Serum soluble urokinase-type plasminogen activator receptor as a serum marker of inflammatory response that leads to tissue damage and surgical complication.

ABSTRACT Unrestrained activation of the proteolytic systems in anastomotic tissue during repair has been implicated in the pathogenesis of anastomotic leakage. We hypothesized that this mechanism may promote an up-regulation of the urokinase-type plasminogen activator system and a spillover of solub...

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Publicado en:Wound Repair & Regeneration Vol. 24; no. 6; pp. 1036 - 1041
Autores principales: Tognoli, Emiliano, Luigi Giuseppe Leoni, Matteo, Morelli, Daniele, Sottotetti, Elisa, Martinetti, Antonia, Signoroni, Stefano, Galeone, Carlotta, Gallino, Gianfranco
Formato: research tables/charts Journal Article
Publicado: Wiley-Blackwell Nov/Dec2016
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Nov/Dec2016
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      pub: Wiley-Blackwell
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        10.1111/wrr.12493
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        atl: Serum soluble urokinase-type plasminogen activator receptor as a serum marker of inflammatory response that leads to tissue damage and surgical complication.
      aug:
        au:
          Tognoli, Emiliano
          Luigi Giuseppe Leoni, Matteo
          Morelli, Daniele
          Sottotetti, Elisa
          Martinetti, Antonia
          Signoroni, Stefano
          Galeone, Carlotta
          Gallino, Gianfranco
        affil: Department of Anesthesia, Intensive Care and Palliative Care, Istituto Nazionale Tumori, IRCCS Foundation
      sug:
        subj:
          Inflammation Physiopathology
          Receptors, Cell Surface Blood
          Urokinase Blood
          Biological Markers Blood
          Wound Healing Physiology
          Anastomosis, Surgical Adverse Effects
          Surgery, Digestive System Adverse Effects
          Postoperative Complications
          Extracellular Space
          C-Reactive Protein Blood
          Surgical Patients
          Retrospective Design
          Cancer Care Facilities
          Italy
          Human
          Secondary Analysis
          Comparative Studies
          Postoperative Period
          Analysis of Variance
          ROC Curve
          Repeated Measures
          Two-Tailed Test
          P-Value
          Data Analysis Software
          Kinetics
      ab: ABSTRACT Unrestrained activation of the proteolytic systems in anastomotic tissue during repair has been implicated in the pathogenesis of anastomotic leakage. We hypothesized that this mechanism may promote an up-regulation of the urokinase-type plasminogen activator system and a spillover of soluble urokinase-type plasminogen activator receptor (suPAR) into blood. In this retrospective analysis patients with anastomotic leakage were compared with a group of matched uncomplicated patients. Anastomotic leakage complicated patients had significantly higher suPAR ( p = 0.04) levels until day 3 after surgery. The area under the receiver-operating characteristic (ROC) for suPAR was higher than that CRP (0.874 vs. 0.836). Their analysis suggests the possible use of suPAR as serum marker to characterize the persistent inflammatory response that lead to tissue damage and surgical complication.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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