title: A rat model of concurrent combined injuries (polytrauma).
abstract: Polytrauma, a combination of injuries to more than one body part or organ system, is common in modern warfare and in automobile and industrial accidents. The combination of injuries can include burn injury, fracture, hemorrhage, trauma to the extremities, and trauma to specific organ systems. To investigate the effects of combined injuries, we have developed a new and highly reproducible model of polytrauma. This model combines burn injury with soft tissue and gastrointestinal (GI) tract trauma. Male Sprague Dawley rats were subjected to a 15-20% total body surface area scald burn, or a single puncture of the cecum with a G30 needle, or the combination of both injuries (polytrauma). Unlike many 'double hit' models, the injuries in our model were performed simultaneously. We asked whether multiple minor injuries, when combined, would result in a distinct phenotype, different from single minor injuries or a more severe single injury. There were differences between the single injuries and polytrauma in the maintenance of blood glucose, body temperature, body weight, hepatic mRNA and circulating levels of TNF-α, IL-1β and IL-6, and hepatic ER-stress. It has been suggested that models utilizing combinatorial injuries may be needed to more accurately model the human condition. We believe our model is ideal for studying the complex sequelae of polytrauma, which differs from single injuries. Insights gained from this model may suggest better treatment options to improve patient outcomes.
authors.affiliation: Department of Pathology, Division of Molecular and Cellular Pathology, University of Alabama at Birmingham Birmingham, Alabama, 35294-0019.
authors.forename: Robert M
authors.initials: RM
authors.lastname: Akscyn
authors.affiliation: Department of Pathology, Division of Molecular and Cellular Pathology, University of Alabama at Birmingham Birmingham, Alabama, 35294-0019.
authors.forename: J Lee
authors.initials: JL
authors.lastname: Franklin
authors.affiliation: Department of Pathology, Division of Molecular and Cellular Pathology, University of Alabama at Birmingham Birmingham, Alabama, 35294-0019.
authors.forename: Tatyana A
authors.initials: TA
authors.lastname: Gavrikova
authors.affiliation: Department of Surgery, Division of Trauma and Emergency Surgery, University of Texas Health Science Center San AntonioSan Antonio, Texas, 78229-3900; US Army Institute of Surgical ResearchFort Sam Houston, Texas, 78234.
authors.forename: Martin G
authors.initials: MG
authors.lastname: Schwacha
authors.affiliation: Department of Pathology, Division of Molecular and Cellular Pathology, University of Alabama at BirminghamBirmingham, Alabama, 35294-0019; Veterans Affairs Medical CenterBirmingham, AL 35233.
authors.forename: Joseph L
authors.initials: JL
authors.lastname: Messina
keywords: Burn; ER-stress; cecal ligation and puncture; hyperglycemia; hypoglycemia; hypothermia; proinflammatory