The level of lipopolysaccharide-binding protein is significantly increased in plasma in patients with the systemic inflammatory response syndrome Journal Article


Authors: Myc, A.; Buck, J.; Gonin, J.; Reynolds, B.; Hammerling, U.; Emanuel, D.
Article Title: The level of lipopolysaccharide-binding protein is significantly increased in plasma in patients with the systemic inflammatory response syndrome
Abstract: Currently, there is no way to predict with a high degree of sensitivity and specificity which patients are likely to develop systemic inflammatory response syndrome (SIRS) following systemic infection, trauma, organ rejection, or blood loss. The level of human lipopolysaccharide-binding protein (LBP) was determined in the plasma of 22 patients with a clinical diagnosis of early SIRS. Twenty nine plasma samples from healthy volunteers were used as controls. The mean level of LBP in the plasma of healthy volunteers was 7.7 μg/ml (standard deviation, 6.2 μg/ml). Twenty-one of 22 patients (95%) with SIRS had an LBP level on admission at least 2 standard deviations above the mean LBP level for a healthy volunteer control group (range, 4.9 to 114.2 μg/ml; mean, 36.6 μg/ml; standard deviation, 22.2 μg/ml; P < 0.0001). The level of LBP in the plasma of the majority of patients with early SIRS is significantly increased compared to that in healthy controls. The sensitivity, specificity, and predictive value of elevated plasma LBP levels in patients with SIRS remain to be determined.
Keywords: clinical article; controlled study; case-control studies; sensitivity and specificity; inflammation; enzyme linked immunosorbent assay; monoclonal antibody; antibodies, monoclonal; membrane glycoproteins; carrier proteins; reference values; immunoblotting; binding protein; lipopolysaccharide; enzyme-linked immunosorbent assay; blood level; systemic inflammatory response syndrome; septic shock; lipopolysaccharides; acute-phase proteins; humans; human; priority journal; article
Journal Title: Clinical and Diagnostic Laboratory Immunology
Volume: 4
Issue: 2
ISSN: 1071-412X
Publisher: Amer Soc Microbiology  
Date Published: 1997-03-01
Start Page: 113
End Page: 116
Language: English
PUBMED: 9067641
PROVIDER: scopus
PMCID: PMC170487
DOI/URL:
Notes: Article -- Export Date: 17 March 2017 -- Source: Scopus
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