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| Name | Class |
|---|---|
| Centre Hospitalier Universitaire Vaudois | OTHER |
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Sepsis is characterized by hyperlactatemia, the severity of which is proportionate with sepsis severity. The pathophysiological mechanisms (increased lactate production vs decreased lactate utilization; tissues involved in sepsis-induced lactate production) remain largely unknown.
In this study, the investigators will assess whole body and regional metabolism in healthy young male subjects on two occasions, once after administration of an intravenous bacterial endotoxin challenge, and once without intervention.
In one group of subjects, whole body lactate metabolism will be measured over 10 hours after the endotoxin challenge
In a second group of subjects, regional muscle lactate metabolism will be measured over 10 hours after the endotoxin challenge by means of muscle microdialysis
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| study 1a | Experimental | whole body lactate production after bacterial endotoxin challenge |
|
| study 1b | No Intervention | basal whole body lactate production | |
| study 2a | Experimental | muscle lactate concentration after bacterial endotoxin challenge |
|
| study 2b | No Intervention | basal muscle lactate concentrations |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| bacterial endotoxin challenge | Other | iv administration of 2ng/kg bacterial endotoxin |
|
| Measure | Description | Time Frame |
|---|---|---|
| Whole body lactate production | Whole body lactate clearance will be measured by measuring the increase in blood lactate at steady state during a conrtinuous exogenous sodium lactate infusion. Lactate production will be calculated as the product of lactate clearance times per-infusion blood lactate concentration | single bacterial endotoxin administration; measurements over 6.5 hours following administration |
| skeletal muscle lactate concentration | interstitial muscle measured by means of in vivo microdialysis ; calculation of muscle-blood lactate gradient | single bacterial endotoxin administration; measurements over 6.5 hours following administration |
| Measure | Description | Time Frame |
|---|---|---|
| whole body energy expenditure | open circuit indirect calorimetry (hood) | single bacterial endotoxin administration; measurements over 6.5 hours following administration |
| body temperature | single bacterial endotoxin administration; measurements over 6.5 hours following administration |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| René Chiolero, MD | Centre Hospitalier Universitaire Vaudois | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Centre Hospitalier Universitaire Vaudois | Lausanne | Canton of Vaud | CH-1011 | Switzerland |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 22839504 | Derived | Michaeli B, Martinez A, Revelly JP, Cayeux MC, Chiolero RL, Tappy L, Berger MM. Effects of endotoxin on lactate metabolism in humans. Crit Care. 2012 Jul 27;16(4):R139. doi: 10.1186/cc11444. |
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| ID | Term |
|---|---|
| D018805 | Sepsis |
| D065906 | Hyperlactatemia |
| ID | Term |
|---|---|
| D007239 | Infections |
| D018746 | Systemic Inflammatory Response Syndrome |
| D007249 | Inflammation |
| D010335 | Pathologic Processes |
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| D013568 |
| Pathological Conditions, Signs and Symptoms |
| D008659 | Metabolic Diseases |
| D009750 | Nutritional and Metabolic Diseases |
| D012816 | Signs and Symptoms |