Julie A Stortz, Russell B Hawkins, David C Holden, Steven L Raymond, Zhongkai Wang, Scott C Brakenridge, Joseph Cuschieri, Frederick A Moore, Ronald V Maier, Lyle L Moldawer, Philip A Efron
Severe blunt trauma is associated with an early 'genomic storm' which causes simultaneous up- and down-regulation of host protective immunity. Excessive inflammation can lead to organ injury. In the absence of infection, the inflammatory response is presumably driven by release of endogenous alarmins called danger-associated molecular patterns (DAMPs), which initiate immune responses through pattern-recognition receptors (PRR). Here we examined the relationship between concentrations of cell-free (cf) nuclear DNA (ncDNA) and mitochondrial DNA (mtDNA) within 24 hours post trauma with circulating leukocyte transcriptomics and plasma IL-6 concentrations, as well as the patients' clinical trajectories...
September 20, 2019: Scientific Reports