Systemic inflammatory responses and multiple organ dysfunction syndrome following skin burn wound and Pseudomonas

Na Li1, Xiaolong Hu, Yang Liu

  • 1Department of Burns and Cutaneous Surgery, Xijing Hospital, the Fourth Military Medical University, Xi'an, Shaanxi Province, China.

Insights

Burn sepsis combined with Pseudomonas aeruginosa infection significantly increases mortality and organ damage in mice. This model effectively simulates severe sepsis, leading to systemic inflammatory response syndrome and multiple organ dysfunction syndrome (MODS).

Area of Science:

  • Infectious disease modeling
  • Sepsis pathophysiology
  • Inflammatory response research

Background:

  • Burn wound infections can lead to severe sepsis, systemic inflammatory response syndrome (SIRS), and multiple organ dysfunction syndrome (MODS).
  • Understanding the progression of sepsis in burn patients is crucial for developing effective treatments.
  • A robust animal model is needed to study the complex interactions between burn injury and bacterial infection.

Purpose of the Study:

  • To investigate the development and progression of SIRS and MODS in a mouse model of skin burn sepsis.
  • To evaluate the impact of combined burn injury and Pseudomonas aeruginosa infection on sepsis outcomes.
  • To characterize the systemic inflammatory response and organ damage induced by this combined insult.

Main Methods:

  • C57BL/6J mice were divided into sham, burn, Pseudomonas, and burn/Pseudomonas groups.
  • A standardized burn injury (10% total body surface area) was inflicted using hot water (98°C).
  • Mice were inoculated with Pseudomonas aeruginosa; outcomes including body weight, mortality, organ histology, function, and systemic inflammation markers were measured longitudinally.

Main Results:

  • The burn/Pseudomonas group exhibited significantly higher mortality rates and greater body weight loss compared to other groups.
  • Elevated bacterial loads, serum endotoxin, and key inflammatory cytokines (IL-1β, IL-6, TNF-α, CRP) were observed in the burn/Pseudomonas group.
  • Severe liver, lung, and kidney tissue damage, along with impaired organ function, were most pronounced in the burn/Pseudomonas group at 72 hours post-inoculation.

Conclusions:

  • Combined burn injury and Pseudomonas aeruginosa infection induce severe sepsis in mice.
  • This model effectively replicates the rapid progression to SIRS and MODS observed in severe clinical cases.
  • The findings highlight the critical role of bacterial infection in exacerbating burn-related sepsis and multi-organ failure.