–6.CrossRefPubMed Gibot S, Cravoisy A, Kolopp-Sarda M, Béné M, Faure G, Bollaert P, Levy B. Time-course of sTREM (soluble triggering receptor expressed on myeloid cells)-1, procalcitonin, and C-reactive protein plasma concentrations during sepsis. Crit Care Med. 2005;33(4):792–6.CrossRefPubMed
23.
go back to reference Jenkins T, Haukoos J, Cotton E, Weitzenkamp D, Frank D, Burman W. Time course of C-reactive protein and procalcitonin levels during the treatment of acute bacterial skin infections. Open Forum Infect Dis. 2018;5(3):29.CrossRef Jenkins T, Haukoos J, Cotton E, Weitzenkamp D, Frank D, Burman W. Time course of C-reactive protein and procalcitonin levels during the treatment of acute bacterial skin infections. Open Forum Infect Dis. 2018;5(3):29.CrossRef
24.
go back to reference Shi Y, Rui X. Procalcitonin kinetics: a reliable tool for diagnosis and monitoring of the course of bacterial infection in critically ill patients with autoimmune diseases. Intensive Care Med. 2013;39(12):2233–4.CrossRefPubMed Shi Y, Rui X. Procalcitonin kinetics: a reliable tool for diagnosis and monitoring of the course of bacterial infection in critically ill patients with autoimmune diseases. Intensive Care Med. 2013;39(12):2233–4.CrossRefPubMed
25.
go back to reference Barlage S, Gnewuch C, Liebisch G, Wolf Z, Audebert F, Glück T, Fröhlich D, Krämer B, Rothe G, Schmitz G. Changes in HDL-associated apolipoproteins relate to mortality in human sepsis and correlate to monocyte and platelet activation. Intensive Care Med. 2009;35(11):1877–85.CrossRefPubMed Barlage S, Gnewuch C, Liebisch G, Wolf Z, Audebert F, Glück T, Fröhlich D, Krämer B, Rothe G, Schmitz G. Changes in HDL-associated apolipoproteins relate to mortality in human sepsis and correlate to monocyte and platelet activation. Intensive Care Med. 2009;35(11):1877–85.CrossRefPubMed
Metadata
Title
Change of serum lipoproteins and its potential use in stratifying patients with sepsis among neonates
Authors
Junfei Guo
Weiming Lai
Yongbing Wu
Huan Li
Zhenhua Fu
Xiaoping Mu
Publication date
01-12-2023
Publisher
BioMed Central
Published in
European Journal of Medical Research / Issue 1/2023
Electronic ISSN: 2047-783X
DOI
https://doi.org/10.1186/s40001-023-01077-8

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