Changes in the serum proteome of patients with sepsis and septic shock

Anesth Analg. 2006 Dec;103(6):1522-6. doi: 10.1213/01.ane.0000242533.59457.70.

Abstract

Background: Sepsis is still the leading cause of death in the intensive care unit. Our goal was to elucidate potential early differences in serum between survivors (SURV) and non-survivors (NON-SURV) on day 28.

Methods: We applied proteomic technology to serum samples of patients with sepsis and septic shock. Serum samples from 18 patients with sepsis and septic shock were obtained during the first 12 h after diagnosis of septic shock. Patients were grouped into SURV and NON-SURV on day 28.

Results: Seven patients survived and 11 patients died. Using proteome analysis, two-dimensional gel electrophoresis detected more than 200 spots per gel. A differential protein expression was discovered between SURV and NON-SURV, whereby protein alterations not yet described in sepsis were revealed.

Conclusions: Our results show that proteomic profiling is a useful approach for detecting protein expression dynamics in septic patients, and may bring us closer to achieving a comprehensive molecular profiling compared with genetic studies alone.

MeSH terms

  • Adult
  • Aged
  • Blood Proteins / analysis*
  • Clusterin / blood
  • Electrophoresis, Gel, Two-Dimensional
  • Female
  • Haptoglobins / analysis
  • Humans
  • Male
  • Middle Aged
  • Proteomics*
  • Sepsis / blood*
  • Shock, Septic / blood*

Substances

  • Blood Proteins
  • Clusterin
  • Haptoglobins