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  • Research Article16

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  • Lentsch, Alex B2
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  • apoptosis3
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  • Shock/Sepsis/Trauma/Critical Care

    Damage Control Resuscitation Decreases Systemic Inflammation After Hemorrhage

    Journal of Surgical Research
    Vol. 175Issue 2e75–e82Published online: December 19, 2011
    • Amy T. Makley
    • Michael D. Goodman
    • Ritha M. Belizaire
    • Lou Ann W. Friend
    • Jay A. Johannigman
    • Warren C. Dorlac
    • and others
    Cited in Scopus: 22
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      Severe hemorrhagic shock and resuscitation initiates a dysfunctional systemic inflammatory response leading to end-organ injury. Clinical evidence supports the transfusion of high ratios of plasma and packed red blood cells (pRBCs) in the treatment of hemorrhagic shock. The effects of resuscitation with different ratios of fresh blood products on inflammation and organ injury have not yet been characterized.
      Damage Control Resuscitation Decreases Systemic Inflammation After Hemorrhage
    • Shock/Sepsis/Trauma/Critical Care

      Pretreatment of Rho Kinase Inhibitor Inhibits Systemic Inflammation and Prevents Endotoxin-Induced Acute Lung Injury in Mice

      Journal of Surgical Research
      Vol. 171Issue 2e209–e214Published online: September 5, 2011
      • Ren Yu Ding
      • Dong Mei Zhao
      • Zhi Dan Zhang
      • Ren Xuan Guo
      • Xiao Chun Ma
      Cited in Scopus: 28
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        Systemic inflammatory mediators play an important role in the development of sepsis. In this study, we analyzed the role of Rho kinase in the activation of immune response and acute lung injury in a mouse model of sepsis.
        Pretreatment of Rho Kinase Inhibitor Inhibits Systemic Inflammation and Prevents Endotoxin-Induced Acute Lung Injury in Mice
      • Education

        Effects of Progesterone on Intestinal Inflammatory Response and Mucosa Structure Alterations Following SAH in Male Rats

        Journal of Surgical Research
        Vol. 171Issue 1e47–e53Published online: August 8, 2011
        • Xu-dong Zhao
        • Yi-ting Zhou
        Cited in Scopus: 10
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          Subarachnoid hemorrhage (SAH) can induce a persistent inflammatory response, histopathologic changes in the gut. This study investigated whether progesterone administration modulates intestinal proinflammatory cytokine expression and structure alternations following SAH in male rats.
          Effects of Progesterone on Intestinal Inflammatory Response and Mucosa Structure Alterations Following SAH in Male Rats
        • Transplantation/Immunology

          Dietary Flaxseed Protects Against Lung Ischemia Reperfusion Injury Via Inhibition of Apoptosis and Inflammation in a Murine Model

          Journal of Surgical Research
          Vol. 171Issue 1e113–e121Published online: July 8, 2011
          • Syed S. Razi
          • Mohammed J. Latif
          • Xiaogui Li
          • John N. Afthinos
          • Nikalesh Ippagunta
          • Gary Schwartz
          • and others
          Cited in Scopus: 17
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            The hallmark of lung ischemia-reperfusion injury (IRI) is the production of reactive oxygen species (ROS), and the resultant oxidant stress has been implicated in apoptotic cell death as well as subsequent development of inflammation. Dietary flaxseed (FS) is a rich source of naturally occurring antioxidants and has been shown to reduce lung IRI in mice. However, the mechanisms underlying the protective effects of FS in IRI remain to be determined.
            Dietary Flaxseed Protects Against Lung Ischemia Reperfusion Injury Via Inhibition of Apoptosis and Inflammation in a Murine Model
          • Shock/Sepsis/Trauma/Critical Care

            Transcription Factor Nrf2 Protects the Spinal Cord from Inflammation Produced by Spinal Cord Injury

            Journal of Surgical Research
            Vol. 170Issue 1e105–e115Published online: June 24, 2011
            • Lei Mao
            • Handong Wang
            • Xiaoliang Wang
            • Hong Liao
            • Xianzhong Zhao
            Cited in Scopus: 42
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              Inflammation plays an important role in the pathogenesis of secondary damage after spinal cord injury (SCI). Previous studies have suggested that nuclear factor-erythroid 2-related factor 2 (Nrf2), a pleiotropic transcription factor, may play a key role in modulating inflammation in a variety of experimental models. This study evaluated the neuroprotective role of Nrf2 in the inflammatory response after SCI in mice.
              Transcription Factor Nrf2 Protects the Spinal Cord from Inflammation Produced by Spinal Cord Injury
            • Gastrointestinal

              The Effect of Hepatic Ischemia Reperfusion Injury in a Murine Model of Nonalcoholic Steatohepatitis

              Journal of Surgical Research
              Vol. 169Issue 1e7–e14Published online: March 3, 2011
              • Amit D. Tevar
              • Callisia N. Clarke
              • Rebecca Schuster
              • Jiang Wang
              • Michael J. Edwards
              • Alex B. Lentsch
              Cited in Scopus: 12
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                Nonalcoholic fatty liver disease (NAFLD) refers to an increasingly diagnosed condition involving triglyceride accumulation into hepatocytes resulting in a broad spectrum of liver injury. The progression of NAFLD, a relatively benign condition, to nonalcoholic steatohepatitis (NASH) involves the hepatic infiltration of inflammatory cells and subsequent hepatocellular injury. Ischemia/reperfusion (I/R) injury of the liver is a major complication of liver resection, hepatic trauma, and liver transplantation.
                The Effect of Hepatic Ischemia Reperfusion Injury in a Murine Model of Nonalcoholic Steatohepatitis
              • Vascular

                Autoimmune-Mediated Vascular Injury Occurs Prior to Sustained Hyperglycemia in a Murine Model of Type I Diabetes Mellitus

                Journal of Surgical Research
                Vol. 168Issue 2e195–e202Published online: February 28, 2011
                • Michael A. Zimmerman
                • Kathryn Haskins
                • Brenda Bradley
                • Jessica Gilman
                • Fabia Gamboni-Robertson
                • Sonia C. Flores
                Cited in Scopus: 2
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                  Accelerated cardiovascular disease in patients with type I diabetes (TID) is a well-described condition and serious clinical obstacle. At present, the notion that early atherogenesis is largely dependent on sustained hyperglycemia remains in question. We hypothesize that an alteration in T lymphocyte homeostasis may result in early vascular inflammation, which might amplify subsequent blood vessel injury in euglycemia.
                  Autoimmune-Mediated Vascular Injury Occurs Prior to Sustained Hyperglycemia in a Murine Model of Type I Diabetes Mellitus
                • Transplantation/Immunology

                  Split-Liver Procedure and Inflammatory Response: Improvement by Pharmacological Preconditioning

                  Journal of Surgical Research
                  Vol. 168Issue 1e125–e135Published online: February 21, 2011
                  • Maximilian von Heesen
                  • Matthias Hülser
                  • Katharina Seibert
                  • Claudia Scheuer
                  • Stefan Dold
                  • Otto Kollmar
                  • and others
                  Cited in Scopus: 9
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                    Final outcome of split-liver (SL) transplantation is impaired due to an increased rate of vascular complications and primary non-function. Herein, we hypothesized that an in situ split-liver procedure induces an inflammatory response and a deterioration of graft quality. We further studied whether graft quality can be improved by pharmacologic preconditioning.
                    Split-Liver Procedure and Inflammatory Response: Improvement by Pharmacological Preconditioning
                  • Shock/Sepsis/Trauma/Critical Care

                    Threshold Model for Extremity Compartment Syndrome in Swine

                    Journal of Surgical Research
                    Vol. 167Issue 1e13–e19Published online: January 31, 2011
                    • John Kalns
                    • Jennifer Cox
                    • Jonathan Baskin
                    • Adrienne Santos
                    • Rick Odland
                    • Stephen Fecura Jr.
                    Cited in Scopus: 14
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                      Extremity compartment syndrome occurs when swelling develops within a muscle compartment to such an extent that the microvasculature is compressed and tissue perfusion is compromised. Untreated, this condition can result in widespread tissue destruction and loss of the affected limb.
                      Threshold Model for Extremity Compartment Syndrome in Swine
                    • Musculoskeletal

                      Use of an Ultrasonic Blade Facilitates Muscle Repair After Incision Injury

                      Journal of Surgical Research
                      Vol. 167Issue 2e177–e184Published online: January 31, 2011
                      • Arvydas Usas
                      • Dovile Usaite
                      • Xueqin Gao
                      • Johnny Huard
                      • Jeffrey W. Clymer
                      • Prasanna Malaviya
                      Cited in Scopus: 13
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                        The ultrasonic Harmonic Blade cuts and coagulates soft tissue at temperatures lower than conventional electrosurgery. This study investigated whether improved hemostatic control and reduced collateral damage in skeletal muscle incisions translates into improved myofiber regeneration, reduced fibrosis and faster muscle recovery.
                        Use of an Ultrasonic Blade Facilitates Muscle Repair After Incision Injury
                      • Shock/Sepsis/Trauma/Critical Care

                        Patients Suffering Due to Complicated Peritonitis May Not Benefit from Splenectomy: Clinical Data from a Retrospective Study

                        Journal of Surgical Research
                        Vol. 167Issue 2e345–e355Published online: November 15, 2010
                        • Christoph Lichtenstern
                        • Johannes B. Zimmermann
                        • Nuh N. Rahbari
                        • Florian Uhle
                        • Stefanie Kerber
                        • Katja Weismüller
                        • and others
                        Cited in Scopus: 5
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                          In this retrospective observational study, we investigated the impact of prior splenectomy on the outcome of patients with complicated peritonitis.
                          Patients Suffering Due to Complicated Peritonitis May Not Benefit from Splenectomy: Clinical Data from a Retrospective Study
                        • Shock/Sepsis/Trauma/Critical Care

                          Hydrogen-Rich Saline Provides Protection Against Hyperoxic Lung Injury

                          Journal of Surgical Research
                          Vol. 165Issue 1e43–e49Published online: October 18, 2010
                          • Qiang Sun
                          • Jianmei Cai
                          • Shulin Liu
                          • Yun Liu
                          • Weigang Xu
                          • Hengyi Tao
                          • and others
                          Cited in Scopus: 55
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                            Hydrogen has been proven to be a novel antioxidant through its selectively reducing of the hydroxyl radical. In this study, we investigated the effects of hydrogen-rich saline on the prevention of acute lung injury induced by hyperoxia (HALI) in rats.
                            Hydrogen-Rich Saline Provides Protection Against Hyperoxic Lung Injury
                          • Transplantation/Immunology

                            Hydrogen Sulphide Attenuates Renal and Cardiac Injury after Total Hepatic Ischemia and Reperfusion

                            Journal of Surgical Research
                            Vol. 164Issue 2e305–e313Published online: September 9, 2010
                            • Yawei Chen
                            • Zhenhua Liu
                            • Xiaohua Xie
                            Cited in Scopus: 15
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                              There are few studies that focus on the important organs injuries induced by total hepatic ischemia and reperfusion (THIR), which is a key to save the lives of hepatic surgery patients. We evaluated changes in the hydrogen sulphide production system and injuries to the heart and kidney. The aim of this study was to assess whether sodium hydrosulphide (NaHS) has protective effects against THIR injury.
                              Hydrogen Sulphide Attenuates Renal and Cardiac Injury after Total Hepatic Ischemia and Reperfusion
                            • Gastrointestinal

                              Protection Against Severe Intestinal Ischemia/Reperfusion Injury in Rats by Intravenous Resveratrol

                              Journal of Surgical Research
                              Vol. 167Issue 2e145–e155Published online: June 30, 2010
                              • Frank Petrat
                              • Herbert de Groot
                              Cited in Scopus: 29
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                                Repetitive enteral or intraperitoneal administration of resveratrol at high doses has recently been found to protect the small intestine against acute ischemia/reperfusion (I/R) injury. In the present work, the protective potential of solvent-free continuous intravenous infusions of small amounts of resveratrol was studied in a model of severe intestinal I/R injury.
                                Protection Against Severe Intestinal Ischemia/Reperfusion Injury in Rats by Intravenous Resveratrol
                              • Gastrointestinal

                                Decay-Accelerating Factor Attenuates C-Reactive Protein-Potentiated Tissue Injury After Mesenteric Ischemia/Reperfusion

                                Journal of Surgical Research
                                Vol. 167Issue 2e103–e115Published online: November 9, 2009
                                • Xinyue Lu
                                • Yansong Li
                                • Milomir O. Simovic
                                • Russell Peckham
                                • Ying Wang
                                • George C. Tsokos
                                • and others
                                Cited in Scopus: 21
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                                  C-reactive protein (CRP) is an acute pro-inflammatory mediator that has been demonstrated to enhance ischemia/reperfusion (IR) injury by virtue of activating the complement system. CRP is able to interact with complement proteins such as C1q, complement factor H, and C4b-binding protein. Since complement activation is central in the expression of tissue injury following IR, we have investigated the effects of human decay-accelerating factor (DAF), a complement inhibitor, on CRP-potentiated complement activation and tissue injury in mice subjected to mesenteric IR.
                                  Decay-Accelerating Factor Attenuates C-Reactive Protein-Potentiated Tissue Injury After Mesenteric Ischemia/Reperfusion
                                • Pediatric/Congenital/Developmental

                                  Toll-Like Receptor 4: A Novel Signaling Pathway During Renal Fibrogenesis

                                  Journal of Surgical Research
                                  Vol. 168Issue 1e61–e69Published online: October 26, 2009
                                  • Matthew T. Campbell
                                  • Karen L. Hile
                                  • Hongji Zhang
                                  • Hiroshi Asanuma
                                  • Brian A. Vanderbrink
                                  • Richard R. Rink
                                  • and others
                                  Cited in Scopus: 71
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                                    The toll-like receptor (TLR) family serves an important regulatory role in the innate immune system, and recent evidence has implicated TLR signaling in the pro-inflammatory response of a variety of endogenous and exogenous stimuli within the kidney. The role of TLR signaling in fibrotic renal injury, however, remains unknown.
                                    Toll-Like Receptor 4: A Novel Signaling Pathway During Renal Fibrogenesis
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