Local Inflammation in Fracture Hematoma: Results from a Combined Trauma Model in Pigs
Background. Previous studies showed significant interaction between the local and systemic inflammatory response after severe trauma in small animal models. The purpose of this study was to establish a new combined trauma model in pigs to investigate fracture-associated local inflammation and gain i...
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| Format: | Article |
| Language: | English |
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Wiley
2015-01-01
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| Series: | Mediators of Inflammation |
| Online Access: | http://dx.doi.org/10.1155/2015/126060 |
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| author | K. Horst D. Eschbach R. Pfeifer S. Hübenthal M. Sassen T. Steinfeldt H. Wulf S. Ruchholtz H. C. Pape F. Hildebrand |
| author_facet | K. Horst D. Eschbach R. Pfeifer S. Hübenthal M. Sassen T. Steinfeldt H. Wulf S. Ruchholtz H. C. Pape F. Hildebrand |
| author_sort | K. Horst |
| collection | DOAJ |
| description | Background. Previous studies showed significant interaction between the local and systemic inflammatory response after severe trauma in small animal models. The purpose of this study was to establish a new combined trauma model in pigs to investigate fracture-associated local inflammation and gain information about the early inflammatory stages after polytrauma. Material and Methods. Combined trauma consisted of tibial fracture, lung contusion, liver laceration, and controlled hemorrhage. Animals were mechanically ventilated and under ICU-monitoring for 48 h. Blood and fracture hematoma samples were collected during the time course of the study. Local and systemic levels of serum cytokines and diverse alarmins were measured by ELISA kit. Results. A statistical significant difference in the systemic serum values of IL-6 and HMGB1 was observed when compared to the sham. Moreover, there was a statistical significant difference in the serum values of the fracture hematoma of IL-6, IL-8, IL-10, and HMGB1 when compared to the systemic inflammatory response. However a decrease of local proinflammatory concentrations was observed while anti-inflammatory mediators increased. Conclusion. Our data showed a time-dependent activation of the local and systemic inflammatory response. Indeed it is the first study focusing on the local and systemic inflammatory response to multiple-trauma in a large animal model. |
| format | Article |
| id | doaj-art-337834082e4646448cc444341d45e277 |
| institution | Kabale University |
| issn | 0962-9351 1466-1861 |
| language | English |
| publishDate | 2015-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Mediators of Inflammation |
| spelling | doaj-art-337834082e4646448cc444341d45e2772025-02-03T05:44:54ZengWileyMediators of Inflammation0962-93511466-18612015-01-01201510.1155/2015/126060126060Local Inflammation in Fracture Hematoma: Results from a Combined Trauma Model in PigsK. Horst0D. Eschbach1R. Pfeifer2S. Hübenthal3M. Sassen4T. Steinfeldt5H. Wulf6S. Ruchholtz7H. C. Pape8F. Hildebrand9Department of Orthopedic Trauma and Harald Tscherne Research Laboratory, University Hospital Aachen, Pauwelsstraße 30, 52074 Aachen, GermanyDepartment of Hand, Traumatology and Reconstructive Surgery, University Hospital Marburg, Marburg, GermanyDepartment of Orthopedic Trauma and Harald Tscherne Research Laboratory, University Hospital Aachen, Pauwelsstraße 30, 52074 Aachen, GermanyDepartment of Orthopedic Trauma and Harald Tscherne Research Laboratory, University Hospital Aachen, Pauwelsstraße 30, 52074 Aachen, GermanyDepartment of Anesthesiology, University Hospital Marburg, Marburg, GermanyDepartment of Anesthesiology, University Hospital Marburg, Marburg, GermanyDepartment of Anesthesiology, University Hospital Marburg, Marburg, GermanyDepartment of Hand, Traumatology and Reconstructive Surgery, University Hospital Marburg, Marburg, GermanyDepartment of Orthopedic Trauma and Harald Tscherne Research Laboratory, University Hospital Aachen, Pauwelsstraße 30, 52074 Aachen, GermanyDepartment of Orthopedic Trauma and Harald Tscherne Research Laboratory, University Hospital Aachen, Pauwelsstraße 30, 52074 Aachen, GermanyBackground. Previous studies showed significant interaction between the local and systemic inflammatory response after severe trauma in small animal models. The purpose of this study was to establish a new combined trauma model in pigs to investigate fracture-associated local inflammation and gain information about the early inflammatory stages after polytrauma. Material and Methods. Combined trauma consisted of tibial fracture, lung contusion, liver laceration, and controlled hemorrhage. Animals were mechanically ventilated and under ICU-monitoring for 48 h. Blood and fracture hematoma samples were collected during the time course of the study. Local and systemic levels of serum cytokines and diverse alarmins were measured by ELISA kit. Results. A statistical significant difference in the systemic serum values of IL-6 and HMGB1 was observed when compared to the sham. Moreover, there was a statistical significant difference in the serum values of the fracture hematoma of IL-6, IL-8, IL-10, and HMGB1 when compared to the systemic inflammatory response. However a decrease of local proinflammatory concentrations was observed while anti-inflammatory mediators increased. Conclusion. Our data showed a time-dependent activation of the local and systemic inflammatory response. Indeed it is the first study focusing on the local and systemic inflammatory response to multiple-trauma in a large animal model.http://dx.doi.org/10.1155/2015/126060 |
| spellingShingle | K. Horst D. Eschbach R. Pfeifer S. Hübenthal M. Sassen T. Steinfeldt H. Wulf S. Ruchholtz H. C. Pape F. Hildebrand Local Inflammation in Fracture Hematoma: Results from a Combined Trauma Model in Pigs Mediators of Inflammation |
| title | Local Inflammation in Fracture Hematoma: Results from a Combined Trauma Model in Pigs |
| title_full | Local Inflammation in Fracture Hematoma: Results from a Combined Trauma Model in Pigs |
| title_fullStr | Local Inflammation in Fracture Hematoma: Results from a Combined Trauma Model in Pigs |
| title_full_unstemmed | Local Inflammation in Fracture Hematoma: Results from a Combined Trauma Model in Pigs |
| title_short | Local Inflammation in Fracture Hematoma: Results from a Combined Trauma Model in Pigs |
| title_sort | local inflammation in fracture hematoma results from a combined trauma model in pigs |
| url | http://dx.doi.org/10.1155/2015/126060 |
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