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从传统生化信号到烧伤后脓毒症检测的分子标志物

From traditional biochemical signals to molecular markers for detection of sepsis after burn injuries.

作者信息

Muñoz Balam, Suárez-Sánchez Rocío, Hernández-Hernández Oscar, Franco-Cendejas Rafael, Cortés Hernán, Magaña Jonathan J

机构信息

Department of Bioengineering, Tecnológico de Monterrey, Campus Ciudad de México, Mexico City, Mexico.

Laboratory of Genomic Medicine, Department of Genetics, National Center for Research and Care for Burns (CENIAQ), Instituto Nacional de Rehabilitación-Luis Guillermo Ibarra Ibarra (INR-LGII), Mexico City, Mexico.

出版信息

Burns. 2019 Feb;45(1):16-31. doi: 10.1016/j.burns.2018.04.016. Epub 2018 May 23.


DOI:10.1016/j.burns.2018.04.016
PMID:29802006
Abstract

Sepsis is a life-threatening organ-dysfunction condition caused by a dysregulated response to an infectious condition that can cause complications in patients with major trauma. Burns are one of the most destructive forms of trauma; despite the improvements in medical care, infections remain an important cause of burn injury-related mortality and morbidity, and complicated sepsis predisposes patients to diverse complications such as organ failure, lengthening of hospital stays, and increased costs. Accurate diagnosis and early treatment of sepsis may have a beneficial impact on clinical outcome of burn-injured patients. In this review, we offer a comprehensive description of the current and traditional markers used as indicative of sepsis in burned patients. However, although these are markers of the inflammatory post-burn response, they usually fail to predict sepsis in severely burned patients due to that they do not reflect the severity of the infection. Identification and measurement of biomarkers in early stages of infection is important in order to provide timely response and effective treatment of burned patients. Therefore, we compiled important experimental evidence, demonstrating novel biomarkers, including molecular markers such as genomic DNA variations, alterations of transcriptome profiling (mRNA, miRNAs, lncRNAs and circRNAs), epigenetic markers, and advances in proteomics and metabolomics. Finally, this review summarizes next-generation technologies for the identification of markers for detection of sepsis after burn injuries.

摘要

脓毒症是一种由对感染状况的失调反应引起的危及生命的器官功能障碍病症,可导致重大创伤患者出现并发症。烧伤是最具破坏性的创伤形式之一;尽管医疗护理有所改善,但感染仍然是烧伤相关死亡率和发病率的重要原因,而复杂性脓毒症会使患者易患多种并发症,如器官衰竭、住院时间延长和费用增加。准确诊断和早期治疗脓毒症可能对烧伤患者的临床结局产生有益影响。在本综述中,我们全面描述了目前用于指示烧伤患者脓毒症的传统标志物。然而,尽管这些是烧伤后炎症反应的标志物,但由于它们不能反映感染的严重程度,通常无法预测严重烧伤患者的脓毒症。在感染早期识别和测量生物标志物对于及时应对和有效治疗烧伤患者很重要。因此,我们汇集了重要的实验证据,展示了新的生物标志物,包括分子标志物,如基因组DNA变异、转录组谱(mRNA、miRNA、lncRNA和circRNA)改变、表观遗传标志物,以及蛋白质组学和代谢组学的进展。最后,本综述总结了用于识别烧伤后脓毒症检测标志物的下一代技术。

相似文献

[1]
From traditional biochemical signals to molecular markers for detection of sepsis after burn injuries.

Burns. 2019-2

[2]
Detection of Infection and Sepsis in Burns.

Surg Infect (Larchmt). 2021-2

[3]
Prognostic value of using neutrophil-lymphocyte ratio in patients with burn injury for the diagnosis of sepsis and bacteraemia.

Pol Przegl Chir. 2018-6-15

[4]
Status and Challenges of Predicting and Diagnosing Sepsis in Burn Patients.

Surg Infect (Larchmt). 2018

[5]
TLR4 and TNF-alpha polymorphisms are associated with an increased risk for severe sepsis following burn injury.

J Med Genet. 2004-11

[6]
Neutrophil Dysfunction, Immature Granulocytes, and Cell-free DNA are Early Biomarkers of Sepsis in Burn-injured Patients: A Prospective Observational Cohort Study.

Ann Surg. 2017-6

[7]
[Comparison of machine learning method and logistic regression model in prediction of acute kidney injury in severely burned patients].

Zhonghua Shao Shang Za Zhi. 2018-6-20

[8]
Early single-shot intravenous steroids do not affect pulmonary complications and mortality in burned or scalded patients.

Burns. 2013-8

[9]
[Changes in the expression of three markers in T lymphocytes of peripheral blood and immunoregulatory mechanisms of burned mice with sepsis at early stage].

Zhonghua Shao Shang Za Zhi. 2016-2

[10]
Procalcitonin for the early diagnosis of sepsis in burn patients: A retrospective study.

Burns. 2017-11

引用本文的文献

[1]
Biomarkers of sepsis in burn injury: an update.

Burns Trauma. 2025-1-16

[2]
Metabolomic and proteomic profiling of a burn-hemorrhagic shock swine model reveals a metabolomic signature associated with fatal outcomes.

Eur J Med Res. 2025-1-7

[3]
Enrichment of H3S28p and H3K9me2 Epigenetic Marks on Inflammatory-Associated Gene Promoters in Response to Severe Burn Injury.

Life (Basel). 2024-12-1

[4]
MicroRNA Expression Profile in Patients Admitted to ICU as Novel and Reliable Approach for Diagnostic and Therapeutic Purposes.

Mol Biotechnol. 2024-6

[5]
Role of medicinal herbs and phytochemicals in post burn management.

Inflammopharmacology. 2023-8

[6]
The Complexity of the Post-Burn Immune Response: An Overview of the Associated Local and Systemic Complications.

Cells. 2023-1-17

[7]
Protective effect of omega-3 polyunsaturated fatty acids on sepsis via the AMPK/mTOR pathway.

Pharm Biol. 2023-12

[8]
miR-181c, a potential mediator for acute kidney injury in a burn rat model with following sepsis.

Eur J Trauma Emerg Surg. 2023-4

[9]
Characterization of lncRNA-Based ceRNA Network and Potential Prognostic Hub Genes for Sepsis.

Evid Based Complement Alternat Med. 2022-6-21

[10]
The curative effect of Shenfu-injection in the treatment of burn sepsis and its effect on the patient's immune function, HMGB, and vWF.

Am J Transl Res. 2022-4-15

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