1. Resistin forms a network with inflammatory cytokines and is associated with prognosis in major burns
- Author
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Takeshi Ebihara, Hisatake Matsumoto, Shinya Onishi, Hiroshi Matsuura, Akinori Osuka, and Hiroshi Ogura
- Subjects
Leptin ,medicine.medical_specialty ,Angiotensinogen ,Adipokine ,Critical Care and Intensive Care Medicine ,Gastroenterology ,Proinflammatory cytokine ,Pathogenesis ,Adipokines ,Internal medicine ,medicine ,Humans ,Chemerin ,Resistin ,Nicotinamide Phosphoribosyltransferase ,Retrospective Studies ,Adiponectin ,biology ,Interleukin-6 ,business.industry ,Interleukin-8 ,General Medicine ,Prognosis ,Interleukin-10 ,Emergency Medicine ,biology.protein ,Cytokines ,Surgery ,SOFA score ,Syndecan-1 ,Burns ,business ,Complement C1 Inhibitor Protein ,hormones, hormone substitutes, and hormone antagonists - Abstract
Background In current intensive care treatment, there are patients with severe burns who cannot be saved due to progressive organ failure. Further investigation of the pathogenesis of severe burns is needed to improve the mortality rate. In burns, inflammatory cytokines form a network that leads to an inflammatory response. Adipocytes secrete physiologically active substances (adipokines). The roles of adipokines have not been completely clarified in burn patients. This study aimed to determine the relation between serial changes of adipokines and clinical course in severely burned patients. Methods This was a single-center, retrospective, observational study. Patients’ blood samples were collected on the day of injury and around 1 week later. Adipokines (adiponectin, angiotensinogen, chemerin, CXCL-12/SDF-1, leptin, resistin, vaspin, visfatin), various inflammatory cytokines, syndecan-1 and C1 esterase inhibitor were measured. Results Thirty-eight patients were included. Resistin levels were significantly higher in the non-survivors versus survivors on Day 1 after burn injury. Hierarchical clustering analysis showed common clusters on Day 1 and at 1 Week after burn injury (resistin, IL-6, IL-8, IL10 and MCP-1). The correlation coefficient of resistin to SOFA score at 1 Week was significant. Logistic regression analysis showed a significant relation of resistin levels on Day 1 with prognosis; the area under the ROC curve for resistin was 0.801. Conclusions In the acute phase of burns, resistin was associated with other pro-inflammatory cytokines and was related to the severity and prognosis of major burns.
- Published
- 2022