Sepsis & infection

Low expression of CD39 on monocytes predicts poor survival in sepsis patients

J Intensive CarePublished Prospective observational cohort study

Authors' conclusion

Low CD39 expression on monocytes might serve as a potential diagnostic biomarker and a strong predictor of poor prognosis in sepsis patients.

Study context

Population
Healthy donors, patients with mild infections, post-cardiac surgery patients and sepsis patients, First Affiliated Hospital, Zhejiang University School of Medicine, April 2022–September 2023
Participants
206 donors
Exposure
Monocytic CD39 expression in sepsis vs mild infection, post-cardiac surgery and healthy donors
Outcome
Monocytic CD39 (mCD39) expression and diagnostic performance
Methodological detailssingle-centre
  • Single-centre

Main finding

As reported in the abstract

GroupAUC (sepsis vs mild infection)AUC (sepsis vs non-infectious inflammation)
Mild infection0.877— not stated in the abstract
Post-surgery— not stated in the abstract0.935

AUC (sepsis vs mild infection)

Mild infection0.877
Post-surgery— not stated in the abstract

AUC (sepsis vs non-infectious inflammation)

Mild infection— not stated in the abstract
Post-surgery0.935

— not stated in the abstract

Significantly lower monocytic CD39 (mCD39) expression in sepsis than in mild infection and post-surgery groups
P < 0.05

Observational data: associations, not effects.

Further findings

7-day survival prediction by low mCD39 (sepsis)

AUC
0.85
P
P = 0.037

28-day survival, low vs high mCD39 (sepsis, Kaplan-Meier)

28-day survival, low vs other mCD39
56.7% vs. 80.6%
P
P = 0.016

Original publication

Low expression of CD39 on monocytes predicts poor survival in sepsis patients. J Intensive Care. Published 10 March 2025. doi:10.1186/s40560-025-00784-0

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