Sepsis & infection

Plasma mitochondrial-associated proteins scale with illness severity and predict outcome in suspected sepsis

Crit CarePublished Post hoc analysis of the Acutelines data-biobank

Authors' conclusion

Higher plasma mitochondrial-associated protein abundance was associated with greater illness severity and worse short-term outcomes in suspected sepsis.

Study context

Population
Adults presenting to the ED with suspected sepsis, infection confirmed by independent adjudication
Participants
213 adults
Comparison
Continuous plasma mitochondrial-associated protein score (per SD) vs illness severity and 72-h outcomes
Primary endpoint
Association of mitochondrial-associated protein score with illness severity and short-term outcomes
Follow-up
72 hours
Methodological detailsprospective cohort, exploratory clustering
  • Prospective cohort
  • Exploratory clustering

Primary result

As reported in the abstract

Mitochondrial-associated protein score vs illness severity and 72-h outcomes · 72-hour

Correlation with illness severity (Spearman ρ; p < 0.01)

0.18-0.29

OR per SD, organ failure-free survival

0.57

OR per SD, ICU admission

1.66

OR per SD, mortality

2.36

Further findings

Exploratory clustering (PCA with K-means)

Two groups differing mainly in overall mitochondrial-associated protein abundance; considerable overlap, variation along a continuum rather than distinct subphenotypes
  • Exploratory

Exploratory pathway analyses

Implicated mitochondrial metabolism, cellular stress and injury-related processes
  • Exploratory

Original publication

Plasma mitochondrial-associated proteins scale with illness severity and predict outcome in suspected sepsis. Crit Care. Published 29 August 2026. doi:10.1186/s13054-026-06291-4

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