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Association of Proinflammatory Molecules with Apoptotic Markers and Survival in Critically Ill Multiple Organ Dysfunction Patients
Bibliografi
Author:
Ackerman, Michael H.
(Co-Author);
Moynihan, Jan A.
(Co-Author);
Mantzoros, Christos S.
(Co-Author);
Elizabeth D. E.
;
Dafni, Ourania
(Co-Author)
Topik:
MODS
;
tumor necrosis factor-α
;
interleukin-6
;
cortisol
;
nitric oxide
;
cytokines
;
Fas
;
apoptosis
Bahasa:
(EN )
Penerbit:
SAGE Publications
Tempat Terbit:
London
Tahun Terbit:
2003
Jenis:
Article - untuk jurnal ilmiah
Fulltext:
129BRN52.pdf
(87.0KB;
0 download
)
Abstract
Recent evidence supports the involvement of apoptosis in multiple organ dysfunction (MODS). The authors examined the hypothesis that nitric oxide (NO), interleukin (IL)-6, tumor necrosis factor (TNF)-α, and cortisol correlate with Fas and Fas ligand (FasL) expression on peripheral blood mononuclear cells and that Fas and FasL, therefore, mediate their association with MODS severity. Thirty-five critically ill adult MODS patients were followed for up to 14 days and were compared to non-MODS matched controls. Fas, FasL, nitrate, cortisol, and IL-6 were elevated in MODS patients (P < 0.05). Nitrate and cortisol correlated with Fas expression (P < 0.05). All factors studied, except for TNF-α, correlated with MODS severity (P<0.05); however, by multivariate analyses, Fas and FasL were independently associated with severity and
survival (P < 0.05). The inflammatory molecules studied may mediate the association of apoptotic constituents with MODS severity and survival only in part.
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