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To study the fibrinogen metabolic changes in relation to coagulation disorder in patients with severe burns and trauma injuries. As a result of the burn or trauma injury breakdown of fibrinogen is accelerated.
In this protocol, we will investigate fibrinogen metabolism in burn and trauma patients, using an 8h infusion of stable isotopes labeled amino acids (1-13C-phenylalanine, 2H5-phenylalanine, and 2H3-ketoisocaporate). The increase of the labeled amino acids incorporating into fibrinogen during the infusion and the decay of labeled fibrinogen after stopping the isotopes infusion (as measured by GC-MS) will be used to calculate fibrinogen synthesis and degradation. Stable isotopes are non-radioactive.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Healthy Volunteers | Healthy Volunteers | ||
| Burn patients | Patients who have sustained burn injury greater than or equal to 20% of total body surface area | ||
| Trauma patients | Patients who have undergone trauma |
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| Measure | Description | Time Frame |
|---|---|---|
| During the flow phase following burn or trauma injury, fibrinogen degradation is accelerated | 7 |
| Measure | Description | Time Frame |
|---|---|---|
| Fibrinogen degradation stimulates fibrinogen synthesis at the expense of whole body protein catabolism | 7 days |
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Inclusion Criteria:
Exclusion Criteria:
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Burn patients Trauma patients Healthy Volunteers
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| Name | Affiliation | Role |
|---|---|---|
| Wenjun Z Martini, PhD | United States Army Institute of Surgical Research | Principal Investigator |
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| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 660699 | Background | Zuckerman L, Caprini JA, Lipp V, Vagher JP. Disseminated intravascular multiple systems activation (DIMSA) following thermal injury. J Trauma. 1978 Jun;18(6):432-9. doi: 10.1097/00005373-197806000-00008. |
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| ID | Term |
|---|---|
| D002056 | Burns |
| D014947 | Wounds and Injuries |
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