METABOLIC ALTERATIONS IN BURN PATIENTS - DETECTION OF ADENOSINE-TRIPHOSPHATE DEGRADATION PRODUCTS AND LIPID PEROXIDES

被引:34
作者
WOOLLISCROFT, JO
PRASAD, JK
THOMSON, P
TILL, GO
FOX, IH
机构
[1] Department of Internal Medicine, University of Michigan Medical Center, Ann Arbor, MI
[2] Department of Surgery, University of Michigan Medical Center, Ann Arbor, MI
[3] Department of Pathology, University of Michigan Medical Center, Ann Arbor, MI
关键词
D O I
10.1016/0305-4179(90)90164-R
中图分类号
R4 [临床医学];
学科分类号
1002 ; 100602 ;
摘要
Seven patients admitted to the University of Michigan Burn Center with greater than 20 per cent total body surface area burns were studied for evidence of oxygen radical production, as demonstrated by serum lipid peroxides, and adenosine triphosphate (ATP) degradation, based upon ATP degradation products in blood (serum purines) and urine (urine purines and urine uric acid). Lipid peroxides (conjugated dienes) were elevated beginning on day 1 postburn and remained elevated up to day 5, the duration of the study. ATP degradation products were elevated during the initial 24 h postburn but rapidly fell to normal levels. This study provides evidence of biochemical alterations in thermally injured patients similar to observations in animal models which demonstrate that ATP degradation and the production of oxygen radicals are part of the initial response to thermal trauma. © 1990.
引用
收藏
页码:92 / 96
页数:5
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共 24 条
[1]  
Annesley, Till, Ward, Cutaneous thermal bum and oxidant-mediated acute lung injury: appearance in serum of lung-related LDH isoenzyme, J. Free Radic. Biol. Med., 6, (1985)
[2]  
Bjork, Arturson, Effect of cimetidine, hydrocortisone, superoxide dismutase and catalase on the development of oedema after thermal injury, Burns, 9, (1983)
[3]  
Buege, Aust, Microsomal lipid peroxidation, Methods Enzymol., 52, (1978)
[4]  
Demling, Katz, Lalonde, Et al., The immediate effect of burn wound excision on pulmonary function in sheep, Surgery, 101, 1, (1987)
[5]  
Farber, Chien, Mittnacht, The pathogenesis of irreversible cell injury in ischemia, Am. J. Pathol., 102, (1981)
[6]  
Hartwick, Van Haverbeke, McKeag, Et al., Sample preparation techniques prior to HPLC analysis of serum nucleosides and their bases, Journal of Liquid Chromatography, 2, (1979)
[7]  
Jin, Lalonde, Demling, Lung dysfunction after thermal injury in relation to prostanoid and oxygen radical release, J. Appl. Physiol., 61, (1986)
[8]  
Liddle, Seegmiller, Laster, The enzymatic spectrophotometric method for determination of uric acid, J. Lab. Clin. Med., 54, (1959)
[9]  
Lindquist, Drueck, Simon, Et al., Proximal renal tubular dysfunction in severe bums, Am. J. Kid. Dis., 4, (1984)
[10]  
McCord, Oxygen-derived free radicals in postischemic tissue injury, New Engl. J. Med., 312, (1985)