Early release of high mobility group box nuclear protein 1 after severe trauma in humans role of injury severity and tissue hypoperfusion.docVIP
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Early release of high mobility group box nuclear protein 1 after severe trauma in humans role of injury severity and tissue hypoperfusion
Available online /content/13/6/R174
Research
Open Access
Vol 13 No 6
Early release of high mobility group box nuclear protein 1 after
severe trauma in humans: role of injury severity and tissue
hypoperfusion
Mitchell J Cohen1, Karim Brohi2, Carolyn S Calfee3, Pamela Rahn1, Brian B Chesebro4,
Sarah C Christiaans1, Michel Carles4, Marybeth Howard4 and Jean-Fran?ois Pittet4
1The Department of Surgery, San Francisco General Hospital, University of California San Francisco, 1001 Potrero Avenue, San Francisco, CA
94110, USA
2The Royal London Hospital, Whitechapel, London E1 1BB, UK
3The Department of Medicine, San Francisco General Hospital, University of California San Francisco, 1001 Potrero Avenue, San Francisco, CA
94114, USA
4The Department of Anesthesia, San Francisco General Hospital, University of California San Francisco, 1001 Potrero Avenue, San Francisco, CA
94110, USA
Corresponding author: Mitchell J Cohen, mcohen@
Received: 22 Jan 2009 Revisions requested: 10 Mar 2009 Revisions received: 5 Jun 2009 Accepted: 4 Nov 2009 Published: 4 Nov 2009
Critical Care 2009, 13:R174 (doi:10.1186/cc8152)
This article is online at: /content/13/6/R174
? 2009 Cohen et al.; licensee BioMed Central Ltd.
This is an open access article distributed under the terms of the Creative Commons Attribution License (/licenses/by/2.0),
which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Abstract
Introduction High mobility group box nuclear protein 1
(HMGB1) is a DNA nuclear binding protein that has recently
been shown to be an early trigger of sterile inflammation in
animal models of trauma-hemorrhage via the activation of the
Toll-like-receptor 4 (TLR4) and the receptor for the advanced
glycation endproducts (RAGE). However, whether HMGB1 is
released early after trauma hemorrhage in humans and is
associated with the development of an inflammatory response
and co
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