Expression of soluble triggering receptor expression on myeloid cells-1 in pleural effusion

Lu-Ying Huang1, Huan-Zhong Shi, Qiu-Li Liang

  • 1Institute of Respiratory Diseases, First Affiliated Hospital, Guangxi Medical University, Nanning, Guangxi 530021, China.

Chinese Medical Journal
|November 26, 2008
PubMed
Abstract

Insights

Soluble TREM-1 (sTREM-1) in pleural effusions can help differentiate bacterial infections from other causes. Pleural sTREM-1 levels did not change with bacterial pneumonia.

Area of Science:

  • Immunology
  • Pulmonology
  • Biochemistry

Background:

  • Triggering receptors expressed on myeloid cells (TREM) are cell surface receptors on myeloid cells.
  • Soluble TREM-1 (sTREM-1) is a biomarker of interest in various inflammatory conditions.

Purpose of the Study:

  • To investigate the clinical significance of sTREM-1 in pleural effusions.
  • To determine if pneumonia affects pleural sTREM-1 concentrations.

Main Methods:

  • Collected pleural fluid from 109 patients with various pleural effusion types.
  • Measured sTREM-1, TNF-alpha, and IL-1beta concentrations using ELISA.
  • Analyzed sTREM-1 levels in relation to effusion etiology and pneumonia presence.

Main Results:

  • Bacterial pleural effusions showed significantly higher sTREM-1 concentrations than other types (P < 0.001).
  • An sTREM-1 cutoff of 768.1 ng/L achieved 86% sensitivity and 93% specificity.
  • Pleural sTREM-1 correlated positively with TNF-alpha and IL-1beta.
  • Bacterial pneumonia did not elevate pleural sTREM-1 levels.

Conclusions:

  • Pleural sTREM-1 determination can aid in distinguishing bacterial pleural effusions.
  • Bacterial pneumonia occurrence does not influence pleural sTREM-1 concentrations.