Sepsis & infection

Plasma H3.1 nucleosomes as biomarkers of infection, inflammation and organ failure

Crit CarePublished Prospective cohort study

Authors' conclusion

Sepsis and organ failure were closely associated with plasma H3.1 nucleosome concentrations.

Study context

Population
Consecutive critically ill ICU patients (MARS cohort)3,671 plasma samples
Participants
1,713 patients
Exposure
H3.1 nucleosome concentrations by sepsis status and organ failure
Outcome
Baseline plasma H3.1 nucleosome concentration
Follow-up
Baseline
Methodological detailsconsecutive ICU patients, serial sampling days 0, 2 and 4
  • Consecutive ICU patients
  • Serial sampling days 0, 2 and 4

Main finding

As reported in the abstract

Observational data: associations, not effects.

Further findings

OutcomeHR
Need for RRTCorrecting for mortality2.00

Association with SOFA score

Correlation of H3.1 with SOFA score (r)
0.40

Organ failure and inflammatory subphenotype

H3.1 higher in disseminated intravascular coagulation, AKI and hyperinflammatory sepsis

Original publication

Plasma H3.1 nucleosomes as biomarkers of infection, inflammation and organ failure. Crit Care. Published 19 May 2025. doi:10.1186/s13054-025-05415-6

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