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Schmidtner, Niklas ; Utrata, Alexander ; Mester, Patricia ; Schmid, Stephan ; Müller, Martina ; Pavel, Vlad ; Buechler, Christa

Reduced Plasma Bone Morphogenetic Protein 6 Levels in Sepsis and Septic Shock Patients

Schmidtner, Niklas, Utrata, Alexander, Mester, Patricia, Schmid, Stephan , Müller, Martina, Pavel, Vlad und Buechler, Christa (2024) Reduced Plasma Bone Morphogenetic Protein 6 Levels in Sepsis and Septic Shock Patients. Biomedicines 12 (8), S. 1682.

Veröffentlichungsdatum dieses Volltextes: 12 Sep 2024 12:16
Artikel
DOI zum Zitieren dieses Dokuments: 10.5283/epub.59170


Zusammenfassung

Infectious diseases are associated with low iron levels and the induction of hepcidin, the primary protein regulating cellular iron export. Bone morphogenetic protein 6 (BMP6), a key regulator of hepcidin expression, has not yet been analyzed in the plasma of patients with systemic inflammatory response syndrome (SIRS) or sepsis. An analysis of 38 SIRS, 39 sepsis, and 78 septic shock patients ...

Infectious diseases are associated with low iron levels and the induction of hepcidin, the primary protein regulating cellular iron export. Bone morphogenetic protein 6 (BMP6), a key regulator of hepcidin expression, has not yet been analyzed in the plasma of patients with systemic inflammatory response syndrome (SIRS) or sepsis. An analysis of 38 SIRS, 39 sepsis, and 78 septic shock patients revealed similar levels of BMP6 in sepsis and septic shock, which were lower compared to patients with SIRS and healthy controls. Plasma BMP6 levels did not correlate with procalcitonin and C-reactive protein levels in patients with SIRS or sepsis/septic shock. Neither bacterial nor SARS-CoV-2 infections affected plasma BMP6 levels. There was no difference in BMP6 levels between ventilated and non-ventilated patients, or between patients with and without dialysis. Vasopressor therapy did not alter BMP6 levels. Survivors had plasma BMP6 levels similar to non-survivors. Due to the high variability of plasma BMP6 levels, these analyses have limited clinical relevance. Iron, ferritin, and transferrin levels were known in at least 50% of patients but did not correlate with plasma BMP6 levels. In conclusion, this study showed normal BMP6 plasma levels in SIRS, which are reduced in patients with sepsis and septic shock. This suggests that the commonly observed increase in hepcidin levels and the decline in iron levels in SIRS, sepsis, and septic shock are not due to higher BMP6.



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Details

DokumentenartArtikel
Titel eines Journals oder einer ZeitschriftBiomedicines
Verlag:MDPI
Band:12
Nummer des Zeitschriftenheftes oder des Kapitels:8
Seitenbereich:S. 1682
Datum28 Juli 2024
InstitutionenMedizin > Lehrstuhl für Innere Medizin I
Identifikationsnummer
WertTyp
10.3390/biomedicines12081682DOI
Stichwörter / Keywordsseptic shock; SIRS; COVID-19; C-reactive protein; survival; BMP6
Dewey-Dezimal-Klassifikation600 Technik, Medizin, angewandte Wissenschaften > 610 Medizin
StatusVeröffentlicht
BegutachtetJa, diese Version wurde begutachtet
An der Universität Regensburg entstandenJa
URN der UB Regensburgurn:nbn:de:bvb:355-epub-591706
Dokumenten-ID59170

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