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Metabolic networks in a porcine model of trauma and hemorrhagic shock demonstrate different control mechanism with carbohydrate pre-feed

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Lusczek, Elizabeth R., Vincent, Tyrone, Lexcen, Daniel, Kulkarni, Vishwesh V., Mulier, Kristine and Beilman, Greg (2015) Metabolic networks in a porcine model of trauma and hemorrhagic shock demonstrate different control mechanism with carbohydrate pre-feed. BMC emergency medicine, 15 (1). pp. 1-7. 38. doi:10.1186/s12873-015-0038-1

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Official URL: http://dx.doi.org/10.1186/s12873-015-0038-1

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Abstract

Background:
Treatment with oral carbohydrate prior to trauma and hemorrhage confers a survival benefit in small animal models. The impact of fed states on survival in traumatically injured humans is unknown. This work uses regulatory networks to examine the effect of carbohydrate pre-feeding on metabolic response to polytrauma and hemorrhagic shock in a clinically-relevant large animal model.

Methods:
Male Yorkshire pigs were fasted overnight (n = 64). Pre-fed animals (n = 32) received an oral bolus of Karo\textregistered\syrup before sedation. All animals underwent a standardized trauma, hemorrhage, and resuscitation protocol. Serum samples were obtained at set timepoints. Proton NMR was used to identify and quantify serum metabolites. Metabolic regulatory networks were constructed from metabolite concentrations and rates of change in those concentrations to identify controlled nodes and controlling nodes of the network.

Results:
Oral carbohydrate pre-treatment was not associated with survival benefit. Six metabolites were identified as controlled nodes in both groups: adenosine, cytidine, glycerol, hypoxanthine, lactate, and uridine. Distinct groups of controlling nodes were associated with controlled nodes; however, the composition of these groups depended on feeding status.

Conclusions:
A common metabolic output, typically associated with injury and hypoxia, results from trauma and hemorrhagic shock. However, this output is directed by different metabolic inputs depending upon the feeding status of the subject. Nodes of the network that are related to mortality can potentially be manipulated for therapeutic effect; however, these nodes differ depending upon feeding status.

Item Type: Journal Article
Subjects: R Medicine > RB Pathology
Divisions: Faculty of Science > Engineering
Library of Congress Subject Headings (LCSH): Hemorrhagic shock
Journal or Publication Title: BMC emergency medicine
Publisher: BioMed Central Ltd.
ISSN: 1471-227X
Official Date: 1 July 2015
Dates:
DateEvent
1 July 2015Published
25 September 2014Accepted
25 September 2014Submitted
Volume: 15
Number: 1
Number of Pages: 7
Page Range: pp. 1-7
Article Number: 38
DOI: 10.1186/s12873-015-0038-1
Status: Peer Reviewed
Publication Status: Published
Access rights to Published version: Open Access
Funder: United States. Office of Naval Research, University of Minnesota, National Institutes of Health (U.S.) (NIH), National Science Foundation (U.S.) (NSF), Minnesota Medical Foundation
Grant number: N00014-09-1-0323 (ONR), N000-05-1-0344 (ONR)

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