title: Innate immunity gene expression changes in critically ill patients with sepsis and disease-related malnutrition.
abstract: The aim of this study was an attempt to determine whether the expression of genes involved in innate antibacterial response (TL R2, NOD 1, TRAF6, HMGB 1 and Hsp70) in peripheral blood leukocytes in critically ill patients, may undergo significant changes depending on the severity of the infection and the degree of malnutrition. The study was performed in a group of 128 patients with infections treated in the intensive care and surgical ward. In 103/80.5% of patients, infections had a severe course (sepsis, severe sepsis, septic shock, mechanical ventilation of the lungs). Clinical monitoring included diagnosis of severe infection (according to the criteria of the ACC P/SCC M), assessment of severity of the patient condition and risk of death (APACHE II and SAPS II), nutritional assessment (NRS 2002 and SGA scales) and the observation of the early results of treatment. Gene expression at the mRNA level was analyzed by real-time PCR. The results of the present study indicate that in critically ill patients treated in the IC U there are significant disturbances in the expression of genes associated with innate antimicrobial immunity, which may have a significant impact on the clinical outcome. The expression of these genes varies depending on the severity of the patient condition, severity of infection and nutritional status. Expression disorders of genes belonging to innate antimicrobial immunity should be diagnosed as early as possible, monitored during the treatment and taken into account during early therapeutic treatment (including early nutrition to support the functions of immune cells).
authors.affiliation: Department of Surgical Research and Transplantology, Mossakowski Medical Research Center, Polish Academy of Sciences, Warsaw, Poland ; Department of Immunology, Biochemistry and Nutrition, Medical University of Warsaw, Poland.
authors.forename: Robert
authors.initials: R
authors.lastname: Słotwiński
authors.affiliation: Department of Surgical Research and Transplantology, Mossakowski Medical Research Center, Polish Academy of Sciences, Warsaw, Poland.
authors.forename: Agnieszka
authors.initials: A
authors.lastname: Sarnecka
authors.affiliation: Department of Immunology, Biochemistry and Nutrition, Medical University of Warsaw, Poland.
authors.forename: Aleksandra
authors.initials: A
authors.lastname: Dąbrowska
authors.affiliation: Department of Immunology, Biochemistry and Nutrition, Medical University of Warsaw, Poland.
authors.forename: Katarzyna
authors.initials: K
authors.lastname: Kosałka
authors.affiliation: Department of Immunology, Biochemistry and Nutrition, Medical University of Warsaw, Poland.
authors.forename: Ewelina
authors.initials: E
authors.lastname: Wachowska
authors.affiliation: Department of Immunology, Biochemistry and Nutrition, Medical University of Warsaw, Poland.
authors.forename: Barbara J
authors.initials: BJ
authors.lastname: Bałan
authors.affiliation: Department of Immunology, Biochemistry and Nutrition, Medical University of Warsaw, Poland.
authors.forename: Marta
authors.initials: M
authors.lastname: Jankowska
authors.affiliation: Second Department of Anesthesiology and Intensive Care, Medical University of Warsaw, Poland.
authors.forename: Teresa
authors.initials: T
authors.lastname: Korta
authors.affiliation: Second Department of Anesthesiology and Intensive Care, Medical University of Warsaw, Poland.
authors.forename: Grzegorz
authors.initials: G
authors.lastname: Niewiński
authors.affiliation: Second Department of Anesthesiology and Intensive Care, Medical University of Warsaw, Poland.
authors.forename: Andrzej
authors.initials: A
authors.lastname: Kański
authors.affiliation: First Department of Anesthesiology and Intensive Care, Medical University of Warsaw, Poland.
authors.forename: Małgorzata
authors.initials: M
authors.lastname: Mikaszewska-Sokolewicz
authors.affiliation: Department of General Surgery and Nutrition, Medical University of Warsaw, Poland.
authors.forename: Mohammad
authors.initials: M
authors.lastname: Omidi
authors.affiliation: Department of General Surgery and Nutrition, Medical University of Warsaw, Poland.
authors.forename: Krystyna
authors.initials: K
authors.lastname: Majewska
authors.affiliation: Department of Conservative Dentistry, Medical University of Warsaw, Poland.
authors.forename: Sylwia M
authors.initials: SM
authors.lastname: Słotwińska
keywords: gene expression; innate immunity; malnutrition; sepsis