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Table 2 Biomarkers of ARDS

From: Pathophysiology and biomarkers of acute respiratory distress syndrome

Name

Change in ARDS

Clinical prediction

Humoral mediators

  

 Cytokines, growth factors

  

  TNFα

BALF↑

Poor outcome

  IL-1β

BALF↑

Poor outcome

  IL-2

Blood↑

Development

  IL-4

Blood↑

Development

  IL-6

Blood↑, BALF↑

Poor outcome

  IL-8

Blood↑, BALF↑

Development and severity (BALF), poor outcome

  IL-18

Blood↑

Poor outcome

  VEGF

ELF↑

Better outcome

  KGF

BALF↑

Poor outcome

  GDF-15

Blood↑

Poor outcome

  Ang-2

Blood↑

Development, poor outcome

  Neutrophil elastase

Blood↑

Development and severity

  Leptin

BALF↑

Poor outcome

 Coagulation/fibrinolysis factors

  

  PAI-1

Blood↑

Poor outcome

  Thrombomodulin

Blood↑

Poor outcome

  von Willebrand factor

Blood↑

Development

  Protein C

Blood↓

Poor outcome

Substances released from injured or activated tissues

  

 DAMPs

  

  HMGB-1

Blood↑

Poor outcome

  DNA

BALF↑

Poor outcome

 Endothelial cells

  

  Soluble P-selectin

Blood↑

Poor outcome

  Soluble ICAM-1

Blood↑

Poor outcome

 Epithelial cells

  

  Soluble RAGE

Blood↑

Poor outcome

  SP-B

Blood↑

Development

  SP-D

Blood↑

Poor outcome

  CC-16

Blood↑

Poor outcome

  Laminin γ2

ELF↑

Poor outcome

  KL-6

Blood↑, BALF↑

Poor outcome

  1. BALF bronchoalveolar lavage fluid, ELF epithelial lining fluid, TNFα tumor necrosis factor alpha, IL interleukin, VEGF vascular endothelial growth factor, KGF keratinocyte growth factor, GDF-15 growth differentiation factor-15, Ang-2 angiopoietin-2, PAI-1 plasminogen activator inhibitor 1, DAMPs damage (danger)-associated molecular patterns, HMGB-1 high-mobility group box 1, ICAM-1 intercellular adhesion molecule 1, RAGE receptor for advanced glycation end products, SP surfactant protein, CC-16 Clara cell specific protein 16, KL-6 Krebs von den Lungen-6.