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A Focus on the Pathophysiology of Adrenomedullin Expression: Endothelitis and Organ Damage in Severe Viral and Bacterial Infections.
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- Author(s): Spoto S;Spoto S; Basili S; Basili S; Cangemi R; Cangemi R; Yuste JR; Yuste JR; Yuste JR; Lucena F; Lucena F; Romiti GF; Romiti GF; Raparelli V; Raparelli V; Argemi J; Argemi J; D'Avanzo G; D'Avanzo G; Locorriere L; Locorriere L; Masini F; Masini F; Calarco R; Calarco R; Testorio G; Testorio G; Spiezia S; Spiezia S; Ciccozzi M; Ciccozzi M; Angeletti S; Angeletti S; Angeletti S
- Source:
Cells [Cells] 2024 May 22; Vol. 13 (11). Date of Electronic Publication: 2024 May 22.- Publication Type:
Journal Article; Review- Language:
English - Source:
- Additional Information
- Source: Publisher: MDPI Country of Publication: Switzerland NLM ID: 101600052 Publication Model: Electronic Cited Medium: Internet ISSN: 2073-4409 (Electronic) Linking ISSN: 20734409 NLM ISO Abbreviation: Cells Subsets: MEDLINE
- Publication Information: Original Publication: Basel, Switzerland : MDPI
- Subject Terms:
- Abstract: Adrenomedullin (ADM) is a peptide hormone produced primarily in the adrenal glands, playing a crucial role in various physiological processes. As well as improving vascular integrity and decreasing vascular permeability, ADM acts as a vasodilator, positive inotrope, diuretic, natriuretic and bronchodilator, antagonizing angiotensin II by inhibiting aldosterone secretion. ADM also has antihypertrophic, anti-apoptotic, antifibrotic, antioxidant, angiogenic and immunoregulatory effects and antimicrobial properties. ADM expression is upregulated by hypoxia, inflammation-inducing cytokines, viral or bacterial substances, strength of shear stress, and leakage of blood vessels. These pathological conditions are established during systemic inflammation that can result from infections, surgery, trauma/accidents or burns. The ability to rapidly identify infections and the prognostic, predictive power makes it a valuable tool in severe viral and bacterial infections burdened by high incidence and mortality. This review sheds light on the pathophysiological processes that in severe viral or bacterial infections cause endothelitis up to the development of organ damage, the resulting increase in ADM levels dosed through its more stable peptide mid-regional proadrenomedullin (MR-proADM), the most significant studies that attest to its diagnostic and prognostic accuracy in highlighting the severity of viral or bacterial infections and appropriate therapeutic insights.
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Crit Care. 2020 Jul 2;24(1):389. (PMID: 32616077) - Grant Information: PRIN-2017ATZ2YK This research was funded by the Ministry of Education, Universities and Research -PRIN-2017ATZ2YK. We acknowledge co-funding from Next Generation EU, in the context of the National Recovery and Resilience Plan, Investment PE8 - Project Age-It: "Ageing Wel
- Contributed Indexing: Keywords: adrenomedullin (ADM); biomarkers; endothelitis; mid-regional proadrenomedullin (MR-proADM); sepsis; viral infection
- Accession Number: 148498-78-6 (Adrenomedullin)
- Publication Date: Date Created: 20240619 Date Completed: 20240619 Latest Revision: 20240625
- Publication Date: 20240625
- Accession Number: PMC11172186
- Accession Number: 10.3390/cells13110892
- Accession Number: 38891025
- Source:
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