Circulating LIGHT (TNFSF14) and Interleukin-18 Levels in Sepsis-Induced Multi-Organ Injuries
The novel therapeutic target cytokine LIGHT (TNFSF14) was recently shown to play a major role in COVID-19-induced acute respiratory distress syndrome (ARDS). This study aims to investigate the associations of plasma LIGHT and another potentially targetable cytokine, interleukin-18 (IL-18), with ARDS...
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| Format: | Article |
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MDPI AG
2022-01-01
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| Series: | Biomedicines |
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| Online Access: | https://www.mdpi.com/2227-9059/10/2/264 |
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| author | Hui-Qi Qu James Snyder John Connolly Joseph Glessner Charlly Kao Patrick Sleiman Hakon Hakonarson |
| author_facet | Hui-Qi Qu James Snyder John Connolly Joseph Glessner Charlly Kao Patrick Sleiman Hakon Hakonarson |
| author_sort | Hui-Qi Qu |
| collection | DOAJ |
| description | The novel therapeutic target cytokine LIGHT (TNFSF14) was recently shown to play a major role in COVID-19-induced acute respiratory distress syndrome (ARDS). This study aims to investigate the associations of plasma LIGHT and another potentially targetable cytokine, interleukin-18 (IL-18), with ARDS, acute hypoxic respiratory failure (AHRF), or acute kidney injury (AKI), caused by non-COVID-19 viral or bacterial sepsis. A total of 280 subjects diagnosed with sepsis, including 91 cases with sepsis triggered by viral infections, were investigated in this cohort study. Day 0 plasma LIGHT and IL-18, as well as 59 other biomarkers (cytokines, chemokines, and acute-phase reactants) were measured by sensitive bead immunoassay and associated with symptom severity. We observed significantly increased LIGHT level in both bacterial sepsis patients (<i>p</i> = 1.80 × 10<sup>−5</sup>) and patients with sepsis from viral infections (<i>p</i> = 1.78 × 10<sup>−3</sup>). In bacterial sepsis, increased LIGHT level was associated with ARDS, AKI, and higher Apache III scores, findings also supported by correlations of LIGHT with other biomarkers of organ failure. IL-18 levels were highly variable across individuals and consistently correlated with Apache III scores, mortality, and AKI in both bacterial and viral sepsis. There was no correlation between LIGHT and IL-18. For the first time, we demonstrate independent effects of LIGHT and IL-18 in septic organ failure. The association of plasma LIGHT with AHRF suggests that targeting the pathway warrants exploration, and ongoing trials may soon elucidate whether this is beneficial. Given the large variance of plasma IL-18 among septic subjects, targeting this pathway requires precise application. |
| first_indexed | 2024-03-09T22:32:47Z |
| format | Article |
| id | doaj.art-55ac68fe18cd430084a8182d2f7a5c71 |
| institution | Directory Open Access Journal |
| issn | 2227-9059 |
| language | English |
| last_indexed | 2024-03-09T22:32:47Z |
| publishDate | 2022-01-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Biomedicines |
| spelling | doaj.art-55ac68fe18cd430084a8182d2f7a5c712023-11-23T18:52:53ZengMDPI AGBiomedicines2227-90592022-01-0110226410.3390/biomedicines10020264Circulating LIGHT (TNFSF14) and Interleukin-18 Levels in Sepsis-Induced Multi-Organ InjuriesHui-Qi Qu0James Snyder1John Connolly2Joseph Glessner3Charlly Kao4Patrick Sleiman5Hakon Hakonarson6The Center for Applied Genomics, Children’s Hospital of Philadelphia, Philadelphia, PA 19104, USAThe Center for Applied Genomics, Children’s Hospital of Philadelphia, Philadelphia, PA 19104, USAThe Center for Applied Genomics, Children’s Hospital of Philadelphia, Philadelphia, PA 19104, USAThe Center for Applied Genomics, Children’s Hospital of Philadelphia, Philadelphia, PA 19104, USAThe Center for Applied Genomics, Children’s Hospital of Philadelphia, Philadelphia, PA 19104, USAThe Center for Applied Genomics, Children’s Hospital of Philadelphia, Philadelphia, PA 19104, USAThe Center for Applied Genomics, Children’s Hospital of Philadelphia, Philadelphia, PA 19104, USAThe novel therapeutic target cytokine LIGHT (TNFSF14) was recently shown to play a major role in COVID-19-induced acute respiratory distress syndrome (ARDS). This study aims to investigate the associations of plasma LIGHT and another potentially targetable cytokine, interleukin-18 (IL-18), with ARDS, acute hypoxic respiratory failure (AHRF), or acute kidney injury (AKI), caused by non-COVID-19 viral or bacterial sepsis. A total of 280 subjects diagnosed with sepsis, including 91 cases with sepsis triggered by viral infections, were investigated in this cohort study. Day 0 plasma LIGHT and IL-18, as well as 59 other biomarkers (cytokines, chemokines, and acute-phase reactants) were measured by sensitive bead immunoassay and associated with symptom severity. We observed significantly increased LIGHT level in both bacterial sepsis patients (<i>p</i> = 1.80 × 10<sup>−5</sup>) and patients with sepsis from viral infections (<i>p</i> = 1.78 × 10<sup>−3</sup>). In bacterial sepsis, increased LIGHT level was associated with ARDS, AKI, and higher Apache III scores, findings also supported by correlations of LIGHT with other biomarkers of organ failure. IL-18 levels were highly variable across individuals and consistently correlated with Apache III scores, mortality, and AKI in both bacterial and viral sepsis. There was no correlation between LIGHT and IL-18. For the first time, we demonstrate independent effects of LIGHT and IL-18 in septic organ failure. The association of plasma LIGHT with AHRF suggests that targeting the pathway warrants exploration, and ongoing trials may soon elucidate whether this is beneficial. Given the large variance of plasma IL-18 among septic subjects, targeting this pathway requires precise application.https://www.mdpi.com/2227-9059/10/2/264acute hypoxic respiratory failureacute kidney injuryacute respiratory distress syndromeinterleukin-18LIGHTsepsis |
| spellingShingle | Hui-Qi Qu James Snyder John Connolly Joseph Glessner Charlly Kao Patrick Sleiman Hakon Hakonarson Circulating LIGHT (TNFSF14) and Interleukin-18 Levels in Sepsis-Induced Multi-Organ Injuries Biomedicines acute hypoxic respiratory failure acute kidney injury acute respiratory distress syndrome interleukin-18 LIGHT sepsis |
| title | Circulating LIGHT (TNFSF14) and Interleukin-18 Levels in Sepsis-Induced Multi-Organ Injuries |
| title_full | Circulating LIGHT (TNFSF14) and Interleukin-18 Levels in Sepsis-Induced Multi-Organ Injuries |
| title_fullStr | Circulating LIGHT (TNFSF14) and Interleukin-18 Levels in Sepsis-Induced Multi-Organ Injuries |
| title_full_unstemmed | Circulating LIGHT (TNFSF14) and Interleukin-18 Levels in Sepsis-Induced Multi-Organ Injuries |
| title_short | Circulating LIGHT (TNFSF14) and Interleukin-18 Levels in Sepsis-Induced Multi-Organ Injuries |
| title_sort | circulating light tnfsf14 and interleukin 18 levels in sepsis induced multi organ injuries |
| topic | acute hypoxic respiratory failure acute kidney injury acute respiratory distress syndrome interleukin-18 LIGHT sepsis |
| url | https://www.mdpi.com/2227-9059/10/2/264 |
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