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Soluble form of suppression of tumorigenicity-2 predicts clinical stability of inpatients with community-acquired pneumonia
Zeng, Yifeng1; Xue, Mingshan1; Zhang, Teng2; Sun, Shixue2; Lin, Runpei1; Li, Ning1; Zheng, Peiyan1; Zhen, Yingjie3; Hu, Haisheng1; Zhang, Xiaohua Douglas2; Sun, Baoqing1
2021-07-05
Source PublicationExperimental Biology and Medicine
ISSN1535-3702
Volume246Issue:21Pages:2297-2306
Abstract

The soluble form of the suppression of tumorigenicity-2 (sST2) is a biomarker for risk classification and prognosis of heart failure, and its production and secretion in the alveolar epithelium are significantly correlated with the inflammation-inducing in pulmonary diseases. However, the predictive value of sST2 in pulmonary disease had not been widely studied. This study investigated the potential value in prognosis and risk classification of sST2 in patients with community-acquired pneumonia. Clinical data of ninety-three CAP inpatients were retrieved and their sST2 and other clinical indices were studied. Cox regression models were constructed to probe the sST2’s predictive value for patients’ restoring clinical stability and its additive effect on pneumonia severity index and CURB-65 scores. Patients who did not reach clinical stability within the defined time (30 days from hospitalization) have had significantly higher levels of sST2 at admission (P < 0.05). In univariate and multivariate Cox regression analysis, a high sST2 level (≥72.8 ng/mL) was an independent reverse predictor of clinical stability (P < 0.05). The Cox regression model combined with sST2 and CURB-65 (AUC: 0.96) provided a more accurate risk classification than CURB-65 (AUC:0.89) alone (NRI: 1.18, IDI: 0.16, P < 0.05). The Cox regression model combined with sST2 and pneumonia severity index (AUC: 0.96) also provided a more accurate risk classification than pneumonia severity index (AUC:0.93) alone (NRI: 0.06; IDI: 0.06, P < 0.05). sST2 at admission can be used as an independent early prognostic indicator for CAP patients. Moreover, it can improve the predictive power of CURB-65 and pneumonia severity index score.

KeywordClassification Curb-65 Pneumonia Pneumonia Severity Index Prognosis Tumorigenicity-2
DOI10.1177/15353702211027116
URLView the original
Indexed BySCIE
Language英語English
WOS Research AreaResearch & Experimental Medicine
WOS SubjectMedicine, Research & Experimental
WOS IDWOS:000682765400001
PublisherSAGE PUBLICATIONS LTD1 OLIVERS YARD, 55 CITY ROAD, LONDON EC1Y 1SP, ENGLAND
Scopus ID2-s2.0-85109416201
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Citation statistics
Document TypeJournal article
CollectionFaculty of Health Sciences
Corresponding AuthorZhang, Xiaohua Douglas; Sun, Baoqing
Affiliation1.State Key Laboratory of Respiratory Disease, National Clinical Research Center for Respiratory Disease, Guangzhou Institute of Respiratory Health, First Affiliated Hospital of Guangzhou Medical University, Guangzhou, 510120, China
2.Faculty of Health Sciences, University of Macau, 999078, Macao
3.Guangzhou Medical University, Guangzhou, 510120, China
Corresponding Author AffilicationFaculty of Health Sciences
Recommended Citation
GB/T 7714
Zeng, Yifeng,Xue, Mingshan,Zhang, Teng,et al. Soluble form of suppression of tumorigenicity-2 predicts clinical stability of inpatients with community-acquired pneumonia[J]. Experimental Biology and Medicine, 2021, 246(21), 2297-2306.
APA Zeng, Yifeng., Xue, Mingshan., Zhang, Teng., Sun, Shixue., Lin, Runpei., Li, Ning., Zheng, Peiyan., Zhen, Yingjie., Hu, Haisheng., Zhang, Xiaohua Douglas., & Sun, Baoqing (2021). Soluble form of suppression of tumorigenicity-2 predicts clinical stability of inpatients with community-acquired pneumonia. Experimental Biology and Medicine, 246(21), 2297-2306.
MLA Zeng, Yifeng,et al."Soluble form of suppression of tumorigenicity-2 predicts clinical stability of inpatients with community-acquired pneumonia".Experimental Biology and Medicine 246.21(2021):2297-2306.
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