Hypoxia-inducible Factor-1 (HIF-1) Regulated Circulating Angiogenic Cells (CACs) Recruitment in Burn Wound Healing
HIF-1 Regulated Circulating Angiogenic Cell Recruitment in Burn Wound Healing
Studienübersicht
Status
Bedingungen
Intervention / Behandlung
Detaillierte Beschreibung
Burn injuries represent a major public health problem, requiring medical attention for more than one million Americans annually. Despite therapeutic advances, non-healing burn wounds and excessive scarring still result in significant long term physical and psychosocial morbidity. In this study we propose to perform clinical and research to study the role of circulating angiogenic cells (CAC) in promoting burn wound healing.
CAC's have been shown to contribute to vascularization and tissue repair in a number of animal models of tissue injury ischemia and mobilization of CACs into the peripheral blood has been demonstrated in burn wound patients.
We hypothesize that primary healing of burn wounds is dependent on repair of damaged vasculature, and that bone marrow derived stem cells, circulating angiogenic cells (CAC), play a critical role in the healing process. Furthermore we propose that the transcription factor Hypoxia Inducible Factor 1 alpha (HIF 1 alpha) through production of peptide products of its downstream target genes directs the "homing" of CAC's to the wound where they participate in healing events. The first aim of this study is to correlate mobilization of CAC's into the blood stream with the success of burn wound healing.
CAC's have been shown to contribute to vascularization and tissue repair in a number of studies. The relationship between mobilization of CAC's and burn wound healing has not been examined. In addition to surveying CAC numbers in the peripheral blood, we will assay levels of the putative mediators of CAC mobilization: Vascular Endothelial Growth Factor (VEGF), Placenta Growth Factor (PLGF), and Stromal Cell-Derived Factor (SDF-1). We hypothesize that individuals who are able to mount a large and sustained mobilization of CAC's into the peripheral blood from the bone marrow, will be more likely to heal the injured vasculature and go on to primary healing. Individuals with an inadequate mobilization of CAC's will fail to repair the damaged vasculature in the wound and proceed to necrosis and "conversion" to third degree, necrotic burn wounds.
Studientyp
Einschreibung (Tatsächlich)
Phase
- Unzutreffend
Kontakte und Standorte
Studienorte
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Maryland
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Baltimore, Maryland, Vereinigte Staaten, 21224
- Johns Hopkins Bayview Medical Center
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Teilnahmekriterien
Zulassungskriterien
Studienberechtigtes Alter
Akzeptiert gesunde Freiwillige
Studienberechtigte Geschlechter
Beschreibung
Inclusion Criteria:
Recruitment of patients at the Johns Hopkins Regional Burn Center for study will be based upon the following clinical criteria:
- Second degree scald burn of 10 cm2
- Age between 14 to 75 years
- Burn area equal or less than 95% of Burn Surface Area (BSA)
- Body temperature between 98.5 and 101 degree F
- Informed consent for enrolment into study
- Spanish speaking patients will be included when we have a Spanish consent form available.
Exclusion Criteria:
- First and third degree burn wounds
- Hemodynamic instability (SBP below 100, Heart Rate (HR) over 100, urine output less than 30 ml/hour
- Area of burn over 20% of BSA
- Hypothermia T<98.5 or Hyperthermia T>101 degree F
- Urine output less than 30 ml/hour
- Serum albumin less than 3 mg/ml.
- Subjects weighing less than 50 kg.
Studienplan
Wie ist die Studie aufgebaut?
Designdetails
- Hauptzweck: Behandlung
- Zuteilung: Nicht randomisiert
- Interventionsmodell: Einzelgruppenzuweisung
- Maskierung: Keine (Offenes Etikett)
Waffen und Interventionen
Teilnehmergruppe / Arm |
Intervention / Behandlung |
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Schein-Komparator: Healthy volunteers
Healthy volunteers with no burn wounds Volunteers donate blood that will be studied in comparison to patients who have sustained burns.
The circulating "bone marrow stem cells" will be counted and compared to the levels in burn patients.
Six 12 ml tubes will be taken for the study.
You will not be compensated.
But you will be helping to advance science if you join the study.
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Comparison of healthy volunteers to burn wounded volunteers
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Aktiver Komparator: Burn volunteer
To recruit burn wound patients with defined clinical criteria for study.
A second-degree burn of at least 10 cm2 to up to 95% BSA; age = 14-75 years; BP > 100 mm Hg systolic; heart rate < 100 beats/minute; urine output > 30 ml/hour; area of burn < 20% of BSA; body temperature = 98.5-101 degrees Fahrenheit; serum albumin > 3 mg/ml; and informed consent.
We will also obtain a history regarding the presence or absence of risk factors that may affect CAC numbers: hypertension > 1 year; smoking > 2 pack-years or within the last year; diabetes mellitus; and family history of premature coronary artery disease (men < 55 and women < 65 years of age).Six 12 ml tubes will be taken at 5 time points
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Comparison of burn wounded volunteers to healthy volunteers
Andere Namen:
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Was misst die Studie?
Primäre Ergebnismessungen
Ergebnis Maßnahme |
Maßnahmenbeschreibung |
Zeitfenster |
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The Quantification of Circulating Angiogenic Cells in the Blood of Individuals Who Are Healthy Volunteers Compared to Those in Individuals Who Have Sustained a Burn Injury
Zeitfenster: baseline
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Tissue samples were harvested from healthy volunteers and participants who sustained burns.
CACs were isolated and counted under fluorescence microscopy.
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baseline
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Mean of Circulating Angiogenic Cells in the Blood of Individuals Who Have Sustained a Burn Injury
Zeitfenster: 0 to 24 hours post-operative
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Tissue samples were harvested from healthy volunteers and participants who sustained burns.
CACs were isolated and counted under fluorescence microscopy.
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0 to 24 hours post-operative
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Mean of Circulating Angiogenic Cells in the Blood of Individuals Who Have Sustained a Burn Injury
Zeitfenster: 49 to 72 hours post-operative
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Tissue samples were harvested from healthy volunteers and participants who sustained burns.
CACs were isolated and counted under fluorescence microscopy.
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49 to 72 hours post-operative
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Mean of Circulating Angiogenic Cells in the Blood of Individuals Who Have Sustained a Burn Injury
Zeitfenster: 73 hours to 6 weeks post-operative
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Tissue samples were harvested from healthy volunteers and participants who sustained burns.
CACs were isolated and counted under fluorescence microscopy.
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73 hours to 6 weeks post-operative
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Mitarbeiter und Ermittler
Sponsor
Ermittler
- Hauptermittler: John Harmon, MD, Johns Hopkins University
Publikationen und hilfreiche Links
Studienaufzeichnungsdaten
Haupttermine studieren
Studienbeginn
Primärer Abschluss (Tatsächlich)
Studienabschluss (Tatsächlich)
Studienanmeldedaten
Zuerst eingereicht
Zuerst eingereicht, das die QC-Kriterien erfüllt hat
Zuerst gepostet (Schätzen)
Studienaufzeichnungsaktualisierungen
Letztes Update gepostet (Tatsächlich)
Letztes eingereichtes Update, das die QC-Kriterien erfüllt
Zuletzt verifiziert
Mehr Informationen
Begriffe im Zusammenhang mit dieser Studie
Schlüsselwörter
Zusätzliche relevante MeSH-Bedingungen
Andere Studien-ID-Nummern
- NA_00018037
Plan für individuelle Teilnehmerdaten (IPD)
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