Highlights
- •Presepsin (P-SEP) was first discovered in 2002; however, there have been no reports on serum P-SEP level in mice.
- •This study used a P-SEP enzyme-linked immunosorbent assay kit to evaluate the changes in serum P-SEP level in mouse sepsis models compared with other inflammatory markers.
- •Serum P-SEP levels increased earlier than other inflammatory markers in the mouse cecal ligation and puncture model. In contrast, serum P-SEP levels were not elevated in the CL and LPS-induced sepsis models.
- •Mouse P-SEP is elevated early in infection and more specific to bacterial infection compared with other biomarkers.
Abstract
Introduction
Since its discovery in 2002, presepsin (P-SEP) has been reported to be useful in the
early diagnosis of sepsis and has been evaluated in many clinical studies. However,
as antibodies that bind to mouse P-SEP were previously unavailable, serum P-SEP levels
in mice are limited. This study used a P-SEP enzyme-linked immunosorbent assay kit
to evaluate the changes in serum P-SEP levels in mouse sepsis models compared with
changes in other inflammatory markers and determine whether P-SEP can function as
a biomarker specific to bacterial infections.
Methods
Sepsis was induced in mice via cecal ligation and puncture (CLP), induction with lipopolysaccharide
(LPS), and cecal ligation (CL) model was created as a control for the CLP model, following
which clinical biomarkers (P-SEP, C-reactive protein, and procalcitonin) were evaluated.
Results
The 48-h survival rates in the CLP, CL, and LPS-induced sepsis models were 67%, 89%,
and 57%, respectively. Serum C-reactive protein levels did not increase in the CLP
and CL models within 24 h but significantly increased in the LPS-induced sepsis model.
Serum procalcitonin levels increased in the CLP and CL models and especially increased
in the LPS-induced sepsis model. In contrast, an increase in serum P-SEP level was
found in the CLP model at 6 h compared with those at baseline, the CL, and LPS-induced
sepsis models.
Conclusions
Mouse P-SEP is elevated early in infection and more specific to bacterial infection
compared with other biomarkers.
Keywords
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References
- Cellular processes in sepsis.Swiss Med Wkly. 2008; 138: 629-634
- Surviving sepsis Campaign guidelines committee including the pediatric subgroup: surviving sepsis Campaign: international guidelines for management of severe sepsis and septic shock.Intensive Care Med. 2012; 39: 165-228
- Procalcitonin as a marker for the detection of bacteremia and sepsis in the emergency department.Am J Clin Pathol. 2011; 135: 182-189
- Duration of hypotension before initiation of effective antimicrobial therapy is the critical determinant of survival in human septic shock.Crit Care Med. 2006; 34: 1589-1596
- Surviving sepsis Campaign: international guidelines for management of sepsis and septic shock: 2016.Intensive Care Med. 2017; 43: 304-377
- The surviving sepsis campaign bundle: 2018 update.Intensive Care Med. 2018; 44: 925-928
- Procalcitonin, lipopolysaccharide-binding protein, interleukin-6 and C-reactive protein in community-acquired infections and sepsis: a prospective study.Crit Care. 2006; 10: R53
- Procalcitonin as a diagnostic Marker and IL-6 as a prognostic marker for sepsis.Diagn Microbiol Infect Dis. 2013; 75: 342-347
- Correlation of procalcitonin and C-reactive protein to inflammation, complications, and outcome during the intensive care unit course of multiple-trauma patients.Crit Care. 2006; 10: R1
- Serum procalcitonin as an index of inhalation injury in burns.Horm Metab Res. 1992; 24: 439-443
- Calcitonin precursors: early markers of gut barrier dysfunction in patients with acute pancreatitis.Pancreas. 2003; 27: 239-243
- Soluble CD14 subtype as a new diagnostic marker of sepsis.Shock. 2004; 21: 108
- CD14, a receptor for complexes of lipopolysaccharide (LPS) and LPS binding protein.Science. 1990; 249: 1431-1433
- Fast detection of sepsis by new biomaker, soluble CD14 subtype.Crit Care Med. 2006; 34: A103
- Pilot study of changes in presepsin concentrations compared with changes in procalcitonin and C-reactive protein concentrations after cardiovascular surgery.J Cardiothorac Vasc Anesth. 2017; 31: 1262-1267
- Diagnostic value of levels of presepsin (soluble CD14-subtype) in febrile neutropenia in patients with hematological disorders.J Infect Chemother. 2016; 22: 466-471
- Usefulness of presepsin in the diagnosis of sepsis in a multicenter prospective study.J Infect Chemother. 2012; 18: 891-897
- Immunodesign of experimental sepsis by cecal ligation and puncture.Nat Protoc. 2009; 4: 31-36
- Effect of sepsis on tissue adenine nucleotide levels.Surgery. 1979; 85: 205-211
- Evaluation of cecal ligation as a model of mucoid enteropathy in specific-pathogen-free rabbits.Lab Anim Sci. 1996; 46: 174-178
- Fibrin deposition in tissues from endotoxin-treated mice correlates with decreases in the expression of urokinase-type but not tissue-type plasminogen activator.J Clin Invest. 1996; 97: 2440-2451
- Exploring LPS-induced sepsis in rats and mice as a model to study potential protective effects of the nociceptin/orphanin FQ system.Peptides. 2014; 61: 56-60
- Lipopolysaccharide-induced inflammatory liver injury in mice.Lab Anim. 2015; 49: 37-46
- High serum procalcitonin concentration and dynamics of its changes as a prognostic factor of mortality.Anaesthesiol Intensive Ther. 2018; 50: 88-89
- High serum procalcitonin concentrations in patients with sepsis and infection.Lancet. 1993; 341: 515-518
- Assessment of clinical sepsis-associated biomarkers in a septic mouse model.J Int Med Res. 2018; 46: 2410-2422
- Combination of glutamine and ulinastatin treatments greatly improves sepsis outcomes.J Inflamm Res. 2020; 13: 109-115
- Fever of unknown origin: discrimination between infectious and non-infectious causes.Eur J Intern Med. 2010; 21: 137-143
- Experimental animal model of sepsis and septic shock.JJAAM. 1994; 5: 1-14
- Predictive value of procalcitonin and interleukin 6 in critically ill patients with suspected sepsis.Intensive Care Med. 2002; 28: 1220-1225
- Time to treatment and mortality during mandated emergency care for sepsis.N Engl J. 2017; 23: 2235-2244
- Comparison of accuracy of presepsin and procalcitonin concentrations in diagnosing sepsis in patients with and without acute kidney injury.Clin Chim Acta. 2019; 490: 200-206
- The perioperative presepsin as an accurate diagnostic marker of postoperative infectious complications after esophagectomy: a prospective cohort study.Esophagus. 2020; 17: 399-407
- Diagnostic utility of Presepsin in infections after liver transplantation: a preliminary study.Ann Transpl. 2021; 26: e933774-e933774-12
- Gender differences in the inflammatory response and survival following hemorrhage and subsequent sepsis.Cytokine. 2001; 14: 162-169
- Mice deficient in IL-1 beta-converting enzyme are defective in production of mature IL-1 beta and resistant to endotoxic shock.Cell. 1995; 80: 401-411
- The Japanese clinical practice guidelines for management of sepsis and septic shock (J-SSCG) 2016.J Intensive Care. 2018; 5: 3-89
- Puerarin increases survival and protects against organ injury by suppressing NF-κB/JNK signaling in experimental sepsis.Front Pharmacol. 2020; 11560
- Combination of glutamine and ulinastin treatments greatly improves sepsis outcomes.J Inflamm Res. 2020; 13: 105-109
Article info
Publication history
Published online: November 25, 2022
Accepted:
October 15,
2022
Received in revised form:
September 3,
2022
Received:
February 21,
2022
Identification
Copyright
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