PMID- 25553289 OWN - NLM STAT- MEDLINE DCOM- 20161114 LR - 20181113 IS - 2234-3814 (Electronic) IS - 2234-3806 (Print) IS - 2234-3806 (Linking) VI - 35 IP - 1 DP - 2015 Jan TI - Inflammatory cytokines and their prognostic ability in cases of major burn injury. PG - 105-10 LID - 10.3343/alm.2015.35.1.105 [doi] AB - BACKGROUND: Major burn injuries induce inflammatory responses and changes in the levels of various cytokines. This study was conducted to assess early changes in the serum levels of inflammatory cytokines after burn injury, identify cytokines associated with mortality, and characterize correlations among cytokines. METHODS: Blood samples of 67 burn patients were collected on days 1 and 3 after burn injury, and the concentrations of 27 cytokines were measured using the Bio-Plex Suspension Array System (Bio-Rad Laboratories, USA). Blood samples of 25 healthy subjects were used as controls. We analyzed statistical differences in the concentrations of each cytokine between the control and patient groups, between day 1 and day 3, and between survival and nonsurvival groups. Correlations among 27 cytokines were analyzed. RESULTS: Median concentrations of granulocyte colony-stimulating factor (G-CSF), granulocyte macrophage colony-stimulating factor (GM-CSF), interleukin 1 receptor antagonist (IL-1RA), interleukin 6 (IL-6), interleukin 8 (IL-8), interleukin 10 (IL-10), interleukin 15 (IL-15), monocyte chemoattractant protein-1 (MCP-1), macrophage inflammatory protein 1beta (MIP-1beta), and vascular endothelial growth factor (VEGF) were significantly higher in burn patients than in controls. IL-1RA, IL-6, and MCP-1 levels were significantly higher in the nonsurvival group than in the survival group on day 1 after burn injury. Correlation analysis of 27 cytokines showed different relationships with one another. Stronger correlations among interferon gamma (IFN-gamma), IL-2, IL-4, IL-7, IL-12p70, and IL-17 were found. CONCLUSIONS: IL-1RA, IL-6, and MCP-1 may be used as prognostic indicators of mortality in burn patients and the increase in cytokine concentrations is induced by interactions within a complex network of cytokine-related pathways. FAU - Hur, Jun AU - Hur J AD - Department of Burn Surgery, Hallym University Hangang Sacred Heart Hospital, Hallym University College of Medicine, Seoul, Korea. FAU - Yang, Hyeong Tae AU - Yang HT AD - Department of Burn Surgery, Hallym University Hangang Sacred Heart Hospital, Hallym University College of Medicine, Seoul, Korea. FAU - Chun, Wook AU - Chun W AD - Department of Burn Surgery, Hallym University Hangang Sacred Heart Hospital, Hallym University College of Medicine, Seoul, Korea. FAU - Kim, Jong-Hyun AU - Kim JH AD - Department of Burn Surgery, Hallym University Hangang Sacred Heart Hospital, Hallym University College of Medicine, Seoul, Korea. FAU - Shin, Seon-Hee AU - Shin SH AD - Department of Pediatrics, Hallym University Dongtan Sacred Heart Hospital, Hallym University College of Medicine, Hwaseong, Korea. FAU - Kang, Hee Jung AU - Kang HJ AD - Department of Laboratory Medicine, Hallym University Sacred Heart Hospital, Hallym University College of Medicine, Anyang, Korea. FAU - Kim, Hyun Soo AU - Kim HS AD - Department of Laboratory Medicine, Hallym University Dongtan Sacred Heart Hospital, Hallym University College of Medicine, Hwaseong, Korea. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20141208 PL - Korea (South) TA - Ann Lab Med JT - Annals of laboratory medicine JID - 101571172 RN - 0 (Cytokines) SB - IM MH - Adult MH - Aged MH - Burns/*blood/mortality/*pathology MH - Case-Control Studies MH - Cytokines/*blood MH - Female MH - Humans MH - Male MH - Middle Aged MH - Prognosis MH - Prospective Studies MH - Survival Rate MH - Young Adult PMC - PMC4272939 OTO - NOTNLM OT - Burn OT - Cytokine OT - Inflammation OT - Mortality COIS- No potential conflicts of interest relevant to this article were reported. EDAT- 2015/01/02 06:00 MHDA- 2016/11/15 06:00 PMCR- 2015/01/01 CRDT- 2015/01/02 06:00 PHST- 2014/06/11 00:00 [received] PHST- 2014/07/07 00:00 [revised] PHST- 2014/11/21 00:00 [accepted] PHST- 2015/01/02 06:00 [entrez] PHST- 2015/01/02 06:00 [pubmed] PHST- 2016/11/15 06:00 [medline] PHST- 2015/01/01 00:00 [pmc-release] AID - 10.3343/alm.2015.35.1.105 [doi] PST - ppublish SO - Ann Lab Med. 2015 Jan;35(1):105-10. doi: 10.3343/alm.2015.35.1.105. Epub 2014 Dec 8.