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Title: Association of proinflammatory molecules with apoptotic markers and survival in critically ill multiple organ dysfunction patients
Authors: Papathanassoglou, Elizabeth 
Moynihan, Jan
Dafni, Ourania
Mantzoros, Christos S. 
Ackerman, Michael
Keywords: MODS;Apoptosis;Fas;Cytokines;Nitric oxide;Cortisol;Interleukin-6;Tumor necrosis factor-α
Category: Health Sciences
Field: Medical and Health Sciences
Issue Date: 2003
Publisher: Sage Publications
Source: Biological Research for Nursing, 2003, Volume 5, Number 2, Pages 129-141
Abstract: Recent evidence supports the involvement of apoptosis in multiple organ dysfunction (MODS). The authors examined the hypothesis that nitric oxide (NO), interleukin (IL)-6, tumor necrosis factor (TNF)-α, and cortisol correlate with Fas and Fas ligand (FasL) expression on peripheral blood mononuclear cells and that Fas and FasL, therefore, mediate their association with MODS severity. Thirty-five critically ill adult MODS patients were followed for up to 14 days and were compared to non-MODS matched controls. Fas, FasL, nitrate, cortisol, and IL-6 were elevated in MODS patients (P < 0.05). Nitrate and cortisol correlated with Fas expression (P < 0.05). All factors studied, except for TNF-α, correlated with MODS severity (P< 0.05); however, by multivariate analyses, Fas and FasL were independently associated with severity and survival (P < 0.05). The inflammatory molecules studied may mediate the association of apoptotic constituents with MODS severity and survival only in part.
ISSN: 1552-4175
Rights: © Sage Publications
Type: Article
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