Biomarkers for patients with trauma associated acute respiratory distress syndrome

Abstract Trauma is a major factor that contributes to the risk for acute respiratory distress syndrome (ARDS). Biomarkers that predict the risk, diagnosis, treatment response and prognosis of ARDS after trauma have been widely investigated. In addition to their applications in clinical diagnosis and...

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Main Authors: Wujian Xu, Yong Song
Format: Article
Language:English
Published: BMC 2017-08-01
Series:Military Medical Research
Subjects:
Online Access:http://link.springer.com/article/10.1186/s40779-017-0134-5
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author Wujian Xu
Yong Song
author_facet Wujian Xu
Yong Song
author_sort Wujian Xu
collection DOAJ
description Abstract Trauma is a major factor that contributes to the risk for acute respiratory distress syndrome (ARDS). Biomarkers that predict the risk, diagnosis, treatment response and prognosis of ARDS after trauma have been widely investigated. In addition to their applications in clinical diagnosis and treatment, these biomarkers provide important insights into our understanding of the pathogenesis of ARDS. This review begins with a brief introduction regarding the incidence and pathogenesis of trauma-associated ARDS. Then, we focus on reviewing the clinical trials that have been designed to investigate the value of biomarkers in ARDS after trauma. Biomarkers with a confirmed value in ARDS have been organized on the basis of key pathogenic processes that are central to ARDS and are described in detail. Among these, angiopoietin 2 (Ang-2), L-selectin, Clara cell protein 16 (CC16), soluable receptor for advanced glycation end products (sRAGE), Surfactant protein D (SP-D), histones, mtDNAs and some biomarker panels had a certain association with the diagnosis and prognosis of trauma-related ARDS. Further investigations are needed regarding the design of trials, the best sampling approaches and the optimal combinations of the biomarker panels.
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spelling doaj.art-450ce731905b4bf2920d2762df044c282022-12-22T00:47:15ZengBMCMilitary Medical Research2054-93692017-08-01411710.1186/s40779-017-0134-5Biomarkers for patients with trauma associated acute respiratory distress syndromeWujian Xu0Yong Song1Department of Respiratory Medicine, Jinling HospitalDepartment of Respiratory Medicine, Jinling HospitalAbstract Trauma is a major factor that contributes to the risk for acute respiratory distress syndrome (ARDS). Biomarkers that predict the risk, diagnosis, treatment response and prognosis of ARDS after trauma have been widely investigated. In addition to their applications in clinical diagnosis and treatment, these biomarkers provide important insights into our understanding of the pathogenesis of ARDS. This review begins with a brief introduction regarding the incidence and pathogenesis of trauma-associated ARDS. Then, we focus on reviewing the clinical trials that have been designed to investigate the value of biomarkers in ARDS after trauma. Biomarkers with a confirmed value in ARDS have been organized on the basis of key pathogenic processes that are central to ARDS and are described in detail. Among these, angiopoietin 2 (Ang-2), L-selectin, Clara cell protein 16 (CC16), soluable receptor for advanced glycation end products (sRAGE), Surfactant protein D (SP-D), histones, mtDNAs and some biomarker panels had a certain association with the diagnosis and prognosis of trauma-related ARDS. Further investigations are needed regarding the design of trials, the best sampling approaches and the optimal combinations of the biomarker panels.http://link.springer.com/article/10.1186/s40779-017-0134-5TraumaInjuryAcute respiratory distress syndromeBiomarkers
spellingShingle Wujian Xu
Yong Song
Biomarkers for patients with trauma associated acute respiratory distress syndrome
Military Medical Research
Trauma
Injury
Acute respiratory distress syndrome
Biomarkers
title Biomarkers for patients with trauma associated acute respiratory distress syndrome
title_full Biomarkers for patients with trauma associated acute respiratory distress syndrome
title_fullStr Biomarkers for patients with trauma associated acute respiratory distress syndrome
title_full_unstemmed Biomarkers for patients with trauma associated acute respiratory distress syndrome
title_short Biomarkers for patients with trauma associated acute respiratory distress syndrome
title_sort biomarkers for patients with trauma associated acute respiratory distress syndrome
topic Trauma
Injury
Acute respiratory distress syndrome
Biomarkers
url http://link.springer.com/article/10.1186/s40779-017-0134-5
work_keys_str_mv AT wujianxu biomarkersforpatientswithtraumaassociatedacuterespiratorydistresssyndrome
AT yongsong biomarkersforpatientswithtraumaassociatedacuterespiratorydistresssyndrome