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Ubiquitin and stromal cell-derived factor-1α in bronchoalveolar lavage fluid after burn and inhalation injury. J Burn Care Res 2012 Jan-Feb;33(1):57-64

Date

11/23/2011

Pubmed ID

22105097

Pubmed Central ID

PMC3626094

DOI

10.1097/BCR.0b013e31823dc559

Scopus ID

2-s2.0-84855814482   5 Citations

Abstract

The objective of the study was to determine whether the CXC chemokine receptor (CXCR) 4 ligands ubiquitin and stromal cell-derived factor (SDF)-1α are detectable in bronchoalveolar lavage fluid (BALF) after burn and inhalation injury and whether their concentrations in BALF are associated with injury severity, physiological variables, or clinical outcomes. BALF was obtained on hospital admission from 51 patients (48 ± 18 years) with burn (TBSA: 23 ± 24%) and inhalation injury (controls: 10 healthy volunteers, 42 ± 8 years). BALF was analyzed for total protein and for ubiquitin and SDF-1α by enzyme-linked immunosorbent assay. Ubiquitin/SDF-1α levels were normalized to total BALF protein content. The extent of inhalation injury was determined during bronchoscopy using a standardized scoring system. Percent TBSA, Baux scores, revised Baux scores, and clinical variables were documented. Ubiquitin and SDF-1α were detectable in 40% of normal BALF specimens. After injury, ubiquitin was detectable in 90% (P < .01 vs control) and SDF-1α in 10% of the specimens (P < .05 vs control). While SDF-1α levels were reduced in patients (P < .01), ubiquitin levels were increased (P < .01). Ubiquitin concentrations correlated inversely with grade of inhalation injury, revised Baux scores, and resuscitation fluid requirements (Spearman correlation coefficients [r]: -.3, -.33, and -.45, respectively). Ubiquitin levels correlated positively with arterial oxygenation at the time of bronchoscopy (r: .35). BALF levels of CXCR4 agonists are differentially regulated after burn and inhalation injury. Increases in BALF ubiquitin after inhalation injury may maintain CXCR4-mediated lung protection and repair processes. The finding that BALF ubiquitin decreased with higher grades of inhalation injury may provide a biological correlate for an insufficient local inflammatory response after severe inhalation injury.

Author List

Baker TA, Davis CS, Bach HH 4th, Romero J, Burnham EL, Kovacs EJ, Gamelli RL, Majetschak M

Author

Christopher Stephen Davis MD, MPH Assistant Professor in the Surgery department at Medical College of Wisconsin




MESH terms used to index this publication - Major topics in bold

Acute Lung Injury
Adult
Biomarkers
Bronchoalveolar Lavage Fluid
Burn Units
Burns
Chemokine CXCL12
Cohort Studies
Enzyme-Linked Immunosorbent Assay
Female
Humans
Intensive Care Units
Male
Middle Aged
Prognosis
Smoke Inhalation Injury
Statistics, Nonparametric
Ubiquitin
jenkins-FCD Prod-482 91ad8a360b6da540234915ea01ff80e38bfdb40a