RGD Reference Report - Factors associated with inflammatory cytokine patterns in community-acquired pneumonia. - Rat Genome Database

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Factors associated with inflammatory cytokine patterns in community-acquired pneumonia.

Authors: Martinez, R  Menendez, R  Reyes, S  Polverino, E  Cilloniz, C  Martinez, A  Esquinas, C  Filella, X  Ramirez, P  Torres, A 
Citation: Martinez R, etal., Eur Respir J. 2010 Jul 1.
RGD ID: 4140400
Pubmed: PMID:20595152   (View Abstract at PubMed)
DOI: DOI:10.1183/09031936.00040710   (Journal Full-text)

Raised systemic levels of interleukin-6 and interleukin-10 cytokine have been associated with poorer outcome in community-acquired pneumonia. The aim of our study was to identify potential associated factors with increased levels of interleukin-6, interleukin-10, or both cytokine. We performed a prospective study of 685 patients admitted to hospital with community-acquired pneumonia. Interleukin-6 and interleukin-10 were measured in blood in the first 24 hours. Thirty-day mortality increased from 4.8% to 11.4% (p: 0.003) when both cytokines were higher than the median. Independent associated factors with an excess of interleukin-6 were neurologic disease, confusion, serum sodium <130 mEq.L(-1), pleural effusion, and bacteremia. The associated factors for an excess of interleukin-10 were respiratory rate >/=30 rpm, systolic blood pressure <90 mm Hg and glycemia >/=250 mg.dL(-1). The independent associated factors for an excess of both cytokines were confusion, systolic blood pressure <90 mmHg, pleural effusion, and bacteremia. Protective factors were prior antibiotic treatment and pneumococcal vaccination. Different independent factors are related to an excess of interleukin-6 and interleukin-10. Confusion, hypotension, pleural effusion, and bacteremia are associated with the inflammatory profile with the highest mortality rate, whereas antipneumococcal vaccination and previous antibiotic treatment appear as protective factors.

RGD Manual Disease Annotations    Click to see Annotation Detail View
TermQualifierEvidenceWithReferenceNotesSourceOriginal Reference(s)
pneumonia disease_progressionIEP 4140400; 4140400protein:increased expression:bloodRGD 
pneumonia disease_progressionISOIL10 (Homo sapiens)4140400; 4140400protein:increased expression:bloodRGD 
pneumonia disease_progressionISOIL6 (Homo sapiens)4140400; 4140400protein:increased expression:bloodRGD 

Objects Annotated

Genes (Rattus norvegicus)
Il10  (interleukin 10)
Il6  (interleukin 6)

Genes (Mus musculus)
Il10  (interleukin 10)
Il6  (interleukin 6)

Genes (Homo sapiens)
IL10  (interleukin 10)
IL6  (interleukin 6)


Additional Information