Journal of Clinical Medicine Research, ISSN 1918-3003 print, 1918-3011 online, Open Access |
Article copyright, the authors; Journal compilation copyright, J Clin Med Res and Elmer Press Inc |
Journal website http://www.jocmr.org |
Original Article
Volume 12, Number 3, March 2020, pages 157-164
Evaluation of the Activity of Neutrophils and Monocytes in Diabetic Patients With Sepsis, Can Surface Antigens HLA-DR and CD64 Be Useful as Prognostic Factors?
Figure
Tables
Infection | Number of patients |
---|---|
Respiratory | 14 (27.45%) |
Urinary tract | 14 (27.45%) |
Osteomyelitis | 3 (5.88%) |
Soft tissues | 12 (23.52%) |
Abdomen | 8 (15.68%) |
Characteristics | Survivors | Non-survivors | P value |
---|---|---|---|
WBC: white blood cells; NLR: neutrophils to lymphocytes ratio; CD64M0: CD64 antigen on monocytes on day 0; CD64M3: CD64 antigen on monocytes on day 3; CD64M7: CD64 antigen on monocytes on day 7; CD64O0: CD64 antigen on neutrophils on day 0; CD64O3: CD64 antigen on neutrophils on day 3; CD64O7: CD64 antigen on neutrophils on day 7; HLA-DRM0: HLA-DR antigen on monocytes on day 0; HLA-DRM3: HLA-DR antigen on monocytes on day 3; HLA-DRM7: HLA-DR antigen on monocytes on day 7; HLA-DRO0: HLA-DR antigen on neutrophils on day 0; HLA-DRO3: HLA-DR antigen on neutrophils on day 3; HLA-DRO7: HLA-DR antigen on neutrophils on day 7; HLA-DR/CD64M0: HLA-DR/CD64 co-expression on monocytes on day 0; HLA-DR/CD64M3: HLA-DR/CD64 co-expression on monocytes on day 3; HLA-DR/CD64M7: HLA-DR/CD64 co-expression on monocytes on day 7; HLA-DR/CD64O0: HLA-DR/CD64 co-expression on neutrophils on day 0; HLA-DR/CD64O3: HLA-DR/CD64 co-expression on neutrophils on day 3; HLA-DR/CD64O7: HLA-DR/CD64 co-expression on neutrophils on day 7; phagoM0: percentage of phagocytosis in monocytes on day 0; phagoM7: percentage of phagocytosis in monocytes on day 7; phagoO0: percentage of phagocytosis in neutrophils on day 0; phagoO7: percentage of phagocytosis in neutrophils on day 7. | |||
Age | 71.03 ± 12.265 | 77.55 ± 9.015 | 0.068 |
WBC | 15,438.25 ± 7,040.363 | 13,799.86 ± 6,172.514 | 0.663 |
NLR | 9.838 ± 10.8683 | 12.552 ± 11.0357 | 0.292 |
SAPS II score | 30.08 ± 10.159 | 34.64 ± 10.003 | 0.136 |
CRP | 20.640 ± 13.0986 | 14.990 ± 10.4869 | 0.304 |
HbA1c | 8.593 ± 2.6425 | 7.37 ± 1.17 | 0.308 |
CD64M0 | 19.38 ± 9.82 | 15.62 ± 5.22 | 0.262 |
CD64M3 | 12.88 ± 5.43 | 10.95 ± 2.83 | 0.267 |
CD64M7 | 14.40 ± 5.03 | 9.44 ± 4.42 | 0.023 |
CD64O0 | 11.58 ± 8.98 | 9.94 ± 3.99 | 0.900 |
CD64O3 | 7.83 ± 4.011 | 6.09 ± 1.49 | 0.290 |
CD64O7 | 11.03 ± 5.78 | 6.79 ± 4.24 | 0.062 |
HLA-DRM0 | 5.59 ± 2.74 | 5.09 ± 1.89 | 0.757 |
HLA-DRM3 | 4.54 ± 1.68 | 4.09 ± 0.96 | 0.679 |
HLA-DRM7 | 6.60 ± 2.32 | 4.73 ± 1.39 | 0.026 |
HLA-DRO0 | 5.23 ± 2.90 | 4.83 ± 2.16 | 0.464 |
HLA-DRO3 | 2.93 ± 0.82 | 3.22 ± 0.94 | 0.387 |
HLA-DRO7 | 7.19 ± 3.41 | 5.68 ± 2.91 | 0.189 |
HLA-DR/CD64M0 | 5.36 ± 2.66 | 4.85 ± 1.89 | 0.706 |
HLA-DR/CD64M3 | 4.35 ± 1.62 | 3.92 ± 0.97 | 0.747 |
HLA-DR/CD64M7 | 6.49 ± 2.26 | 4.38 ± 1.31 | 0.010 |
HLA-DR/CD64O0 | 3.36 ± 1.87 | 3.36 ± 2.00 | 0.973 |
HLA-DR/CD64O3 | 2.56 ± 1.42 | 2.24 ± 0.85 | 0.245 |
HLA-DR/CD64O7 | 4.21 ± 2.07 | 2.90 ± 0.82 | 0.143 |
PhagoM0 | 72.12 ± 19.06 | 73.99 ± 19.06 | 0.672 |
PhagoM7 | 70.30 ± 15.96 | 65.14 ± 23.94 | 0.709 |
PhagoO0 | 87.85 ± 11.66 | 88.39 ± 11.25 | 0.909 |
PhagoO7 | 88.52 ± 10.50 | 73.38 ± 26.96 | 0.083 |
Characteristics | HbA1c ≤ 7, HbA1c ≤ 53 mmol/mol | 7 < HbA1c ≤ 8.5, 53 < HbA1c ≤ 69, 40 mmol/mol | HbA1c > 8.5, HbA1c > 69.40 mmol/mol | P value |
---|---|---|---|---|
NSGP values: HbA1c ≤ 7, 7 < HbA1c ≤ 8.5, HbA1c > 8.5, respectively; IFCC values in mmol/mol: HbA1c ≤ 53, 53 < HbA1c ≤ 69.40, HbA1c > 69.40, respectively. NSGP: National Glycohemoglobin Standardization Program; IFCC: The International Federation of Clinical Chemistry and Laboratory Medicine; WBC: white blood cells; NLR: neutrophils to lymphocytes ratio; CD64M0: CD64 antigen on monocytes on day 0; CD64M3: CD64 antigen on monocytes on day 3; CD64M7: CD64 antigen on monocytes on day 7; CD64O0: CD64 antigen on neutrophils on day 0; CD64O3: CD64 antigen on neutrophils on day 3; CD64O7: CD64 antigen on neutrophils on day7; HLA-DRM0: HLA-DR antigen on monocytes on day 0; HLA-DRM3: HLA-DR antigen on monocytes on day3; HLA-DRM7: HLA-DR antigen on monocytes on day 7; HLA-DRO0: HLA-DR antigen on neutrophils on day 0; HLA-DRO3: HLA-DR antigen on neutrophils on day 3; HLA-DRO7: HLA-DR antigen on neutrophils on day7; HLA-DR/CD64M0: HLA-DR/CD64 co-expression on monocytes on day 0; HLA-DR/CD64M3: HLA-DR/CD64 co-expression on monocytes on day 3; HLA-DR/CD64M7: HLA-DR/CD64 co-expression on monocytes on day 7; HLA-DR/CD64O0: HLA-DR/CD64 co-expression on neutrophils on day 0; HLA-DR/CD64O3: HLA-DR/CD64 co-expression on neutrophils on day3; HLA-DR/CD64O7: HLA-DR/CD64 co-expression on neutrophils on day 7; phagoM0: percentage of phagocytosis in monocytes on day 0; phagoM7: percentage of phagocytosis in monocytes on day 7; phagoO0: percentage of phagocytosis in neutrophils on day 0; phagoO7: percentage of phagocytosis in neutrophils on day 7. aP < 0.05 vs. grI. bP < 0.05 vs. grII. | ||||
Age | 74 ± 9.13 | 74.32 ± 10 | 67.57 ± 16.12 | 0.463 |
WBC | 14,702.86 ± 7,795.94 | 15,713.64 ± 6294.46 | 15,485 ± 6,223.94 | 0.983 |
NLR | 12.16 ± 16.48 | 11.19 ± 9.51 | 7.89 ± 4.59 | 0.628 |
SAPS II score | 31.79 ± 10.67 | 30.64 ± 8.98 | 31.21 ± 12.43 | 0.970 |
CRP | 18.20 ± 13.50 | 16.99 ± 12.08 | 25.92 ± 11.67 | 0.130 |
HbA1c | 6.42 ± 0.51 | 7.72 ± 0.38 | 11.25 ± 2.93 | 0.000 |
CD64M0 | 22.21 ± 11.88 | 18.38 ± 7.98 | 15.71 ± 6.98 | 0.270 |
CD64M3 | 12.98 ± 5.60 | 12.39 ± 4.85 | 12.20 ± 5.44 | 0.775 |
CD64M7 | 13.80 ± 6.16 | 13.62 ± 4.69 | 13.62 ± 5.49 | 0.860 |
CD64O0 | 14.02 ± 11.85 | 12.01 ± 6.85 | 7.59 ± 3.69a, b | 0.038 |
CD64O3 | 7.18 ± 3.50 | 7.96 ± 3.99 | 7.09 ± 3.84 | 0.810 |
CD64O7 | 11.53 ± 6.70 | 11.01 ± 5.02 | 8.52 ± 5.88 | 0.251 |
HLA-DRM0 | 5.89 ± 3.08 | 6.09 ± 2.59 | 4.34 ± 1.48 | 0.052 |
HLA-DRM3 | 4.56 ± 1.60 | 4.87 ± 1.77 | 3.85 ± 1.04 | 0.215 |
HLA-DRM7 | 6.80 ± 3.23 | 6.17 ± 1.88 | 6.16 ± 2.03 | 0.878 |
HLA-DRO0 | 4.93 ± 2.17 | 5.85 ± 3.48 | 4.43 ± 1.65 | 0.243 |
HLA-DRO3 | 3.45 ± 1.17 | 2.87 ± 0.71 | 2.80 ± 0.49 | 0.275 |
HLA-DRO7 | 6.15 ± 4.29 | 7.54 ± 2.84 | 6.82 ± 3.26 | 0.325 |
HLA-DR/CD64M0 | 5.67 ± 3.01 | 5.84 ± 2.52 | 4.13 ± 1.39b | 0.050 |
HLA-DR/CD64M3 | 4.40 ± 1.57 | 4.67 ± 1.69 | 3.66 ± 1.06 | 0.193 |
HLA-DR/CD64M7 | 6.52 ± 3.11 | 5.95 ± 1.80 | 6.22 ± 2.20 | 0.850 |
HLA-DR/CD64O0 | 3.61 ± 1.60 | 3.56 ± 2.36 | 2.93 ± 1.21 | 0.291 |
HLA-DR/CD64O3 | 2.46 ± 0.82 | 2.79 ± 1.85 | 2.16 ± 0.61 | 0.383 |
HLA-DR/CD64O7 | 3.91 ± 2.60 | 4.09 ± 1.63 | 4.00 ± 2.04 | 0.494 |
PhagoM0 | 73.97 ± 19.63 | 72.94 ± 15.89 | 69.48 ± 19.23 | 0.670 |
PhagoM7 | 74.57 ± 12.38 | 69.31 ± 15.90 | 65.55 ± 21.96 | 0.671 |
PhagoO0 | 88.72 ± 11.24 | 86.76 ± 12.78 | 88.65 ± 10.42 | 0.927 |
PhagoO7 | 92.55 ± 4.85 | 84.36 ± 12.73 | 83.75 ± 21.29 | 0.293 |
Characteristics | Septic patients with diabetes | Diabetic patients | P value |
---|---|---|---|
WBC: white blood cells; NLR: neutrophils to lymphocytes ratio; CD64MO: CD64 antigen on monocytes on day 0; CD64M3: CD64 antigen on monocytes on day 3; CD64M7: CD64 antigen on monocytes on day 7; CD64O0: CD64 antigen on neutrophils on day 0; CD64O3: CD64 antigen on neutrophils on day3; CD64O7: CD64 antigen on neutrophils on day7; HLA-DRM0: HLA-DR antigen on monocytes on day 0; HLA-DRM3: HLA-DR antigen on monocytes on day 3; HLA-DRM7: HLADR antigen on monocytes on day7; HLA-DRO0: HLA-DR antigen on neutrophils on day 0; HLA-DRO3: HLA-DR antigen on neutrophils on day 3; HLA-DRO7: HLA-DR antigen on neutrophils on day 7; HLA-DR/CD64M0: HLA-DR/CD64 co-expression on monocytes on day 0; HLA-DR/CD64M3: HLA-DR/CD64 co-expression on monocytes on day 3; HLA-DR/CD64M7: HLA-DR/CD64: co-expression on monocytes on day 7; HLADR/CD64O0: HLA-DR/CD64 co-expression on neutrophils on day 0; HLA-DR/CD64O3: HLA-DR/CD64 co-expression on neutrophils on day 3; HLA-DR/CD64O7: HLA-DR/CD64 co-expression on neutrophils on day 7; phagoM0: percentage of phagocytosis in monocytes on day 0; phagoM7: percentage of phagocytosis in monocytes on day 7; phagoO0: percentage of phagocytosis in neutrophils on day 0; phagoO7: percentage of phagocytosis in neutrophils on day 7. | |||
Age | 72.43 ± 11.87 | 57.88 ± 15.64 | 0.000 |
WBC | 15,084.76 ± 6,837.066 | 7,491.54 ± 2,326.56 | 0.093 |
NLR | 10.42 ± 10.85 | 2.53 ± 1.30 | |
SAPS II score | 31.06 ± 10.20 | 9.72 ± 5.40 | |
CRP | 19.38 ± 12.65 | ||
HBA1c | 8.34 ± 2.46 | 7.75 ± 1.98 | 0.093 |
CD64M0 | 18.57 ± 9.11 | 10.48 ± 2.82 | 0.000 |
CD64M3 | 12.53 ± 5.08 | ||
CD64M7 | 13.67 ± 5.21 | ||
CD64O0 | 11.22 ± 8.16 | 8.37 ± 2.53 | 0.083 |
CD64O3 | 7.51 ± 3.73 | ||
CD64O7 | 10.40 ± 5.75 | ||
HLA-DRM0 | 5.48 ± 2.57 | 6.86 ± 1.66 | 0.000 |
HLA-DRM3 | 4.46 ± 1.57 | ||
HLA-DRM7 | 6.33 ± 2.29 | ||
HLA-DRO0 | 5.14 ± 2.74 | 6.73 ± 8.24 | 0.666 |
HLA-DRO3 | 2.99 ± 0.84 | ||
HLA-DRO7 | 6.97 ± 3.35 | ||
HLA-DR/CD64M0 | 5.25 ± 2.51 | 6.61 ± 1.61 | 0.000 |
HLA-DR/CD64M3 | 4.28 ± 1.52 | ||
HLA-DR/CD64M7 | 6.18 ± 2.27 | ||
HLA-DR/CD64O0 | 3.36 ± 1.88 | 3.50 ± 4.81 | 0.000 |
HLA-DR/CD64O3 | 2.50 ± 1.34 | ||
HLA-DR/CD64O7 | 4.02 ± 1.98 | ||
PhagoM0 | 72.52 ± 17.58 | 46.81 ± 13.14 | 0.000 |
PhagoM7 | 69.53 ± 17.15 | ||
PhagoO0 | 87.96 ± 11.46 | 74.94 ± 11.67 | 0.000 |
PhagoO7 | 86.27 ± 14.77 |