2020
DOI: 10.21203/rs.2.22810/v1
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Proadrenomedullin as a prognostic biomarker for critically-ill septic children

Abstract: Background: The use of new biomarkers is a promising tool to assess risk of mortality among septic children. The aim of the study was to confirm prognostic and diagnostic value of pro-ADM as a marker in critically ill septic children. Methods: This study was conducted on 40 patients who were admitted at pediatric intensive care unit (PICU), diagnosed as sepsis in addition to 40 patients enrolled as control group. Serum pro-ADM level was measured for both cases and controls. Results: The level of pro-ADM was si… Show more

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Cited by 2 publications
(3 citation statements)
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References 14 publications
(17 reference statements)
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“…In addition, ADM levels increase in hepatic and renal failure (Abd Elmouttaleb et al, 2016). Lipopolysaccharides that cause sepsis (Garayoa et al, 2000), proinflammatory cytokines (Ghobrial et al, 2020), hypoxia in sepsis, oxidative stress, and inflammation increase ADM synthesis (Simon et al, 2016;Jordan et al, 2014;Fahmey et al, 2018;Garazzino et al, 2019). Also, ADM has antimicrobial (Garazzino et al, 2019) and anti-inflammatory properties (Akpınar et al, 2014).…”
Section: Discussionmentioning
confidence: 99%
“…In addition, ADM levels increase in hepatic and renal failure (Abd Elmouttaleb et al, 2016). Lipopolysaccharides that cause sepsis (Garayoa et al, 2000), proinflammatory cytokines (Ghobrial et al, 2020), hypoxia in sepsis, oxidative stress, and inflammation increase ADM synthesis (Simon et al, 2016;Jordan et al, 2014;Fahmey et al, 2018;Garazzino et al, 2019). Also, ADM has antimicrobial (Garazzino et al, 2019) and anti-inflammatory properties (Akpınar et al, 2014).…”
Section: Discussionmentioning
confidence: 99%
“…Cases characterized by reduced glomerular filtration and renal failure have also been reported to be associated with increased ADM levels (Jordan et al 2014). Furthermore, the glucocorticoid hormone, lipopolysaccharides found in the cell wall of Gram-negative bacteria (Garayoa et al 2000), cytokines (Ghobrial et al 2020), anoxia, and inflammation-induced oxidative stress also cause increased ADM levels (Fahmey et al 2018, Garazzino et al 2019. ADM is known to have antibacterial and anti-inflammatory effects (Akpınar et al 2014).…”
Section: Discussionmentioning
confidence: 99%
“…ADM is localized to the surface of the epithelium lining the respiratory tract (Valenzulea-Sanchez et al 2016). In cases of hypoxia, oxidative stress and inflammation, which are induced by lipopolysaccharides (Garayoa et al 2000) and cytokines such as TNF-α and IL-1 (Ghobrial et al 2020), ADM synthesis has been determined to increase (Fahmey et al 2018). It is not possible to measure blood adrenomedullin levels as this peptide hormone rapidly binds to its carrier receptors, has a short half-life and is rapidly metabolized (Geven et al 2018).…”
Section: Introductionmentioning
confidence: 99%