Department of Surgery, The University of Texas Health Science Center at San Antonio, San Antonio, Texas, United States of America
Research Article
Syndecan-1 and Thrombomodulin are Early Biomarkers for Development of Endotheliopathy in Trauma and Hemorrhagic Shock
Author(s): Tiffani C. Chance*, Michael A. Meledeo, Andrew P. Cap, Daniel N. Darlington, James A. Bynum and Xiaowu Wu
The causes of endotheliopathy are multifactorial and trauma dependent, and the temporal mechanistic link that it has with Acute Traumatic Coagulopathy (ATC) has yet to be fully determinutesed. Therefore, we sought to define early characteristics and markers of endotheliopathy in two rat models, a time-course of acute lethal hemorrhage shock and polytrauma with hemorrhagic shock, to answer the following questions: (1) How soon can elevated biomarkers of endotheliopathy be detected in non-survivable (decompensated) hemorrhagic shock; (2) Does extended hemorrhage time and accumulated hemorrhage impact biomarker levels; and (3) Does the addition of polytrauma contribute to the further elevation of said biomarkers? In this study, we delineated a significant, acute elevation in end plasma levels of syndecan-1, thrombomodulin, and heparan sulfate, whose shedding patterns are a function of ti.. View more»