Lower Plasma IL-32 Levels Linked to Better Survival in Sepsis

Mester, Patricia and Utrata, Alexander and Schmidtner, Niklas and Birner, Charlotte and Schmid, Stephan and Mueller, Martina and Pavel, Vlad and Buechler, Christa (2025) Lower Plasma IL-32 Levels Linked to Better Survival in Sepsis. BIOMEDICINES, 13 (3): 750. ISSN 2227-9059

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Abstract

Background/Objectives: Interleukin-32 (IL-32) is a pro-inflammatory cytokine primarily produced by immune cells and involved in bacterial and viral infections. This study investigates whether plasma IL-32 is associated with sepsis severity and clinical outcomes. Methods: Plasma IL-32 levels were measured in 186 patients with systemic inflammatory response syndrome (SIRS), sepsis, or septic shock, as well as in 40 controls. The relationship between IL-32 levels and SARS-CoV-2 or bacterial infections, alongside underlying etiological conditions, was assessed. Results: Patients with liver cirrhosis exhibited elevated plasma IL-32 levels. After excluding these patients, IL-32 levels were lower in SIRS/sepsis patients compared to the controls. No significant differences in IL-32 levels were observed among SIRS, sepsis, and septic shock patients. Additionally, underlying conditions such as pancreatitis and cholangitis did not influence IL-32 levels. Patients with bloodstream bacterial infections, SARS-CoV-2 infections, or no documented infection had comparable IL-32 levels. Notably, higher IL-32 levels were associated with increased mortality. Conclusions: These findings suggest that a reduction in plasma IL-32 levels may be protective in SIRS/sepsis patients, as elevated levels are linked to poor survival outcomes.

Item Type: Article
Uncontrolled Keywords: INTERLEUKIN 32; INFLAMMATION; ACTIVATION; EXPRESSION; CELLS; COVID-19; liver cirrhosis; sepsis; mortality
Subjects: 600 Technology > 610 Medical sciences Medicine
Divisions: Medicine > Lehrstuhl für Innere Medizin I
Depositing User: Dr. Gernot Deinzer
Date Deposited: 23 Sep 2026 05:35
Last Modified: 23 Sep 2026 05:35
URI: https://pred.uni-regensburg.de/id/eprint/66219

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