Angiopoietin-2 Levels as Predictors of Outcome in Mechanically Ventilated Patients with Acute Respiratory Distress Syndrome. (29th August 2017)

• Record Type: Journal Article
• Authors: Tsangaris, Iraklis; Tsantes, Argirios; Vrigkou, Eleni; Kopterides, Petros; Pelekanou, Aimilia; Zerva, Katerina; Antonakos, George; Konstantonis, Dimitrios; Mavrou, Irini; Tsaknis, Georgios; Kyriazopoulou, Evdoxia; Mouktaroudi, Maria; Kokori, Styliani; Orfanos, Stylianos E.; Giamarellos-Bourboulis, Evangelos J.; Armaganidis, Apostolos
• Other Names: Hawkes Michael Academic Editor.
• Is Part Of: Disease markers. Volume 2017(2017)
• Publication Date: 2017-08-29
• Subjects: Diagnosis -- Periodicals; Biochemical markers -- Periodicals; Pathology -- Periodicals; 616
• DOI: 10.1155/2017/6758721
• Languages: English
• ISSNs: 0278-0240

Abstract

Abstract : Pulmonary endothelium dysfunction is a key characteristic of ARDS. The aim of this study was to investigate endothelium-derived markers, such as angiopoietin-2 (Ang-2) and endothelial cell-specific molecule-1 (endocan), at the vascular and alveolar compartments as outcome predictors in ARDS. Fifty-three consecutive ARDS patients were studied. The primary outcome was 28-day mortality. Secondary endpoints were days of unassisted ventilation and days with organ failure other than ARDS, during the 28-day study period. Nonsurvivors presented higher lung injury scores and epithelial lining fluid (ELF) Ang-2 levels compared to survivors, with no significant differences in plasma Ang-2, endocan, and protein C concentrations between the two groups. In logistic regression analysis, ELF Ang-2 levels > 705 pg/ml were the only independent variable for 28-day mortality among the previous four. Plasma endocan values > 13 ng/pg were the only parameter predictive against days of unassisted ventilation during the 28-day study period. Finally, lung injury score > 2.25 and ELF Ang-2 levels > 705 pg/ml were associated with increased number of days with organ failure, other than ARDS. Our findings suggest that Ang-2 levels are increased in the alveolar compartment of ARDS patients, and this may be associated both with increased mortality and organ failure besides lung.