Endothelial Cell Phenotypes Demonstrate Different Metabolic Patterns and Predict Mortality in Trauma Patients
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In trauma patients, shock-induced endotheliopathy (SHINE) is associated with a poor prognosis. We have previously identified four metabolic phenotypes in a small cohort of trauma patients (N = 20) and displayed the intracellular metabolic profile of the endothelial cell by integrating quantified plasma metabolomic profiles into a genome-scale metabolic model (iEC-GEM). A retrospective observational study of 99 trauma patients admitted to a Level 1 Trauma Center. Mass spectrometry was conducted on admission samples of plasma metabolites. Quantified metabolites were analyzed by computational network analysis of the iEC-GEM. Four plasma metabolic phenotypes (A–D) were identified, of which phenotype D was associated with an increased injury severity score (p < 0.001); 90% (91.6%) of the patients who died within 72 h possessed this phenotype. The inferred EC metabolic patterns were found to be different between phenotype A and D. Phenotype D was unable to maintain adequate redox homeostasis. We confirm that trauma patients presented four metabolic phenotypes at admission. Phenotype D was associated with increased mortality. Different EC metabolic patterns were identified between phenotypes A and D, and the inability to maintain adequate redox balance may be linked to the high mortality.
Originalsprog | Engelsk |
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Artikelnummer | 2257 |
Tidsskrift | International Journal of Molecular Sciences |
Vol/bind | 24 |
Udgave nummer | 3 |
Antal sider | 14 |
ISSN | 1661-6596 |
DOI | |
Status | Udgivet - 2023 |
Bibliografisk note
Funding Information:
HHH has been supported by a PhD-scholarship from Rigshospitalet, Denmark, and would like to thank The Candys Foundation for the grant (2018-279). IMdM and LKN were supported by The Novo Nordisk Foundation (NNF Grant numbers: NNF20CC0035580; NNF14OC0009473; and NNF20SA0066621).
Publisher Copyright:
© 2023 by the authors.
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