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Published on: February 23, 2024
"Systemic apoptotic response" after thermal burns
G Gravante1, D Delogu, G Sconocchia
1Department of Surgery, University of Rome Tor Vergata, Via U Maddalena 40/a 00043, Ciampino, Rome, Italy. ggravante@hotmail.com
Abstract:
The systemic pathophysiologic changes following thermal injuries affect multiple organs and body systems leading to clinical manifestations including shock, intestinal alterations, respiratory and renal failure, immunosuppression and others. Recent advances in the comprehension of mechanisms underlying systemic complications of thermal injuries have contributed to uncover part of the cellular and molecular basis that underlie such changes. Recently, programmed cell death (apoptosis) has been considered playing an important role in the development of such pathological events. Therefore, investigators utilizing animal models and clinical studies involving human primates have produced a large body of information suggesting that apoptosis is associated with most of the tissue damages triggered by severe thermal injuries. In order to draw the attention on the important role of apoptosis on systemic complications of thermal injuries, in this review we describe most of these studies, discuss possible cellular and molecular mechanisms and indicate ways to utilize them for the development of therapeutic strategies by which apoptosis may be prevented or counteracted.
Insights
Severe thermal injuries cause systemic damage, with programmed cell death (apoptosis) playing a key role in tissue injury. Understanding apoptosis mechanisms may lead to new therapeutic strategies for burn victims.
Area of Science:
- Burn research
- Cellular and molecular biology
- Immunology
Background:
- Thermal injuries trigger widespread pathophysiologic changes affecting multiple organ systems.
- Systemic complications include shock, intestinal dysfunction, and organ failure.
- Programmed cell death, or apoptosis, is increasingly recognized as a critical factor in thermal injury pathogenesis.
Purpose of the Study:
- To review current research on the role of apoptosis in systemic complications following thermal injuries.
- To discuss the cellular and molecular mechanisms underlying apoptosis in severe burns.
- To explore therapeutic strategies for preventing or counteracting apoptosis in burn patients.
Main Methods:
- Comprehensive literature review of animal models and clinical studies.
- Analysis of cellular and molecular pathways involved in apoptosis.
- Synthesis of findings to identify potential therapeutic targets.
Main Results:
- Apoptosis is significantly associated with tissue damage in severe thermal injuries.
- Evidence from various studies implicates apoptosis in multiple organ system dysfunctions post-burn.
- Understanding these mechanisms is crucial for developing targeted treatments.
Conclusions:
- Apoptosis is a central mechanism in the systemic pathology of thermal injuries.
- Targeting apoptotic pathways offers a promising avenue for novel therapeutic interventions.
- Further research is needed to translate these findings into clinical practice for improved burn care.
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