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Modulation of Burn Hypermetabolism in Preclinical Models
Abdullah S Eldaly1, Francisco R Avila1, Ricardo Torres2
1Plastic Surgery, Mayo Clinic, Jacksonville, USA.
Cureus
|February 13, 2023
Summary
Severe burns cause hypermetabolism, leading to complications. Novel therapies and animal models are crucial for developing effective treatments to improve patient recovery and reduce mortality.
Area of Science:
- Burn research
- Metabolic disorders
- Trauma medicine
Background:
- Severe burns induce a hypermetabolic state, increasing insulin resistance, muscle breakdown, and impairing healing.
- Despite interventions, burn hypermetabolism significantly contributes to patient morbidity and mortality.
- Animal models are essential for studying burn pathophysiology and testing new treatments due to in vitro limitations.
Purpose of the Study:
- To review novel therapies for modulating burn hypermetabolism.
- To assess the applicability and translation potential of these therapies.
- To guide researchers in selecting appropriate animal models for burn research.
Main Methods:
- Review of recent animal studies on burn hypermetabolism treatments.
- Analysis of therapies including growth hormone, erythropoietin, acipimox, apelin, anti-IL-6 antibody, and ghrelin.
- Examination of revisited clinical drugs like insulin and metformin for their mechanisms.
Main Results:
- Promising results from novel therapies suggest potential for human translation.
- Revisiting existing drugs like insulin and metformin offers new insights into burn hypermetabolism mechanisms.
- Animal studies provide a platform for evaluating treatment efficacy and safety.
Conclusions:
- Novel therapeutic strategies show promise in managing burn hypermetabolism.
- Understanding and utilizing appropriate animal models is key for advancing burn care.
- Continued research is vital for improving outcomes in severe burn patients.

