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全国性的创伤患者流体力学生物库:由创伤研究网络(NTF)实施,作为德国创伤学会(DGU)创伤登记 DGU 的扩展。

A nationwide fluidics biobank of polytraumatized patients: implemented by the Network "Trauma Research" (NTF) as an expansion to the TraumaRegister DGU of the German Trauma Society (DGU).

机构信息

Department of Trauma, Hand and Reconstructive, Surgery, University Hospital Frankfurt, Goethe-University, 60590, Frankfurt, Germany.

Institute of Clinical- and Experimental Trauma-Immunology, University of Ulm, Ulm, Germany.

出版信息

Eur J Trauma Emerg Surg. 2020 Jun;46(3):499-504. doi: 10.1007/s00068-019-01193-3. Epub 2019 Jul 19.

Abstract

To decrypt the complexity of the posttraumatic immune responses and to potentially identify novel research pathways for exploration, large-scale multi-center projects including not only in vivo and in vitro modeling, but also temporal sample and material collection along with clinical data capture from multiply injured patients is of utmost importance. To meet this gap, a nationwide biobank for fluidic samples from polytraumatized patients was initiated in 2013 by the task force Network "Trauma Research" (Netzwerk Traumaforschung, NTF) of the German Trauma Society (Deutsche Gesellschaft für Unfallchirurgie e.V., DGU). The NTF-Biobank completes the clinical NTF-Biobank Database and complements the TR-DGU with temporal biological samples from multiply injured patients. The concept behind the idea of the NTF-Biobank was to create a robust interface for meaningful innovative basic, translational and clinical research. For the first time, an integrated platform to prospectively evaluate and monitor candidate biomarkers and/or potential therapeutic targets in biological specimens of quality-controlled and documented patients is introduced, allowing reduction in variability of measurements with high impact due to its large sample size. Thus, the project was introduced to systemically evaluate and monitor multiply injured patients for their (patho-)physiological sequalae together with their clinical treatment strategies applied for overall outcome improval.

摘要

为了解剖创伤后免疫反应的复杂性,并有可能确定新的研究途径,大规模的多中心项目不仅包括体内和体外建模,还包括对多发性创伤患者进行时间样本和材料收集以及临床数据采集。为了满足这一差距,德国创伤学会(Deutsche Gesellschaft für Unfallchirurgie e.V.,DGU)的创伤研究工作组(Task Force Network "Trauma Research",NTF)于 2013 年启动了一个针对流体样本的全国性创伤患者生物库。NTF-生物库完善了临床 NTF-生物库数据库,并通过来自多发性创伤患者的时间生物学样本补充了 TR-DGU。NTF-生物库背后的理念是创建一个强大的界面,用于有意义的创新基础、转化和临床研究。这是首次引入了一个集成平台,用于前瞻性评估和监测生物样本中经过质量控制和记录的患者的候选生物标志物和/或潜在治疗靶点,从而减少由于样本量大而导致的测量变异性。因此,该项目旨在系统地评估和监测多发性创伤患者的(病理)生理后果,以及他们接受的临床治疗策略,以改善整体预后。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/77fe/7280175/5081d50d900b/68_2019_1193_Fig1_HTML.jpg

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