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Sökning: WFRF:(Aare Sudhakar) > The role of sepsis ...

LIBRIS Formathandbok  (Information om MARC21)
FältnamnIndikatorerMetadata
00003637naa a2200397 4500
001oai:DiVA.org:uu-180380
003SwePub
008120905s2012 | |||||||||||000 ||eng|
009oai:prod.swepub.kib.ki.se:125349417
024a https://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-1803802 URI
024a https://doi.org/10.1152/physiolgenomics.00031.20122 DOI
024a http://kipublications.ki.se/Default.aspx?queryparsed=id:1253494172 URI
040 a (SwePub)uud (SwePub)ki
041 a engb eng
042 9 SwePub
072 7a ref2 swepub-contenttype
072 7a art2 swepub-publicationtype
100a Aare, Sudhakaru Uppsala universitet,Klinisk neurofysiologi4 aut0 (Swepub:uu)sudaa881
2451 0a The role of sepsis in the development of limb muscle weakness in a porcine intensive care unit model
264 1b American Physiological Society,c 2012
338 a print2 rdacarrier
520 a Severe muscle wasting and loss of muscle function in critically ill mechanically ventilated intensive care unit (ICU) patients have significant negative consequences on their recovery and rehabilitation that persist long after their hospital discharge; moreover the underlying mechanisms are unclear. Mechanical ventilation (MV) and immobilization-induced modifications play an important role in these consequences, including endotoxin induced sepsis. The present study aims to investigate how sepsis aggravates ventilator and immobilization-related limb muscle dysfunction. Hence, biceps femoris muscle gene expression was investigated in pigs exposed to ICU intervention, i.e., immobilization, sedation, and MV, alone or in combination with sepsis for five days. In previous studies, we have shown that ICU intervention alone or in combination with sepsis did not affect muscle fiber size on day 5, but a significant decrease was observed in single fiber maximal force normalized to cross-sectional area (specific force) when sepsis was added to the ICU intervention. According to microarray data, the addition of sepsis to the ICU intervention induced a deregulation of more than 500 genes, such as an increased expression of genes involved in chemokine activity, kinase activity and transcriptional regulation. Genes involved in the regulation of the oxidative stress response, cytoskeletal/sarcomeric and heat shock proteins were on the other hand down-regulated when sepsis was added to the ICU intervention. Thus, sepsis has a significant negative effect on muscle function in critically ill ICU patients and chemokine activity and heat shock protein genes are forwarded to play an instrumental role in this specific muscle wasting condition.
653 a Sepsis
653 a porcine
653 a muscle wasting
653 a intensive care
700a Radell, Peteru Karolinska Institutet4 aut
700a Eriksson, Larsu Karolinska Institutet4 aut
700a Chen, Yi-Wenu Research center for genetic medicine,children national medical center washington4 aut
700a Hoffman, Eric Pu Research center for genetic medicine,children national medical center washington4 aut
700a Larsson, Larsu Uppsala universitet,Klinisk neurofysiologi4 aut0 (Swepub:uu)lalar021
710a Uppsala universitetb Klinisk neurofysiologi4 org
773t Physiological Genomicsd : American Physiological Societyg 44:18, s. 865-877q 44:18<865-877x 1094-8341x 1531-2267
8564 8u https://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-180380
8564 8u https://doi.org/10.1152/physiolgenomics.00031.2012
8564 8u http://kipublications.ki.se/Default.aspx?queryparsed=id:125349417

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