Article Text

Download PDFPDF

Endothelial cell adhesion molecules in meningococcal disease

Abstract

BACKGROUND Endothelial damage is important in meningococcal disease. Cell adhesion molecules, including P selectin, E selectin, and intercellular cell adhesion molecule 1 (ICAM-1), are expressed by activated endothelium and then subsequently shed.

METHODS ICAM-1, P selectin, and E selectin were measured on admission to hospital in children with meningococcal infections.

RESULTS Concentrations of shed cell adhesion molecules are reported for 78 children. Eleven did not have meningococcal disease. Of the 67 with meningococcal disease, 40 had mild disease (Glasgow meningococcal septicaemia prognostic score (GMSPS) < 8) and 27 had severe disease (GMSPS ⩾ 8). E selectin and ICAM-1 values were higher in those with meningococcal disease. The E selectin values in those with severe disease were higher than in those with mild disease. P selectin concentrations were not altered in meningococcal disease, but those who died had lower concentrations.

CONCLUSIONS Endothelial activation in meningococcal disease is reflected by shed ICAM-1 and E selectin concentrations.

  • meningococcal disease
  • intercellular cell adhesion molecule 1
  • P selectin
  • E selectin
View Full Text

Statistics from Altmetric.com

Footnotes

    Request Permissions

    If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.