Circulating mitochondrial DNA in patients in the ICU as a marker of mortality: derivation and validation

重症监护病房患者循环线粒体 DNA 作为死亡标志物:推导与验证

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作者:Kiichi Nakahira, Sun-Young Kyung, Angela J Rogers, Lee Gazourian, Sojung Youn, Anthony F Massaro, Carolina Quintana, Juan C Osorio, Zhaoxi Wang, Yang Zhao, Laurie A Lawler, Jason D Christie, Nuala J Meyer, Finnian R Mc Causland, Sushrut S Waikar, Aaron B Waxman, Raymond T Chung, Raphael Bueno, Ivan

Background

Mitochondrial DNA (mtDNA) is a critical activator of inflammation and the innate immune system. However, mtDNA level has not been tested for its role as a biomarker in the intensive care unit (ICU). We hypothesized that circulating cell-free mtDNA levels would be associated with mortality and improve risk prediction in ICU patients.

Conclusions

Increased mtDNA levels are associated with ICU mortality, and inclusion of mtDNA level improves risk prediction in medical ICU patients. Our data suggest that mtDNA could serve as a viable plasma biomarker in medical ICU patients.

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