PMID- 31821351 OWN - NLM STAT- MEDLINE DCOM- 20200331 LR - 20200331 IS - 1932-6203 (Electronic) IS - 1932-6203 (Linking) VI - 14 IP - 12 DP - 2019 TI - RBM3 and CIRP expressions in targeted temperature management treated cardiac arrest patients-A prospective single center study. PG - e0226005 LID - 10.1371/journal.pone.0226005 [doi] LID - e0226005 AB - BACKGROUND: Management of cardiac arrest patients includes active body temperature control and strict prevention of fever to avoid further neurological damage. Cold-shock proteins RNA-binding motif 3 (RBM3) and cold inducible RNA-binding protein (CIRP) expressions are induced in vitro in response to hypothermia and play a key role in hypothermia-induced neuroprotection. OBJECTIVE: To measure gene expressions of RBM3, CIRP, and inflammatory biomarkers in whole blood samples from targeted temperature management (TTM)-treated post-cardiac arrest patients for the potential application as clinical biomarkers for the efficacy of TTM treatment. METHODS: A prospective single center trial with the inclusion of 22 cardiac arrest patients who were treated with TTM (33 degrees C for 24 hours) after ROSC was performed. RBM3, CIRP, interleukin 6 (IL-6), monocyte chemotactic protein 1 (MCP-1), and inducible nitric oxide synthase (iNOS) mRNA expressions were quantified by RT-qPCR. Serum RBM3 protein concentration was quantified using an enzyme-linked immunosorbent assay (ELISA). RESULTS: RBM3 mRNA expression was significantly induced in post-cardiac arrest patients in response to TTM. RBM3 mRNA was increased 2.2-fold compared to before TTM. A similar expression kinetic of 1.4-fold increase was observed for CIRP mRNA, but did not reached significancy. Serum RBM3 protein was not increased in response to TTM. IL-6 and MCP-1 expression peaked after ROSC and then significantly decreased. iNOS expression was significantly increased 24h after return of spontaneous circulation (ROSC) and TTM. CONCLUSIONS: RBM3 is temperature regulated in patients treated with TTM after CA and ROSC. RBM3 is a possible biomarker candidate to ensure the efficacy of TTM treatment in post-cardiac arrest patients and its pharmacological induction could be a potential future intervention strategy that warrants further research. FAU - Rosenthal, Lisa-Maria AU - Rosenthal LM AUID- ORCID: 0000-0003-4083-1186 AD - Dept. for Congenital Heart Disease/Pediatric Cardiology, Deutsches Herzzentrum Berlin, Berlin, Germany. AD - Berlin Institute of Health, Berlin, Germany. FAU - Leithner, Christoph AU - Leithner C AD - Dept. of Neurology, Charite Universtitatsmedizin Berlin, Berlin, Germany. FAU - Tong, Giang AU - Tong G AD - Dept. for Congenital Heart Disease/Pediatric Cardiology, Deutsches Herzzentrum Berlin, Berlin, Germany. FAU - Streitberger, Kaspar Josche AU - Streitberger KJ AD - Berlin Institute of Health, Berlin, Germany. AD - Dept. of Neurology, Charite Universtitatsmedizin Berlin, Berlin, Germany. FAU - Krech, Jana AU - Krech J AD - Dept. for Congenital Heart Disease/Pediatric Cardiology, Deutsches Herzzentrum Berlin, Berlin, Germany. FAU - Storm, Christian AU - Storm C AD - Dept. of Internal Medicine, Nephrology and Intensive Care, Charite Universitatsmedizin Berlin, Berlin, Germany. FAU - Schmitt, Katharina Rose Luise AU - Schmitt KRL AUID- ORCID: 0000-0003-0860-1137 AD - Dept. for Congenital Heart Disease/Pediatric Cardiology, Deutsches Herzzentrum Berlin, Berlin, Germany. AD - Dept. for Pediatric Cardiology, Charite Universitatsmedizin Berlin, Berlin, Germany. AD - DHZK (German Centre for Cardiovascular Research), Berlin, Germany. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20191210 PL - United States TA - PLoS One JT - PloS one JID - 101285081 RN - 0 (Biomarkers) RN - 0 (CCL2 protein, human) RN - 0 (CIRBP protein, human) RN - 0 (Chemokine CCL2) RN - 0 (Interleukin-6) RN - 0 (RBM3 protein, human) RN - 0 (RNA-Binding Proteins) RN - EC 1.14.13.39 (NOS2 protein, human) RN - EC 1.14.13.39 (Nitric Oxide Synthase Type II) SB - IM MH - Aged MH - Biomarkers/blood MH - Blood Gas Analysis MH - Body Temperature MH - Chemokine CCL2/genetics/metabolism MH - Female MH - Heart Arrest/*diagnosis/therapy MH - Humans MH - *Hypothermia, Induced MH - Interleukin-6/genetics/metabolism MH - Male MH - Middle Aged MH - Nitric Oxide Synthase Type II/genetics/metabolism MH - Prospective Studies MH - RNA-Binding Proteins/blood/genetics/*metabolism PMC - PMC6903712 COIS- The authors have declared that no competing interests exist. EDAT- 2019/12/11 06:00 MHDA- 2020/04/01 06:00 PMCR- 2019/12/10 CRDT- 2019/12/11 06:00 PHST- 2019/06/04 00:00 [received] PHST- 2019/11/17 00:00 [accepted] PHST- 2019/12/11 06:00 [entrez] PHST- 2019/12/11 06:00 [pubmed] PHST- 2020/04/01 06:00 [medline] PHST- 2019/12/10 00:00 [pmc-release] AID - PONE-D-19-15832 [pii] AID - 10.1371/journal.pone.0226005 [doi] PST - epublish SO - PLoS One. 2019 Dec 10;14(12):e0226005. doi: 10.1371/journal.pone.0226005. eCollection 2019.