Evidence map›Paper›PMID 42091942›Full record

ArticleScientific reports2026

Serum CCL1 discriminates infectious and sterile systemic inflammation in sepsis and acute pancreatitis.

Marlies Vornhülz, Jennifer Müller, Lara Louisa Takken, Patrick Layritz, Carolin Perleberg, Jan Gärtig, Antonia Beimert, Patrick Weber, Stefan Endres, Julia Mayerle and 3 more

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Article in Scientific reports, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Not yet cited in PubMed.

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1 · What the graph read from it

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2 · The registry

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3 · Its place in the literature

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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

13 authors.

Marlies VornhülzDepartment of Medicine II, LMU University Hospital, Munich, Germany.
Jennifer MüllerDepartment of Medicine II, LMU University Hospital, Munich, Germany.
Lara Louisa TakkenDepartment of Medicine II, LMU University Hospital, Munich, Germany.
Patrick LayritzInstitute of Clinical Pharmacology, LMU University Hospital, Munich, Germany.
Carolin PerlebergInstitute of Clinical Pharmacology, LMU University Hospital, Munich, Germany.
Jan GärtigInstitute of Clinical Pharmacology, LMU University Hospital, Munich, Germany.
Antonia BeimertInstitute of Clinical Pharmacology, LMU University Hospital, Munich, Germany.
Patrick WeberDepartment for Orthopaedics and Trauma Surgery, LMU University Hospital, LMU Munich, Munich, Germany.
Stefan EndresInstitute of Clinical Pharmacology, LMU University Hospital, Munich, Germany.
Julia MayerleDepartment of Medicine II, LMU University Hospital, Munich, Germany.
Lesca HoldtInstitute of Laboratory Medicine, LMU University Hospital, LMU Munich, Munich, Germany.
Ignazio Piseddu *Department of Medicine II, LMU University Hospital, Munich, Germany.
David Anz *Department of Medicine II, LMU University Hospital, Munich, Germany. d.anz@lmu.de.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Differentiating between infectious and non-infectious etiologies in systemic inflammatory disorders may be challenging due to overlapping clinical presentations and the lack of reliable discriminating biomarkers. Regulatory T-cells (Tregs) modulate immune responses. Their functionality is governed by specific chemokines, including CCL1 and CCL22. We investigated whether these Treg-attracting chemokines are differentially regulated in infectious versus sterile inflammation. This prospective, single-center biomarker study enrolled patients with sepsis, acute pancreatitis, and hospitalized controls without infectious diseases. Serum samples were collected on days 1, 3, 5, and 7, measuring CRP, IL-6, PCT, CCL1, and CCL22. Between March 2019 and October 2022, 159 patients were enrolled, comprising 45 patients suffering from acute pancreatitis, 15 patients with confirmed sepsis as well as 99 hospitalized controls. Established inflammatory parameters CRP, IL-6 and PCT showed typical kinetics. Decreased CCL1 levels, but not CCL22, distinguished acute pancreatitis from sepsis at all time points. Additionally, CCL1 levels inversely correlated with organ failure severity in sepsis patients. CCL1 shows potential to serve as a biomarker to differentiate sterile and non-sterile inflammation in sepsis and acute pancreatitis. This may support clinical decision-making and allow a more precise use of antibiotics in these patient cohorts.

Indexed as

Chemokine CCL1InflammationPancreatitisSepsisAcute DiseaseAdultAgedBiomarkersFemaleHumansMaleMiddle AgedProspective StudiesBiomarkersCCL1 protein, humanChemokine CCL1Acute pancreatitisCCL1CCL22InflammationSepsisTregs

Identifiers

PMID42091942
PMCPMC13149532

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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.