Table 2 Biomarkers stratified by patient group according to the PIRO concept (baseline—derivation cohort).

From: The role of RIPK1 mediated cell death in acute on chronic liver failure

 

RIPK3 (pg/ml) Median (IQR)

p value

Disease severity

  

 Healthy controls (n = 21)

322 (136–493)

 

 Stable cirrhosis (n = 42)

445 (320–565)

 

 All decompensated (n = 311)

7816 (4500–140,905)

<0.001

 No ACLF (n = 186)

6248 (3760–9773)

 

 ACLF grade 1 (n = 66)

10,200 (6858–17,152)

 

 ACLF grade 2 or 3 (n = 58)

20,981 (9296–38,877)

<0.001

 AD throughout (n = 134)

5692 (3331–8436)

 

 AD to ACLF (n = 52)

8046 (5161–13,482)

0.001

Survival

 28-day survivor (n = 220)

7215 (4077–12,141)

 

 28-day non-survivor (n = 31)

15,761 (9025–39,237)

<0.001

 90-day survivor (n = 194)

7080 (3982–11,678)

 

 90-day non-survivor (n = 57)

12,104 (6135–26,039)

<0.001

Epidemiological factors

 Age <50 (n = 70)

12,016 (5534–20,758)

 

 Age ≥50 (n = 224)

7231 (4307–13,228)

0.006

 Male (n = 214)

7878 (4665–14,928)

 

 Female (n = 97)

7681 (4225–14,765)

0.983

Etiology

 Etiology no alcohol (n = 94)

6946 (3965–11,075)

 

 Etiology alcohol (n = 156)

9119 (5135–14,802)

0.027

 Etiology no HCV (n = 163)

8037 (4670–14,296)

 

 Etiology HCV (n = 75)

7816 (3928–14,121)

0.554

 Etiology no NASH (n = 220)

8014 (4307–14,177)

 

 Etiology NASH (n = 17)

6421 (4434–14,739)

0.360

 Etiology no others (n = 217)

8037 (4548–14,042)

 

 Etiology others (n = 21)

6421 (3076–16,364)

0.360

Disease complication

 No ascites (n = 77)

7816 (3787–14,404)

 

 Ascites (n = 144)

10,742 (6351–19,311)

0.003

Injury

 No infection (n = 217)

7241 (4137–13,217)

 

 Infection (n = 74)

10,764 (5699–20,743)

0.002

 No active alcoholism (n = 229)

7189 (4225–12,971)

 

 Active alcoholism (n = 46)

16,554 (8088–31,459)

<0.001

 No GI bleeding (n = 215)

7990 (5014–13,273)

 

 GI bleeding(n = 36)

7279 (3635–14,758)

0.560

Response

 White blood cell <8 (× 109/L) (n = 175)

6525 (3848–10,267)

 

 White blood cell 8–12 (× 109/L) (n = 61)

10,232 (5470–17,842)

 

 White blood cell >12 (× 109/L) (n = 75)

11,551 (6583–29,985)

<0.001

  1. ACLF acute on chronic liver failure, AD acute decompensation, cK18 caspase-cleaved keratin 18, K18 keratin 18, IQR interquartile range, RIPK3 receptor interacting protein kinase 3.