Evidence map›Paper›PMID 34103069›Full record

ArticleRespiratory research2021

Heparin-binding protein in lower airway samples as a biomarker for pneumonia.

Magnus Paulsson, Louise Thelaus, Kristian Riesbeck, Ingemar Qvarfordt, Margaretha E Smith, Anders Lindén, Adam Linder

Registry-linked trialOpen access · goldAbstract readLetter
In one paragraph

Article in Respiratory research, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05117125 (Biomarkers for Prediction of and Diagnosis of Ventilator-associated Pneumonia), which is not on this map. Cited by 13 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 1 pooled it
1.5field-weighted citation impact, top 19% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT05117125 recruitingnot on this map

Biomarkers for Prediction of and Diagnosis of Ventilator-associated Pneumonia

TypeobservationalSponsorRegion SkaneRan2021 to 2028Enrolled1,000ConditionsPneumonia, Ventilator-AssociatedArmsHeparin-binding protein, Interleukin-26, Microbiome, Bacterial transcriptome, Proteome
3 · Its place in the literature

Who cites it

13 citing papers in PubMed, 1 synthesis or guideline pooled it, 21 citations in OpenAlex.

  1. Biomarkers in lower respiratory tract samples in the diagnosis of ventilator-associated pneumonia: a systematic review.European respiratory review : an official journal of the European Respiratory Society · 2025
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 3 institutions in 1 country.

Magnus PaulssonDepartment of Infectious Diseases, Skåne University Hospital, Lund, Sweden. magnus.paulsson@med.lu.se.ORCID http://orcid.org/0000-0003-1104-2727
Louise ThelausDivision of Infection Medicine, Department of Clinical Sciences, Faculty of Medicine, Lund University, BMC B14, SE221 85, Lund, Sweden.
Kristian RiesbeckClinical Microbiology, Department of Translational Medicine, Faculty of Medicine, Lund University, Malmö, Sweden.
Ingemar QvarfordtDepartment of Internal Medicine and Clinical Nutrition, Institute of Medicine, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.
Margaretha E SmithDepartment of Internal Medicine and Clinical Nutrition, Institute of Medicine, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.
Anders LindénUnit for Lung and Airway Research, Institute of Environmental Medicine, Karolinska Institutet, Stockholm, Sweden.
Adam LinderDepartment of Infectious Diseases, Skåne University Hospital, Lund, Sweden.
Lund University · SEUniversity of Gothenburg · SEKarolinska University Hospital · SE

Funding

Hjärt-Lungfonden 20180315Hjärt-Lungfonden 20180401Vetenskapsrådet 2016-01563Vetenskapsrådet 2018-06924Vetenskapsrådet 2019-01053
6 · The paper itself

Abstract

objectivesVentilator-associated pneumonia (VAP) is difficult to diagnose using clinical criteria and no biomarkers have yet been proved to be sufficiently accurate. The use of the neutrophil-derived Heparin-binding protein (HBP) as a biomarker for pneumonia was investigated in this exploratory case-control study in two intensive care units at a tertiary referral hospital.

methodsPatients with clinical signs of pneumonia were recruited and bronchoalveolar lavage fluid (BALF) or bronchial wash (BW) samples were collected. Mechanically ventilated and lung healthy subjects were recruited as controls. HBP was measured with enzyme-linked immunosorbent assay.

resultsBALF was collected from 14 patients with pneumonia and 14 healthy controls. Median HBP in BALF pneumonia samples was 14,690 ng/ml and controls 16.2 ng/ml (p < 0.0001). BW was collected from 10 pneumonia patients and 10 mechanically ventilated controls. Median HBP in BW pneumonia was 9002 ng/ml and controls 7.6 ng/ml (p < 0.0001).

conclusionsThese data indicate that HBP concentrations is significantly higher in lower airway samples from patients with pneumonia than control subjects and is a potentially useful biomarker for diagnosis of VAP.

Indexed as

AdultAgedAged, 80 and overAntimicrobial Cationic PeptidesBiomarkersBlood ProteinsBronchoalveolar Lavage FluidFemaleHumansLungMaleMiddle AgedPneumonia, Ventilator-AssociatedRespiration, ArtificialRetrospective StudiesYoung AdultAntimicrobial Cationic PeptidesAZU1 protein, humanBiomarkersBlood ProteinsAssisted VentilationBiomarkersBronchoalveolar lavageCritical CareNeutrophil BiologyPneumonia

Identifiers

PMID34103069
PMCPMC8185500
OpenAlexW3168871779

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.