2020
DOI: 10.1177/0300060520943070
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Diagnostic value of miR-155 for acute lung injury/acute respiratory distress syndrome in patients with sepsis

Abstract: Objective We aimed to investigate the diagnostic value of microRNA-155 (miR-155) for acute lung injury (ALI)/acute respiratory distress syndrome (ARDS) in patients with sepsis. Methods In this prospective study, we used Spearman correlation analysis to investigate relationships between miR-155 expression and inflammatory factors, oxygenation ratio (PaO2/FiO2), and ALI/ARDS score, and used area under the receiver operating characteristic curve (AU-ROC) to evaluate miR-155's diagnostic accuracy for ALI/ARDS in p… Show more

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Cited by 13 publications
(7 citation statements)
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“…The current baseline clinical information demonstrated that patients with ARDS had a longer duration of bypass than those without ARDS, revealing its potential association with the occurrence of ARDS. Existing studies indicate that using biomarkers can improve the early diagnosis and treatment of ARDS [ 27 ]. It can delay or even prevent the progression of high-risk patients to ARDS, which is the key to reducing the incidence and mortality of ARDS, and improving its diagnosis and treatment level [ 28 ].…”
Section: Discussionmentioning
confidence: 99%
“…The current baseline clinical information demonstrated that patients with ARDS had a longer duration of bypass than those without ARDS, revealing its potential association with the occurrence of ARDS. Existing studies indicate that using biomarkers can improve the early diagnosis and treatment of ARDS [ 27 ]. It can delay or even prevent the progression of high-risk patients to ARDS, which is the key to reducing the incidence and mortality of ARDS, and improving its diagnosis and treatment level [ 28 ].…”
Section: Discussionmentioning
confidence: 99%
“…For example, the role of miR-146a and miR-155 in ARDS has been studied more clearly. In ARDS, the expression of miR-146a and miR-155 was increased, and they acted on IRAK-1/TRAF-6 and Socs1, respectively, and inhibited their expression to promote the ARDS inflammatory response [ 18 , 19 ]. A large number of similar studies have investigated the role of different microRNAs in ARDS, providing new ideas for the mechanism research, diagnosis, and treatment of ARDS.…”
Section: Discussionmentioning
confidence: 99%
“…In a cohort of 156 sepsis patients of whom 41 with ALI and 32 with ARDS, miR-155 levels are higher in patients with ALI or ARDS, positively correlate with IL-1b and TNF, and negatively correlate with PaO2/FiO 2 ratio. miR-155 AUC for diagnosing sepsis with ALI/ARDS is 0.87 (253). A study comparing 218 critically ill patients (135 with sepsis) with 76 healthy controls shows that, in critically ill patients ≤ 65 years, high miR-155 levels are associated with increased survival.…”
Section: Biomarker Valuementioning
confidence: 99%