title: High-mobility group box 1 as a surrogate prognostic marker in dogs with systemic inflammatory response syndrome.
abstract: OBJECTIVE
  To evaluate various surrogate markers associated with the inflammatory and counter-inflammatory responses with respect to mortality in dogs with systemic inflammatory response syndrome (SIRS).
  
  
  METHODS
  Prospective observational study.
  
  
  METHODS
  Veterinary Teaching Hospital.
  
  
  METHODS
  Twenty-eight dogs with naturally occurring diseases and SIRS from January 2007 to May 2009.
  
  
  METHODS
  Upon admission to the veterinary hospital, history and baseline data from the physical examination, including parameters previously defined for meeting SIRS criteria, were documented. Heparinized blood samples were collected and plasma cytokines interleukin-6 (IL-6), IL-10, and high-mobility group box 1 (HMGB1) were measured by sandwich ELISA.
  
  
  RESULTS
  In nonsurvivors, median plasma HMGB1 concentrations (0.718 microg/L, interquartile range [IQR]; 0.300-1.626 microg/L) and the ratio of HMGB1 to IL-10 (2.236, IQR; 0.972-5.367) were significantly increased as compared with those found in survivors (0.300 microg/L, IQR; 0.300-0.312 microg/L for HMGB1; 1.017, IQR; 0.862-1.126 for the ratio of HMGB1 to IL-10, P=0.007 and 0.024, respectively). Plasma IL-6, IL-10, and the ratio of IL-6 to IL-10 were not significantly different between groups. Among the parameters studied, HMGB1 and the ratio of HMGB1 to IL-10 performed the best in discriminating outcome in dogs with SIRS according to receiver operator characteristic curve analysis.
  
  
  CONCLUSIONS
  Increases in plasma HMGB1 concentration and the ratio of HMGB1 to IL-10 may predict poorer outcomes in dogs with SIRS. The approach described may lead to reliable prognostic biomarkers and new therapeutic concepts in the study of SIRS in dogs.
authors.affiliation: Department of Veterinary Internal Medicine, College of Veterinary Medicine, Chonbuk National University, Jeounju, Jeonbuk 561-756, Korea.
authors.forename: Do-Hyeon
authors.initials: DH
authors.lastname: Yu
authors.forename: Dong-Ho
authors.initials: DH
authors.lastname: Nho
authors.forename: Ru-Hui
authors.initials: RH
authors.lastname: Song
authors.forename: Sue-Hee
authors.initials: SH
authors.lastname: Kim
authors.forename: Mi-Jin
authors.initials: MJ
authors.lastname: Lee
authors.forename: Jean A
authors.initials: JA
authors.lastname: Nemzek
authors.forename: Jinho
authors.initials: J
authors.lastname: Park
mesh_terms: D000818:Animals; D015415:Biomarkers; D004285:Dogs; D005260:Female; D024243:HMGB1 Protein / Q000097:blood* / Q000378:metabolism; D016753:Interleukin-10 / Q000097:blood / Q000378:metabolism; D015850:Interleukin-6 / Q000097:blood / Q000378:metabolism; D008297:Male; D011379:Prognosis; D012680:Sensitivity and Specificity; D018805:Sepsis / Q000097:blood / Q000662:veterinary; D018746:Systemic Inflammatory Response Syndrome / Q000097:blood / Q000175:diagnosis / Q000662:veterinary*
chemical_list: D015415:Biomarkers; D024243:HMGB1 Protein; D015850:Interleukin-6; D016753:Interleukin-10