PMID- 22868806 OWN - NLM STAT- MEDLINE DCOM- 20130314 LR - 20161018 IS - 1437-4331 (Electronic) IS - 1434-6621 (Linking) VI - 50 IP - 8 DP - 2012 Feb 1 TI - Monocyte chemoattractant protein-1 and paraoxonase-1 and 3 levels in patients with sepsis treated in an intensive care unit: a preliminary report. PG - 1409-15 LID - /j/cclm.2012.50.issue-8/cclm-2011-0896/cclm-2011-0896.xml [pii] LID - 10.1515/cclm-2011-0896 [doi] AB - BACKGROUND: There is considerable interest in the research of molecules modulating the acute inflammatory response in patients with sepsis. Paraoxonases (PON) are antioxidant and anti-inflammatory enzymes that inhibit the production of the monocyte chemoattractant protein-1 (MCP-1). This preliminary study investigated changes in PON status and MCP-1 concentrations in critically ill patients with severe sepsis treated in an ICU and their relationship with the evolution of disease. METHODS: This was a longitudinal, prospective and observational study on 15 patients with sepsis, studied at baseline and on days 1, 2, 5, 7 and 10 of their stay in the ICU. In all the patients we measured serum PON1 and PON3 concentrations, PON1 paraoxonase and lactonase activities, serum MCP-1 concentrations, and several standard biochemical and haematological parameters. RESULTS: MCP-1 concentration significantly decreased with the resolution of sepsis, and this decrease was especially important during the first 5 days of hospitalisation. PON1 and PON3 tended to decrease during the first 5 days in ICU and significantly increased in days 7 and 10. Linear regression analysis showed significant and direct correlations among serum MCP-1 concentration and lactate levels at baseline. At the end of stay, PON1 paraoxonase and lactonase activities were significantly correlated with organ system function measurements. CONCLUSIONS: We observed an inverse pattern between changes in MCP-1, and PON1 and PON3 levels in patients with sepsis, this was related to the resolution of their infection after receiving treatment in an ICU. FAU - Sans, Teresa AU - Sans T AD - Laboratori d'Analisis Cliniques, Hospital Verge de la Cinta, Institut d'Investigacio Sanitaria Pere Virgili, Universitat Rovira i Virgili, Tortosa, Spain. FAU - Rull, Anna AU - Rull A FAU - Luna, Jose AU - Luna J FAU - Mackness, Bharti AU - Mackness B FAU - Mackness, Michael AU - Mackness M FAU - Joven, Jorge AU - Joven J FAU - Ibanez, Marcos AU - Ibanez M FAU - Pariente, Rainer AU - Pariente R FAU - Rodriguez, Marta AU - Rodriguez M FAU - Ortin, Xavier AU - Ortin X FAU - Masdeu, Gaspar AU - Masdeu G FAU - Camps, Jordi AU - Camps J LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20120201 PL - Germany TA - Clin Chem Lab Med JT - Clinical chemistry and laboratory medicine JID - 9806306 RN - 0 (CCL2 protein, human) RN - 0 (Chemokine CCL2) RN - EC 3.1.8.1 (Aryldialkylphosphatase) RN - EC 3.1.8.1 (PON1 protein, human) RN - EC 3.1.8.1 (PON3 protein, human) SB - IM MH - Aged MH - Amino Acid Sequence MH - Aryldialkylphosphatase/*blood MH - Chemokine CCL2/*blood MH - Female MH - Humans MH - Intensive Care Units MH - Longitudinal Studies MH - Male MH - Middle Aged MH - Molecular Sequence Data MH - Oxidative Stress/physiology MH - Prospective Studies MH - Sepsis/*blood/enzymology/therapy EDAT- 2012/08/08 06:00 MHDA- 2013/03/15 06:00 CRDT- 2012/08/08 06:00 PHST- 2011/12/02 00:00 [received] PHST- 2012/01/01 00:00 [accepted] PHST- 2012/08/08 06:00 [entrez] PHST- 2012/08/08 06:00 [pubmed] PHST- 2013/03/15 06:00 [medline] AID - /j/cclm.2012.50.issue-8/cclm-2011-0896/cclm-2011-0896.xml [pii] AID - 10.1515/cclm-2011-0896 [doi] PST - epublish SO - Clin Chem Lab Med. 2012 Feb 1;50(8):1409-15. doi: 10.1515/cclm-2011-0896.