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Ulus Travma Acil Cerrahi Derg. 2019 May;25(3):205-212. doi: 10.5505/tjtes.2018.49139.

The role of heparin-binding protein in the diagnosis of acute mesenteric ischemia.

Author information

1
Department of Emergency, Necmettin Erbakan University Meram Faculty of Medicine, Konya-Turkey.
2
Department of Emergency, Beyhekim State Hospital, Konya-Turkey.

Abstract

BACKGROUND:

Acute mesenteric ischemia (AMI) is associated with a high mortality rate, yet diagnostic difficulties persist. Although many biomarkers have been investigated for diagnostic purposes, as well as imaging methods, a sufficiently specific and sensitive marker has not been identified. This research was designed to examine whether heparin-binding protein (HBP), which has a role in the early phase of inflammation, could be useful in the diagnosis of AMI.

METHODS:

Serum samples obtained from a previously performed rabbit model of AMI were used in the study. HBP, C-reactive protein (CRP) and interleukin 6 (IL-6) levels were measured in blood samples obtained at baseline and 1, 3, and 6 hours from subjects that were separated into 3 groups: control, sham, and ischemia. The change in each marker over time and comparisons of the groups were evaluated statistically.

RESULTS:

A significant difference was not detected at the first hour in any of the studied markers. At the third hour, the CRP and IL-6 levels in the ischemia group indicated a significant increase in comparison with the control and sham groups (p<0.001). The HBP values showed a significant increase at the sixth hour in the ischemia group in comparison with the others (p<0.001).

CONCLUSION:

The HBP level demonstrated a slower increase in a rabbit model of AMI compared with CRP and IL-6. However, it still has the potential to become an early diagnostic biomarker. Diagnostic sensitivity and specificity should be evaluated in further clinical trials.

PMID:
31135943
DOI:
10.5505/tjtes.2018.49139
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