Copeptin, a stable peptide derived from the vasopressin precursor, is elevated in serum of sepsis patients.

Abstract:

:Vasopressin is one of the key regulators of the body's water and solute balance. When this balance is pathologically disturbed, determination of serum vasopressin concentrations might be a helpful tool for guiding therapy. However, due to its instability and considerable association to platelets, reliable measurement of circulating vasopressin is difficult to achieve, if at all. In search of a more robust way for quantifying vasopressin release, we identified copeptin, a glycopeptide with unknown function, as an alternative diagnostic target. Since copeptin is derived from the same precursor peptide as vasopressin, released amounts of copeptin should mirror those of vasopressin. With a newly developed sensitive sandwich immunoassay, we detected strongly elevated concentrations of fully processed copeptin in serum of septic shock patients. The magnitude of elevation and the high stability of copeptin in serum and plasma indicate that copeptin measurement is not affected by the problems, which are associated with the direct measurement of vasopressin, and thus is apparently suitable to indirectly determine the release of vasopressin.

journal_name

Peptides

journal_title

Peptides

authors

Struck J,Morgenthaler NG,Bergmann A

doi

10.1016/j.peptides.2005.04.019

subject

Has Abstract

pub_date

2005-12-01 00:00:00

pages

2500-4

issue

12

eissn

0196-9781

issn

1873-5169

pii

S0196-9781(05)00192-0

journal_volume

26

pub_type

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