• Biomarkers · Aug 2012

    Development of an immunoassay for the derived-peptide of chromogranin A, vasostatin-I (1-76): assessment of severity in patients with sepsis.

    • Hélène Chung, Angelo Corti, Luca Crippa, Francis Schneider, Marie-Hélène Metz-Boutigue, and Patrick Garnero.
    • Cisbio Bioassays, Codolet, France.
    • Biomarkers. 2012 Aug 1; 17 (5): 430-4.

    ContextProteolytic fragments of chromogranin A (CgA) including the CgA 1-76 fragment (called vasostatin-I [VS-I]) could be a useful biomarker of sepsis, but there is no available immunoassay.MethodsA sandwich ELISA for VS-I was developed, and plasma VS-I was measured in 30 healthy controls and 60 critically ill patients with sepsis.ResultsThe ELISA showed intra- and inter-assay coefficients of variations (CVs) below 4 and 9%. Plasma VS-I was significantly increased compared with controls in patients with sepsis, severe sepsis, and sepsis shock (p < 0.0001). Receiver operating curve (ROC) analyses indicated that plasma VS-I was more sensitive and specific than plasma CgA to diagnose sepsis and to assess its severity.ConclusionsThe measurements of plasma VS-I with this new ELISA may be useful for the clinical investigation of patients with sepsis.

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