CRP/CD11b ratio: a novel parameter for detecting gram-positive sepsis.

Abstract:

:To commence proper antibiotic treatment in sepsis, timely knowledge of whether the cause of systemic infection is gram-negative (gram(-)) or gram-positive (gram(+)) bacteria in origin would be beneficial for clinicians. In this clinical prospective study, our objective was to develop a method for distinguishing between gram(+) and gram(-) bacterial infection. In gram(-) bacterial infection (n = 21), the average amount of CD11b on neutrophils was significantly higher than in gram(+) bacterial infection (n = 22). On the contrary, serum C-reactive protein (CRP) level was significantly higher in gram(+) than in gram(-) bacterial infection. By dividing the serum CRP value by the amount of CD11b on neutrophils, we derived a novel marker of gram(+) sepsis, CRP/CD11b ratio, which displayed 76% sensitivity and 80% specificity for the detection of gram(+) sepsis (n = 17) among febrile patients with microbiologically confirmed or clinically diagnosed bacterial infection. The detection of gram(+) sepsis is possible after the combination of neutrophil CD11b data and serum CRP level. In conclusion, our findings indicate that the proposed CRP/CD11b ratio test could potentially assist physicians in determining an appropriate antibiotic treatment in patients with severe bacterial infection.

journal_name

Hum Immunol

journal_title

Human immunology

authors

Nuutila J,Jalava-Karvinen P,Hohenthal U,Laitinen I,Kotilainen P,Rajamäki A,Nikoskelainen J,Lilius EM

doi

10.1016/j.humimm.2009.01.009

subject

Has Abstract

pub_date

2009-04-01 00:00:00

pages

237-43

issue

4

eissn

0198-8859

issn

1879-1166

pii

S0198-8859(09)00013-5

journal_volume

70

pub_type

杂志文章
  • Restricted usage of T-cell receptor V alpha sequence and variable-joining pairs after normal T-cell development and bone marrow transplantation.

    abstract::TCR V alpha 3 and V alpha 5 transcripts in PBLs from healthy individuals of multiple age groups and from BMT recipients were analyzed. PCR, cloning, and sequencing studies revealed significant V-J junctional diversity among TCR transcripts from all tested blood samples, as provided both by N/P-region addition and exon...

    journal_title:Human immunology

    pub_type: 杂志文章

    doi:10.1016/0198-8859(93)90183-2

    authors: Dave VP,Larché M,Rencher SD,Koop BF,Hurwitz JL

    更新日期:1993-07-01 00:00:00

  • TCRBV CDR3 diversity of CD4+ and CD8+ T-lymphocytes in HIV-infected individuals.

    abstract::TCRBV CDR3 repertoire diversity was analyzed in a cross-sectional study of HIV-infected individuals by CDR3 fingerprinting/spectratyping and single strand conformation polymorphism (SSCP). Most TCRBV families were detected in CD4+ cells of HIV-infected patients with CD4 counts ranging from 35 to 1103. In patients with...

    journal_title:Human immunology

    pub_type: 杂志文章

    doi:10.1016/s0198-8859(01)00361-5

    authors: Raaphorst FM,Schelonka RL,Rusnak J,Infante AJ,Teale JM

    更新日期:2002-01-01 00:00:00

  • T-cell responses against products of oncogenes: generation and characterization of human T-cell clones specific for p21 ras-derived synthetic peptides.

    abstract::Peptides derived from mutated human proto-oncogenes bound to HLA may represent a novel type of tumor-specific antigen. Mutated ras genes are the oncogenes most frequently identified in human cancer. The transforming genes carry a mutation in codons 12, 13, or 61. We have investigated whether the T-cell repertoire of h...

    journal_title:Human immunology

    pub_type: 杂志文章

    doi:10.1016/0198-8859(92)90334-j

    authors: Gedde-Dahl T 3rd,Eriksen JA,Thorsby E,Gaudernack G

    更新日期:1992-04-01 00:00:00

  • Diagnosis of tuberculosis infection in patients awaiting liver transplantation.

    abstract::This study examined the performance of a tuberculosis (TB)-specific enzyme-linked immunospot assay in 48 patients awaiting liver transplantation. They were tested with T-SPOT.TB, tuberculin skin test (TST), and lymphocyte transformation test (LTT) using tuberculin as a stimulus. A questionnaire was used to gain inform...

    journal_title:Human immunology

    pub_type: 杂志文章

    doi:10.1016/j.humimm.2008.10.005

    authors: Lindemann M,Dioury Y,Beckebaum S,Cicinnati VR,Gerken G,Broelsch CE,Wrighton-Smith P,Grosse-Wilde H

    更新日期:2009-01-01 00:00:00

  • Association study of LMP gene polymorphisms in Mexican patients with spondyloarthritis.

    abstract::To evaluate the role of LMP (low molecular weight protein) genes as susceptibility markers for spondyloarthritis (SpA), LMP gene polymorphisms were analyzed in 223 Mexican patients with SpA (81 undifferentiated SpA [U-SpA], 117 with ankylosing spondylitis [AS], 25 with reactive arthritis) and in 139 ethnically matched...

    journal_title:Human immunology

    pub_type: 杂志文章

    doi:10.1016/j.humimm.2004.09.007

    authors: Vargas-Alarcón G,Gamboa R,Zuñiga J,Fragoso JM,Hernández-Pacheco G,Londoño J,Pacheco-Tena C,Cardiel MH,Granados J,Burgos-Vargas R

    更新日期:2004-12-01 00:00:00

  • TCR expression and clonality analysis in peripheral blood and lymph nodes of HIV-infected patients.

    abstract::We compared the T cell receptor (TCR) V beta gene family repertoire in peripheral blood mononuclear cells (PBMC) and lymph node (LN) cells from 7 human immunodeficiency virus (HIV)-infected patients and 3 seronegative healthy controls. Virtually all the V beta family specificities were represented in patient PBMC and ...

    journal_title:Human immunology

    pub_type: 杂志文章

    doi:10.1016/s0198-8859(97)00205-x

    authors: Mion M,Indraccolo S,Feroli F,Minuzzo S,Masiero S,Zamarchi R,Barelli A,Borri A,Chieco-Bianchi L,Amadori A

    更新日期:1997-10-01 00:00:00

  • Concomitant augmentation of type 1 CD4+ and CD8+ T-cell responses during successful interferon-alpha and ribavirin treatment for chronic hepatitis C virus infection.

    abstract::The combined interferon-alpha (IFN-alpha) and ribavirin (IFN-alpha/ribavirin) therapy for chronic hepatitis C virus (HCV) infection results in sustained viral eradication in 31%-64% of the patients. Previous studies have strongly suggested that HCV-specific T-cell responses maybe modulated during this therapy. The obj...

    journal_title:Human immunology

    pub_type: 杂志文章

    doi:10.1016/s0198-8859(03)00041-7

    authors: Sreenarasimhaiah J,Jaramillo A,Crippin J,Lisker-Melman M,Chapman WC,Mohanakumar T

    更新日期:2003-05-01 00:00:00

  • Decreased risk for myocardial infarction and lower tumor necrosis factor-alpha levels in carriers of variants of the PDCD1 gene.

    abstract::Increasing interest has been directed toward the inflammatory mechanisms involved in the pathogenesis of myocardial infarction (MI). In the search for genetic mechanisms underlying these inflammatory components, we studied variants of programmed cell death-1 (PDCD1), an immunoinhibitory receptor that inhibits lymphocy...

    journal_title:Human immunology

    pub_type: 杂志文章

    doi:10.1016/j.humimm.2006.05.005

    authors: Bennet AM,Alarcón-Riquelme M,Wiman B,de Faire U,Prokunina-Olsson L

    更新日期:2006-09-01 00:00:00

  • Allele and haplotype frequencies for HLA class II (DQA1 and DQB1) loci in patients with celiac disease from Spain.

    abstract::Celiac disease (CD) is a complex and multifactorial disease, defined as a malabsorptive disorder of the small intestine resulting from ingestion of gluten. Genetic susceptibility to CD has been associated with human leukocyte antigen (HLA)-DQ2 heterodimer, encoded by the DQA1*0501 and DQB1*02 genes. However, HLA risk ...

    journal_title:Human immunology

    pub_type: 杂志文章

    doi:10.1016/j.humimm.2003.12.014

    authors: Vidales MC,Zubillaga P,Zubillaga I,Alfonso-Sánchez MA

    更新日期:2004-04-01 00:00:00

  • Antigen, allele, and haplotype frequencies report of the ASHI minority antigens workshops: part 1, African-Americans.

    abstract::HLA typing was performed on 977 African Americans residing throughout most of the United States. Class I and class II antigens and class II alleles were defined for all individuals and class I alleles were determined for a subset of individuals. The occurrence of 854 of the individuals in family groups permitted direc...

    journal_title:Human immunology

    pub_type: 多中心研究

    doi:10.1016/s0198-8859(01)00305-6

    authors: Zachary AA,Bias WB,Johnson A,Rose SM,Leffell MS

    更新日期:2001-10-01 00:00:00

  • Kinetics of the pregnancy-induced humoral and cellular immune response against the paternal HLA class I antigens of the child.

    abstract::Pregnancy can prime the maternal humoral immune response against paternal human leukocyte antigens (HLA) of the child. Previous studies have reported that formation of antibodies against inherited paternal HLA is associated with the presence of primed cytotoxic T lymphocytes (CTLs) specific for these antigens. Recentl...

    journal_title:Human immunology

    pub_type: 杂志文章

    doi:10.1016/s0198-8859(02)00396-8

    authors: van Kampen CA,Versteeg-vd Voort Maarschalk MF,Langerak-Langerak J,Roelen DL,Claas FH

    更新日期:2002-06-01 00:00:00

  • Microsatellite mapping of a susceptible locus within the HLA region for Behçet's disease using Jordanian patients.

    abstract::Behçet's disease (BD) has been established to be associated with HLA-B51. However, it has not been revealed whether the HLA-B51 gene itself or another gene located near the HLA-B gene is directly involved in the pathogenesis of BD. Previously, using Japanese BD patients, our group has narrowed down a BD-causative gene...

    journal_title:Human immunology

    pub_type: 杂志文章

    doi:10.1016/s0198-8859(00)00246-9

    authors: Mizuki N,Yabuki K,Ota M,Verity D,Katsuyama Y,Ando H,Onari K,Goto K,Imagawa Y,Mandanat W,Fayyad F,Stanford M,Ohno S,Inoko H

    更新日期:2001-02-01 00:00:00

  • Detection of non-HLA-DR determinants by alloreactive lymphocyte clones.

    abstract::Using the soft-agar colony assay, we have generated three MT3-associated clones: HJ1, HJ13, and HJ39, from an MLR combination of two unrelated individuals. Another clone, HJ37, appeared to recognize a novel HLA-D determinant. PLT inhibition studies with monoclonal anti-Ia-like antibodies (Mab) were conducted on clones...

    journal_title:Human immunology

    pub_type: 杂志文章

    doi:10.1016/0198-8859(83)90066-6

    authors: Zeevi A,Annen K,Scheffel C,Duquesnoy RJ

    更新日期:1983-02-01 00:00:00

  • Serologic recognition of a HLA-B44(12) subgroup associated with the 44.2 specificity defined by CML.

    abstract::Several investigators have reported that subdivisions of HLA-B44, which are not defined by available cytotoxic antisera, can be detected by cytotoxic T lymphocytes. The present study was designed to evaluate two sera which appear to recognize a specificity on some HLA-B44 and B45 positive cells and to determine whethe...

    journal_title:Human immunology

    pub_type: 杂志文章

    doi:10.1016/0198-8859(84)90073-9

    authors: Heise ER,Tekolf WA,Hampton JP

    更新日期:1984-11-01 00:00:00

  • Reduced frequency of two activating KIR genes in patients with sepsis.

    abstract::Natural killer (NK) cell activity is regulated by activating and inhibitory signals transduced by killer cell immunoglobulin-like receptors (KIR). Diversity in KIR gene repertoire among individuals may affect disease outcome. Sepsis development and severity may be influenced by genetic factors affecting the immune res...

    journal_title:Human immunology

    pub_type: 杂志文章

    doi:10.1016/j.humimm.2017.02.005

    authors: Oliveira LM,Portela P,Merzoni J,Lindenau JD,Dias FS,Beppler J,Graebin P,Alho CS,Schwartsmann G,Dal-Pizzol F,Jobim LF,Jobim M,Roesler R

    更新日期:2017-04-01 00:00:00

  • Monoclonal and xenoantibodies specific for HLA-DR inhibit primary responses to HLA-D but fail to inhibit secondary proliferative (PLT) responses to allogeneic cells.

    abstract::Monoclonal antibodies (DA-2 and CA-2) and xenoantisera (rabbit anti-human, p23,30) specific for HLA-DR framework determinants were added to primary and secondary mixed lymphocyte cultures. Although such antisera were shown to inhibit primary MLC, primed lymphocytes were much less sensitive to the blocking effects of t...

    journal_title:Human immunology

    pub_type: 杂志文章

    doi:10.1016/0198-8859(81)90050-1

    authors: Eckels DD,Woody JN,Hartzman RJ

    更新日期:1981-10-01 00:00:00

  • Localization of class I histocompatibility molecule assembly by subfractionation of the early secretory pathway.

    abstract::Class I molecules of the major histocompatibility complex bind peptides derived from cytosolic proteins and display them on the cell surface. This function alerts cytotoxic T cells to the presence of intracellular pathogens. Class I molecule assembly requires the association of the heavy chain with beta 2-microglobuli...

    journal_title:Human immunology

    pub_type: 杂志文章

    doi:10.1016/S0198-8859(97)00001-3

    authors: Bresnahan PA,Barber LD,Brodsky FM

    更新日期:1997-04-01 00:00:00

  • Prediction of spurious HLA class II typing results using probabilistic classification.

    abstract::While modern high-throughput sequence-based HLA genotyping methods generally provide highly accurate typing results, artefacts may nonetheless arise for numerous reasons, such as sample contamination, sequencing errors, read misalignments, or PCR amplification biases. To help detecting spurious typing results, we test...

    journal_title:Human immunology

    pub_type: 杂志文章

    doi:10.1016/j.humimm.2016.01.012

    authors: Schöfl G,Schmidt AH,Lange V

    更新日期:2016-03-01 00:00:00

  • Chronic active autoimmune hepatitis in children. Strong association with a particular HLA-DR6 (DRB1*1301) haplotype.

    abstract::The association of HLA antigens and type I or "lupoid" CAH-C was investigated in a population of 52 Argentinian Caucasoid patients. When compared with a population of normal individuals of the same ethnic group (n = 197), a significant increase of HLA-DR6 was observed (68.6% in patients vs 17.3% in controls; RR = 12.3...

    journal_title:Human immunology

    pub_type: 杂志文章

    doi:10.1016/0198-8859(94)90008-6

    authors: Fainboim L,Marcos Y,Pando M,Capucchio M,Reyes GB,Galoppo C,Badía I,Remondino G,Ciocca M,Ramonet M

    更新日期:1994-10-01 00:00:00

  • HLA in a cohort of Brazilian patients with sarcoidosis.

    abstract::Sarcoidosis is a multisystem granulomatous disorder of unknown etiology. Hereditary etiology has been proposed as a cause of the sarcoidosis, and some Human Leucocyte Antigen (HLA) alleles have been related to the diagnosis or severity of the disease. Löfgren's syndrome has been linked to patients with the DRB1*03 all...

    journal_title:Human immunology

    pub_type: 杂志文章

    doi:10.1016/j.humimm.2013.07.009

    authors: da Costa CH,Silva VL,Fabricio-Silva GM,Usnayo M,Rufino R,Porto LC

    更新日期:2013-10-01 00:00:00

  • HLA-DQ beta 3.1 allele is a determinant of susceptibility to DR4-associated rheumatoid arthritis.

    abstract::Rheumatoid arthritis is associated with HLA-DR4 in several ethnic groups. Since DR4 haplotypes encode a diverse array of class II molecules, it is of interest to characterize the nature of the primary association. We have examined molecular polymorphisms of HLA class II gene products expressed by normals and rheumatoi...

    journal_title:Human immunology

    pub_type: 杂志文章

    doi:10.1016/0198-8859(89)90033-5

    authors: Lanchbury JS,Sakkas LI,Marsh SG,Bodmer JG,Welsh KI,Panayi GS

    更新日期:1989-09-01 00:00:00

  • Sequences of four splits of HLA-A10 group. Implications for serologic cross-reactivities and their evolution.

    abstract::Nucleotide sequences of alleles encoding four serologically defined splits of the HLA-A10 group, A26.1, A26.3, A26.4, and A10SA, were determined. It was confirmed that the alleles coding for A26.1 and A26.3 are identical with A*2602 and A*2601, respectively. On the other hand, alleles for A26.4 and A10SA are thus far ...

    journal_title:Human immunology

    pub_type: 杂志文章

    doi:10.1016/0198-8859(94)90263-1

    authors: Ishikawa Y,Tokunaga K,Lin L,Imanishi T,Saitou S,Kimura A,Kashiwase K,Akaza T,Tadokoro K,Juji T

    更新日期:1994-03-01 00:00:00

  • Establishment and application of a novel T cell clonality analysis using single-strand conformation polymorphism of T cell receptor messenger signals.

    abstract::To identify the existence of antigen specific T cell responses and to follow the changes of these reactions, it is considered useful to evaluate whether certain T cells clonally accumulate in the lymphocyte population. For this purpose, we have established a novel method to analyze T cell clonality using a combination...

    journal_title:Human immunology

    pub_type: 杂志文章

    doi:10.1016/0198-8859(96)00080-8

    authors: Yamamoto K,Masuko-Hongo K,Tanaka A,Kurokawa M,Hoeger T,Nishioka K,Kato T

    更新日期:1996-06-01 00:00:00

  • Different HLA antigen associations for the functionally active and inactive products of the complement C4F1 allele.

    abstract::The genetic polymorphism of the fourth component of human complement, C4, was studied in 945 unrelated Caucasian individuals. A third allele of the C4F (Rodgers) locus, termed C4F1 was demonstrated. This allele is characterized using immunofixation electrophoresis, by the presence of an additional fast-moving anodal b...

    journal_title:Human immunology

    pub_type: 杂志文章

    doi:10.1016/0198-8859(80)90006-3

    authors: O'Neill GJ,Miniter P,Pollack MS,Dupont B

    更新日期:1980-07-01 00:00:00

  • 14-Base pair polymorphism of human leukocyte antigen-G as genetic determinant in heart transplantation and cyclosporine therapy monitoring.

    abstract::The 14-base pair (bp) polymorphism within the HLA-G gene has been investigated in heart transplant patients for the first time. The 14-bp polymorphism is associated with HLA-G mRNA stability and the patterns of alternative isoforms splicing, and therefore may influence the functionality of the HLA-G molecule. In heart...

    journal_title:Human immunology

    pub_type: 杂志文章

    doi:10.1016/j.humimm.2009.07.012

    authors: Torres MI,Luque J,Lorite P,Isla-Tejera B,Palomeque T,Aumente MD,Arizon J,Peña J

    更新日期:2009-10-01 00:00:00

  • Promoter and neck region length variation of DC-SIGN is not associated with susceptibility to tuberculosis in Tunisian patients.

    abstract::The C-type lectin DC-SIGN (CD209) is an important pathogen recognition receptor of the innate immune system. Recent studies showed that DC-SIGN is the major receptor of Mycobacterium tuberculosis on human dendritic cells and that polymorphisms in the DC-SIGN promoter region are associated with susceptibility to tuberc...

    journal_title:Human immunology

    pub_type: 杂志文章

    doi:10.1016/j.humimm.2007.09.003

    authors: Ben-Ali M,Barreiro LB,Chabbou A,Haltiti R,Braham E,Neyrolles O,Dellagi K,Gicquel B,Quintana-Murci L,Barbouche MR

    更新日期:2007-11-01 00:00:00

  • HLA-DRw52a is involved in alloimmunization against PL-A1 antigen.

    abstract::The alloimmunization against the platelet PL-A1 antigen is strongly associated with a HLA class II structure in mothers of thrombocytopenic neonates. Most of the immunized women have first been shown to possess the DR3 specificity and subsequently the DRw52 allele. The 18 immunized mothers studied here by restriction ...

    journal_title:Human immunology

    pub_type: 杂志文章

    doi:10.1016/0198-8859(90)90104-w

    authors: Valentin N,Vergracht A,Bignon JD,Cheneau ML,Blanchard D,Kaplan C,Reznikoff-Etievant MF,Muller JY

    更新日期:1990-02-01 00:00:00

  • The 4H84 monoclonal antibody detecting beta2m free nonclassical HLA-G molecules also binds to free heavy chains of classical HLA class I antigens present on activated lymphocytes.

    abstract::We have found that 4H84 monoclonal antibody (mAb) used for detection of beta2m free HLA-G molecules also binds to free heavy chains of classical HLA class I antigens generated on the cell surface by mild acid treatment. Here we demonstrate that beta2m free classical HLA class I molecules induced on the surface of acti...

    journal_title:Human immunology

    pub_type: 杂志文章

    doi:10.1016/j.humimm.2003.10.005

    authors: Poláková K,Kuba D,Russ G

    更新日期:2004-02-01 00:00:00

  • Single nucleotide polymorphisms in immune system genes and their association with clinical symptoms persistence in dengue-infected persons.

    abstract::This study was undertaken to determine the prevalence of dengue clinical symptom persistence during 60days of disease follow up, in patients of Espírito Santo state (ES)-Brazil and to evaluate the relation of single nucleotide polymorphisms (SNPs) in FcγRIIa, CD209, VDR, TNF-α, IL-4, IL-6 and IFN-γ genes with symptom ...

    journal_title:Human immunology

    pub_type: 杂志文章

    doi:10.1016/j.humimm.2015.09.026

    authors: Dettogni RS,Tristão-Sá R,Dos Santos M,da Silva FF,Louro ID

    更新日期:2015-10-01 00:00:00

  • The impact of non-HLA antibodies on outcomes after lung transplantation and implications for therapeutic approaches.

    abstract::The role of donor-specific antibodies (DSA) to mismatched human leukocyte antigens (HLA) in lung allograft rejection has been recognized over the past 20 years. During this time, there has been growing experience and recognition of an important role for non-HLA antibodies in lung allograft rejection. Multiple self-ant...

    journal_title:Human immunology

    pub_type: 杂志文章,评审

    doi:10.1016/j.humimm.2019.04.008

    authors: Hachem RR

    更新日期:2019-08-01 00:00:00