Table 3. Promising new biomarkers of infection.
Biomarker | Biological, structural and/or pathophysiological characteristics | Available data |
---|---|---|
sTREM-1 | Surface receptor of mature polymorphonuclear and monocytes up-regulated when exposed to bacterial and fungal pathogens | Diagnostic value for pneumonia and meningitis and prognostic value in sepsis (3) |
suPAR/CD87 | Constitutive cellular receptor in endothelium and leucocyte up-regulated during inflammatory and immune response | Prognostic value in sepsis. Possible useful for antibiotic management in sepsis (3) |
ProADM | Adrenomedullin precursor (mediator of cell proliferation and hormone regulation) with increased secretion during immune response to bacterial and viral infection | Prognostic value in pneumonia (3) |
Presepsin | Glycoprotein receptor of monocytes/macrophages | Diagnostic and prognostic value in sepsis (3) |
PTX3 | Protein produced by various cells (monocytes, neutrophils and endothelial cells) in response to proinflammatory cytokines and bacterial products; acts as part of the innate immune system by activating the classical and lectin complement pathways; closely related to CRP as both are members of the pentraxin family | Candidate prognostic marker in sepsis (50,51) |
sTREM-1, soluble triggering receptor expressed on myeloid cells-1; suPAR, soluble urokinase-type plasminogen receptor; ProADM, proadrenomedullin; PTX3, pentraxin-3; CRP, C-reactive protein.