NDLI: Serum Soluble Fms-Like Tyrosine Kinase 1 (sFlt-1) Predicts the Severity of Acute Pancreatitis

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Serum Soluble Fms-Like Tyrosine Kinase 1 (sFlt-1) Predicts the Severity of Acute Pancreatitis

Content Provider	MDPI
Author	Dumnicka, Paulina Sporek, Mateusz Mazur-Laskowska, Małgorzata Ceranowicz, Piotr Kuźniewski, Marek Drożdż, Ryszard Ambroży, Tadeusz Olszanecki, Rafał Kuśnierz-Cabala, Beata
Abstract	Organ failure is the most important determinant of the severity of acute pancreatitis (AP). Soluble fms-like tyrosine kinase 1 (sFlt-1) is positively associated with organ failure in sepsis. Our aim was to evaluate the diagnostic utility of automated sFlt-1 measurements for early prediction of AP severity. Adult patients (66) with AP were recruited, including 46 with mild (MAP), 15 with moderately-severe (MSAP) and 5 with severe AP (SAP). Serum and urine samples were collected twice. Serum sFlt-1 was measured with automated electrochemiluminescence immunoassay. Serum concentrations of sFlt-1 were significantly higher in patients with MSAP and SAP as compared to MAP. SAP patients had the highest concentrations. At 24 and 48 h, sFlt-1 positively correlated with inflammatory markers (leukocyte count, C-reactive protein), kidney function (creatinine, urea, cystatin C, serum and urine neutrophil gelatinase-associated lipocalin, urine albumin/creatinine ratio), D-dimer and angiopoietin-2. sFlt-1 positively correlated with the bedside index of severity in AP (BISAP) score and the duration of hospital stay. Serum sFlt-1 above 139 pg/mL predicted more severe AP (MSAP + SAP). In the early phase of AP, sFlt-1 is positively associated with the severity of AP and predicts organ failure, in particular kidney failure. Serum sFlt-1 may be a practical way to improve early assessment of AP severity.
File Size	1176576
File Format	PDF
e-ISSN	14220067
DOI	10.3390/ijms17122038
Journal	International Journal of Molecular Sciences
Issue Number	12
Volume Number	17
Language	English
Publisher Date	2016-12-06
Access Restriction	Open
Subject Keyword	vascular endothelial growth factor receptor 1 acute pancreatitis endothelial dysfunction angiopoietin-2 diagnostic utility
Content Type	Text
Resource Type	Article

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