RT info:eu-repo/semantics/article T1 Quantification of IgM molecular response by droplet digital PCR as a potential tool for the early diagnosis of sepsis A1 Tamayo Gómez, Eduardo A1 Almansa Mora, Raquel A1 Carrasco, Elena A1 Ávila Alonso, Ana A1 Rodríguez Fernández, Ana A1 Wain, John A1 Heredia Rodríguez, María A1 Gómez Sánchez, Esther A1 Soria, Susana A1 Rico, Lucía A1 Iglesias, Verónica A1 Martínez Martínez, Ángel A1 Andaluz Ojeda, David A1 Gómez Herreras, José Ignacio A1 Eiros Bouza, José María A1 Bermejo Martín, Jesús Francisco K1 Systemic inflammatory response K1 Respuesta inflamatoria sistémica K1 Molecular Response K1 Respuesta molecular K1 Abdominal Infection K1 Infección abdominal K1 Sepsis AB Evaluation of host immune response to infection at the molecular level is a promising avenue to obtain diagnostic and prognostic tools for the clinical management of patients with sepsis. A recent report from Cajander and colleagues [1] has shown the potential of HLA-DR mRNA quantification by real-time PCR as a biomarker of immunosuppression in these patients. IgM is the first immunoglobulin produced in response to infection. In a pilot study, we have employed a next generation quantitative PCR method (nanoliter-sized droplet technology paired with digital PCR (ddPCR)) for detecting the early transcriptomic response of IgM in blood from patients with sepsis. Approval for the study protocol for both scientific and ethical aspects was obtained from the Committee for Clinical Research of Hospital Clínico Universitario, Valladolid, Spain. Written informed consent was obtained directly from each patient or a legal surrogate. The target gene transcript was IGHM, which encodes the constant region of the mu heavy chain, which defines the IgM isotype [2]. In blood, the cells producing IgM transcripts are B lymphocytes expressing CD20 [3], which was employed as housekeeping gene. PB Springer Nature SN 1364-8535 YR 2014 FD 2014 LK http://uvadoc.uva.es/handle/10324/45583 UL http://uvadoc.uva.es/handle/10324/45583 LA eng NO Critical Care, 2014, vol. 18. 2 p. NO Producción Científica DS UVaDOC RD 24-nov-2024