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Non-severe burns induce a prolonged systemic metabolic phenotype indicative of a persistent inflammatory response post-injury

Monique RyaniD, Edward RabyiD, Luke WhileyiD, Reika MasudaiD, Samantha LodgeiD, Philipp NitschkeiD, Garth L. MakeriD, Julien WistiD, Elaine C. HolmesiD, Fiona Melanie WoodiD, Jeremy Kirk NicholsoniD, Mark William FeariD, Nicola GrayiD

PDFDOI

Abstract

Globally, burns are a significant cause of injury that can cause substantial acute trauma as well as lead to increased incidence of chronic co-morbidity and disease. To date, research has primarily focused on the systemic response to severe injury, with little in the literature reported on impact of non-severe injuries (6.83e-1) and monoacyglyceride (20:4)(p-value 7.75e-1), phosphatidylcholines, phosphatidylglycerols, phosphatidylinositols and phosphatidylserines. The results indicate a persistent systemic metabolic phenotype that occurs even in cases of non-severe burn injury. The phenotype is indicative of an acute inflammatory profile which continues to be sustained post-injury, suggesting an impact on systems health beyond the site of injury. The phenotypes contained metabolic signatures consistent with chronic inflammatory states reported to have elevated incidence post-burn injury. Such phenotypic signatures may provide patient stratification opportunities, to identify individual responses to injury, personalise intervention strategies and improve acute care, reducing risk of chronic co-morbidity.

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