ArticleJournal of the Endocrine Society2026
TS3 Asn347 corticosteroid-binding globulin (CBG) glycoform deficiency is associated with mortality in human septic shock.
Article in Journal of the Endocrine Society, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Context: Corticosteroid-binding globulin (CBG) deficiency is an independent predictor of intensive care unit (ICU) mortality in septic shock. CBG glycosylation at the Asn347 site affects neutrophil elastase cleavage susceptibility, altering CBG:cortisol binding affinity, and may underlie this association. Objective: This work aimed to analyze CBG Asn347 glycoforms in patients with septic shock and determine their relationship to mortality and illness severity. Methods: CBG Asn347 site glycosylation profiling was performed by mass spectrometry in 128 septic shock patients from a tertiary hospital ICU at day 1 and last day of admission up to 7 days. ICU and 28-day mortality were analyzed by a Cox proportional hazards model, sequentially correcting for illness severity (APACHE score) and total CBG (all glycoforms). Results: Only triantennary trisialylated (TS3) Asn347 CBG glycoform concentrations were lower in ICU septic shock nonsurvivors than in survivors (29.74 vs 45.16 nmol/L; Conclusion: Deficiency of the Asn347 TS3 CBG glycoform is associated with ICU and 28-day mortality in septic shock.
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