Assessment of clinical sepsis-associated biomarkers in a septic mouse model

J Int Med Res. 2018 Jun;46(6):2410-2422. doi: 10.1177/0300060518764717. Epub 2018 Apr 12.

Abstract

Objective Clinical sepsis-associated biomarkers were utilized in a cecal ligation and puncture (CLP) septic mouse model to provide a reference for investigating pathophysiological mechanisms and evaluating novel therapeutic interventions for sepsis. Methods Sepsis in mice was induced by CLP, and clinical biomarkers were evaluated (survival rate, blood physiological and biochemical indices, cytokines, hepatorenal function parameters, and blood coagulation). Results The mortality rate was >70%. The body temperature, blood pressure, and heart rate decreased within 48 h. Low lactic acid was found at 8 h. The CLP mice showed typical inflammatory symptoms with decreased white blood cells and procalcitonin and increased levels of soluble triggering receptor expressed on myeloid cells-1, interleukin (IL)-6, IL-10, tumor necrosis factor-α, macrophage inflammatory protein (MIP)-1α, MIP-1β, and MIP-2. The platelet count and activated partial thromboplastin time significantly decreased, and the prothrombin time and prothrombin time-international normalized ratio markedly increased. Phenotypes of multiple organ dysfunction were found in the CLP model, including increased liver alanine aminotransferase and aspartate transaminase; significantly reduced total protein, globulin, and serum albumin; increased blood urea nitrogen and creatinine; and decreased blood glucose. Conclusion The clinical features of the CLP mouse model were similar to those of human patients with sepsis.

Keywords: Sepsis; biomarkers; cecal ligation and puncture (CLP); clinical indicators; diagnostic criteria; mouse model.

MeSH terms

  • Animals
  • Aspartate Aminotransferases
  • Biomarkers / blood*
  • Cytokines / blood
  • Disease Models, Animal*
  • Male
  • Mice
  • Mice, Inbred C57BL
  • Sepsis / blood*
  • Sepsis / diagnosis
  • Sepsis / etiology
  • Sepsis / physiopathology*

Substances

  • Biomarkers
  • Cytokines
  • Aspartate Aminotransferases