The effects of burn injury on the acute phase response

J Trauma. 1992 Feb;32(2):245-50; discussion 250-1. doi: 10.1097/00005373-199202000-00022.

Abstract

The time course of changes in the levels of acute-phase-reactant (APR) mRNAs in different tissues of rats with a 10% or a 60% total-body-surface-area (TBSA) burn and the relationship between the induction of APRs and the host's tolerance to thermal injury were studied. The acute phase response in a LPS-induced inflammation model and a burn-plus-LPS model were compared. The results of this study indicated that (1) the major site of APR synthesis is the liver; (2) even a small surface burn injury can elicit a rapid acute phase response, but the intensity of APR expression increases with the severity of the burn; (3) the down regulation of albumin mRNA, which is characteristic of the acute phase response, does not occur even though transferrin (Trf) mRNA levels are significantly decreased; (4) the resistant strain of inbred rats showed higher levels of alpha 1-antitrypsin (AT) mRNA before and after burn injury, indicating its contribution to the host's tolerance to thermal injury; (5) the increases in alpha 1-acid glycoprotein (AGP) and AT expressions are limited in the burn-plus-LPS rat model compared with either the burn model or LPS-stimulated model alone.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Acute-Phase Proteins / genetics
  • Acute-Phase Proteins / metabolism*
  • Albumins / metabolism
  • Animals
  • Burns / genetics
  • Burns / metabolism*
  • Gene Expression
  • Inflammation / complications
  • Inflammation / metabolism
  • Lipopolysaccharides / administration & dosage
  • Liver / metabolism
  • Male
  • Orosomucoid / genetics
  • Orosomucoid / metabolism
  • Pseudomonas aeruginosa
  • RNA, Messenger / analysis
  • Rats
  • Rats, Inbred BUF
  • Rats, Inbred F344
  • Rats, Inbred Strains
  • Transferrin / metabolism
  • alpha 1-Antitrypsin / genetics
  • alpha 1-Antitrypsin / metabolism

Substances

  • Acute-Phase Proteins
  • Albumins
  • Lipopolysaccharides
  • Orosomucoid
  • RNA, Messenger
  • Transferrin
  • alpha 1-Antitrypsin