Table 1.
Pathobiology | Biomarker | Abnormality in ALI/ARDS | Organ failure-free days | Ventilator-free days | Mortality |
---|---|---|---|---|---|
Endothelium | VWF | Increased | Reduced(31,32) | Reduced(31–33) | Predictive(31–33) |
Endothelium and epithelium | ICAM-1 | Increased | Reduced(36) | Reduced(34,36) | Predictive(34–36) |
SP-D | Increased | Reduced(51) | Reduced(51) | Predictive(51) | |
RAGE | Increased | Reduceda(53) | Reduceda(53) | Predictivea(53) | |
Inflammation | IL-6 | Increased | Reduced(25) | Reduced(25) | Predictive(24,25) |
IL-8 | Increased | Reduced(25) | Reduced(25) | Predictive(24,25) | |
Coagulation | Protein C | Decreased | Reduced(29) | Reduced(29) | Predictive(29) |
PAI-1 | Increased | Reduced(29) | Reduced(29) | Predictive(29) |
Notes: VWF, von Willebrand factor antigen; ICAM-1, intercellular adhesion molecule; SP-D, surfactant protein D; RAGE, receptor for advanced glycation end-products; IL-6, IL-8, interleukins-6, -8; PAI-1, plasminogen activator inhibitor-1
Outcomes associated with high-tidal volume cohort only.