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Sepsis-related biomarkers

Molecular classification
Protein, Metabolite, Cytokine, Acute phase reactant, Cell surface marker, Soluble receptor, Nucleic acid
01

Overview

Sepsis-related biomarkers are a heterogeneous group of molecules, including proteins, metabolites, and cell surface markers, used to diagnose sepsis, assess its severity, and monitor therapeutic response [1, 4]. Common examples include Procalcitonin (PCT), C-reactive protein (CRP), and lactate, which reflect the systemic inflammatory response and organ hypoperfusion associated with life-threatening infection [9, 12]. While these biomarkers are essential for clinical decision-making and risk stratification, they are generally considered diagnostic or prognostic tools rather than therapeutic targets themselves [1, 12]. However, certain biomarkers like Interleukin-6 (IL-6) and Tumor Necrosis Factor-alpha (TNF-alpha) also serve as targets for immunomodulatory therapies in specific septic contexts [4, 12]. The clinical utility of these markers is often limited by their varying kinetics and potential for elevation in non-infectious inflammatory states such as trauma or surgery [12, 13]. Emerging biomarkers, such as presepsin and soluble triggering receptor expressed on myeloid cells-1 (sTREM-1), are being investigated for their potential to provide earlier and more specific diagnostic information [3, 7].

Other names
Sepsis markersSepsis indicatorsInflammatory biomarkers of sepsisSeptic biomarkers
02

Mechanism of action

Biomarkers primarily serve as diagnostic and prognostic indicators of physiological states; however, when used as therapeutic targets, drugs typically act by neutralizing pro-inflammatory cytokines or modulating immune cell activation and signaling pathways.

03

Biological functions

Immune responseInflammationCoagulationEndothelial functionOrgan dysfunction signalingTissue hypoperfusion
04

Disease associations

SepsisSeptic shockSystemic Inflammatory Response Syndrome (SIRS)InfectionMultiple Organ Dysfunction Syndrome (MODS)
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Safety considerations

Lack of specificity (elevation in non-infectious inflammation)Timing-dependent sensitivityAssay variabilityRisk of immunosuppression when targeting pro-inflammatory componentsConfounding by comorbidities
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Interacting drugs

Tocilizumab

5 more in the full profile.

07

Biomarkers

Procalcitonin (PCT)C-reactive protein (CRP)LactateInterleukin-6 (IL-6)Presepsin (sCD14-ST)Soluble triggering receptor expressed on myeloid cells-1 (sTREM-1)CD64Human leukocyte antigen-DR (HLA-DR)Mid-regional pro-adrenomedullin (MR-proADM)Heparin-binding protein (HBP)

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