Low serum Kallistatin level was associated with poor neurological outcome of out-of-hospital cardiac arrest survivors : Proteomics study

Copyright © 2018 Elsevier B.V. All rights reserved..

AIM OF THE STUDY: To identify proteins of which depletion are associated with the poor 6-month neurological outcome of out-of-hospital cardiac arrest survivors.

METHODS: Seven healthy volunteers and 34 out-of-hospital cardiac arrest survivors admitted to the intensive care unit (ICU) and underwent targeted-temperature management were enrolled. According to the 6-month cerebral performance category (CPC) scale, patients were divided into the good (CPC 1-2) and poor (CPC 3-5) outcome groups. Blood samples were obtained at 0, 24, and 72 h after admission to the ICU.

RESULTS: With proteomic approaches, we found 23 proteins that showed group-differences between the sera pooled from 7 study groups: healthy volunteers, the good outcome groups (0, 24, and 72 h), and the poor outcome groups (0, 24, and 72 h). We selected 7 candidate proteins of which intensities were different between the good and poor outcome groups (>2-fold change) and excluded 5 proteins related to haemolysis or remaining high abundant proteins. To confirm the 2 identified proteins: retinal dehydrogenase 1 and Kallistatin, we performed enzyme-linked immunosorbent assay with individual serum. Finally, old age (odds ratio = 1.055; 95% confidence interval, 1.002-1.112; p = 0.043) and low serum kallistatin level at 0 h (odds ratio = 0.784; 95% confidence interval, 0.618-0.995; p = 0.046) were independently associated with the poor 6-month neurological outcome.

CONCLUSION: The depletion of serum kallistatin at admission to the ICU was associated with the poor neurological outcome of out-of-hospital cardiac arrest survivors.

Medienart:

E-Artikel

Erscheinungsjahr:

2018

Erschienen:

2018

Enthalten in:

Zur Gesamtaufnahme - volume:128

Enthalten in:

Resuscitation - 128(2018) vom: 15. Juli, Seite 6-10

Sprache:

Englisch

Beteiligte Personen:

Jung, Yoon Sun [VerfasserIn]
Kwon, Woon Yong [VerfasserIn]
Suh, Gil Joon [VerfasserIn]
Moon, Sungyoon [VerfasserIn]
Han, Mi-Hee [VerfasserIn]
Youn, Je-In [VerfasserIn]
Seo, Sang-Uk [VerfasserIn]
Kim, Kyung Su [VerfasserIn]
Seong, Seung-Yong [VerfasserIn]

Links:

Volltext

Themen:

Biomarkers
EC 1.2.1.36
Heart arrest
Hypothermia
Induced
Journal Article
Kallistatin
Proteomics
Research Support, Non-U.S. Gov't
Retinal Dehydrogenase
Serpins

Anmerkungen:

Date Completed 18.12.2018

Date Revised 18.12.2018

published: Print-Electronic

Citation Status MEDLINE

doi:

10.1016/j.resuscitation.2018.04.025

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM283463740