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Sepsis is a severe and progressive disease characterized by systemic inflammatory response syndrome (SIRS). CD40 serves as a vital link between immune response and inflammation. This study was designed to investigate the potential association between a functional single-nucleotide polymorphism (SNP) of  CD40  (rs1883832) and susceptibility to sepsis. We first performed a case-control study to explore the relationship between the  CD40  rs1883832 polymorphism and sepsis.  CD40  mRNA expression and protein expression were determined by real-time PCR and western blotting, respectively, in peripheral blood mononuclear cells (PBMCs) from sepsis patients and healthy controls. The plasma sCD40L levels in the two groups were measured by ELISA. The results showed that the frequencies of the TT genotype and the  CD40  rs1883832 T allele were significantly higher in sepsis patients than in healthy controls. Plasma sCD40L levels were also significantly increased in sepsis patients. In addition, TT genotype carriers among sepsis patients displayed the highest  CD40  expression at both the mRNA and protein levels, accompanied by the highest plasma sCD40L concentrations. In conclusion, the  CD40  rs1883832 T allele acts as a risk factor for increased susceptibility to sepsis and may be involved in the process of sepsis through regulation of  CD40  expression and plasma sCD40L levels.

The CD40 rs1883832 Polymorphism Affects Sepsis Susceptibility and sCD40L Levels