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Table 3 Differences in plasma biomarker levels were found when comparing patients with RIARDS to patients with persistent ARDS. Analyses adjusting for multiple comparisons showed that plasma IL-6, IL-8 and PAI-1 were significantly lower in patients with RIARDS compared to those with persistent ARDS

From: Rapidly improving ARDS differs clinically and biologically from persistent ARDS

Biomarker

Persistent ARDS N = 169 Median (IQR)

RIARDS N = 46 Median (IQR)

p value

Bonferroni adjusted p value‡

Biomarkers in RIARDS versus persistent ARDS

Inflammation mediators

 IL-8 (pg/ml)

62 (17, 453)

16 (7, 68)

0.0001

0.001

 IL-6 (pg/ml)

462 (83, 4704)

80 (33, 474)

0.0002

0.003

 TNF alpha (pg/ml)

88 (66, 147)

71 (62, 90)

0.006

0.08

 IL-10 (pg/ml)

38 (26, 103)

28 (23, 44)

0.007

0.09

 IFN gamma (pg/ml)

113 (93, 145)

106 (82, 128)

0.05

0.62

 IL-1Beta (pg/ml)

78 (64, 105)

73 (56, 91)

0.05

0.71

 CX3CL1 (pg/ml)

13,180 (11,488, 15,440)

11,974 (10,688, 14,626)

0.09

1.0

 sTNFR-1 (pg/ml)

5273 (2516, 10,436)

4563 (1482, 10,125)

0.20

1.0

Lung injury

Alveolar type I

 sRAGE (pg/ml)

4579 (2495, 7535)

3657 (2081, 7921)

0.24

1.0

Endothelial cell

 Ang-2 (pg/ml)

9059 (4531, 16,221)

5569 (3397, 9435)

0.005

0.06

 ICAM-1 (pg/ml)

677,335 (332,593, 1,544,076)

456,391 (280,394, 714,185)

0.01

0.14

Coagulation

 PAI-1 (ng/ml)

18 (5, 50)

5 (3, 11)

0.0001

0.001

 Protein C (% control)

69 (33, 129)

87 (58, 158)

0.04

0.51

  1. p values that met criteria for statistical signifcance (p ≤ 0.05) were bolded
  2. IL-8: Interleukin-8; IL-6: Interleukin-6; TNF alpha: tumor necrosis factor alpha; IL-10: Interleukin-10; IFN gamma: interferon gamma; IL-1Beta: interleukin-1 Beta; CX3CL1: gene encoding chemokine ligand 1; sTNFR-1: soluble tumor necrosis factor receptor-1; sRAGE: soluble receptor for advanced glycation end-products; Ang-2: angiopoietin-2; ICAM-1: intercellular adhesion molecule 1; PAI-1: plasminogen activator inhibitor 1
  3. ‡Mann–Whitney U Test was used to calculate uncorrected alpha. Adjusted p value was obtained using Bonferroni correction