It is the purpose of this proposal to explore the participation of bacterial endotoxin in the immunologic perturbations which follow major thermal injuries. With the central hypothesis that endotoxin derived from normal gastrointestinal flora wound-contaminating Gram negative organisms plays a significant immunologic role in the following specific problems will be addressed: 1) Specific endotoxins will be isolated and identified from burn patient sera via column chromatography and chromatofocusing techniques in conjunction with mixed lymphocyte cultures as an assay of immunological activity. 2) The effect of purified endotoxin, and of endotoxin-containing burn sera upon human natural killer cell cytotoxicity will be studied in vitro. 3) Since the Limulus test is currently inadequate for the detection and study of endotoxin in patient sera, we will develop a radioimmunoassay for the general detection of endotoxin. 4) Laboratory indications of bacterial influence upon the immune response will be correlated with clinical events in burn patients via our computer data base, and the value of specific laboratory tests in predicting morbidity and mortality will be evaluated. These studies are primarily direct, human studies, though New Zealand white rabbits will be used in the generation of antibody.

Agency
National Institute of Health (NIH)
Institute
National Institute of General Medical Sciences (NIGMS)
Type
Research Project (R01)
Project #
5R01GM034008-03
Application #
3284364
Study Section
Surgery, Anesthesiology and Trauma Study Section (SAT)
Project Start
1984-02-01
Project End
1987-03-31
Budget Start
1985-09-01
Budget End
1987-03-31
Support Year
3
Fiscal Year
1985
Total Cost
Indirect Cost
Name
University of California San Diego
Department
Type
Schools of Medicine
DUNS #
077758407
City
La Jolla
State
CA
Country
United States
Zip Code
92093
Ninnemann, J L; Ozkan, A N (1987) The immunosuppressive activity of C1q degradation peptides. J Trauma 27:119-22
Ozkan, A N; Hoyt, D B; Ninnemann, J L (1987) Generation and activity of suppressor peptides following traumatic injury. J Burn Care Rehabil 8:527-30
Ozkan, A N; Ninnemann, J L (1985) Suppression of in vitro lymphocyte and neutrophil responses by a low molecular weight suppressor active peptide from burn-patient sera. J Clin Immunol 5:172-9
Ninnemann, J L; Ozkan, A N; Sullivan, J J (1985) Hemolysis and suppression of neutrophil chemotaxis by a low molecular weight component of human burn patient sera. Immunol Lett 10:63-9