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Plasma levels of F-actin and F:G-actin ratio as potential new biomarkers in patients with septic shock
Authors:Justin B Belsky  Daniel C Morris  Ralph Bouchebl  Michael R Filbin  Kevin R Bobbitt  Anja K Jaehne
Institution:1. Department of Emergency Medicine, Massachusetts General Hospital, Boston, MA, USA, jbelsky@partners.org;3. Department of Emergency Medicine, Henry Ford Hospital, Detroit, MI, USA,;4. Department of Emergency Medicine, American University of Beirut, Beirut, Lebanon,;5. Department of Emergency Medicine, Massachusetts General Hospital, Boston, MA, USA,;6. Department of Public Health Sciences, Henry Ford Hospital, Detroit, MI, USA, and;7. Department of Emergency Medicine, Henry Ford Hospital, Detroit, MI, USA,;8. Department of Quality, Northstar Health System, Iron River, MI, USA
Abstract:Objective: To compare plasma levels of F-actin, G-actin and thymosin beta 4 (TB4) in humans with septic shock, noninfectious systemic inflammatory response syndrome (SIRS) and healthy controls.

Results: F-actin was significantly elevated in septic shock as compared with noninfectious SIRS and healthy controls. G-actin levels were greatest in the noninfectious SIRS group but significantly elevated in septic shock as compared with healthy controls. TB4 was not detectable in the septic shock or noninfectious SIRS group above the assay’s lowest detection range (78?ng/ml).

Conclusions: F-actin is significantly elevated in patients with septic shock as compared with noninfectious SIRS. F-actin and the F:G-actin ratio are potential biomarkers for the diagnosis of septic shock.
Keywords:Actin  actin binding protein  coronary artery bypass graft  F-actin  G-actin  septic shock  thymosin beta 4
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