Abstract

The ultimate goal of the study is to attenuate the harmful hypermetabolic responses associated with burn injury. The hypotheses to be tested are: (1) Growth hormones improves donor site wound healing in burn patients and improves net protein balance in the wound and muscle; (2) propranolol, a non-selective beta-blocker, will decrease cardiac work and the rate of peripheral lipolysis and hepatic steatosis without affecting protein dynamics, and (3) the combined effects of growth hormone and propranolol will ameliorate the hypermetabolic response more effectively than either one alone by decreasing cardiac dynamics, peripheral lipolysis and hepatic steatosis and improving wound healing and protein dynamics in muscle and wound of all ages including the very young and the elderly. The studies are therefore relevant to the treatment of massively burned patients of all ages in order to shorten hospital stay, decrease their hospital morbidity and provide improved functional outcome following this devastating injury.

  Funding Agency

Agency
National Institute of Health (NIH)
Institute
National Institute of General Medical Sciences (NIGMS)
Type
Research Project (R01)
Project #
1R01GM056687-01
Application #
2441208
Study Section
Surgery, Anesthesiology and Trauma Study Section (SAT)
Project Start
1998-01-01
Project End
2001-12-31
Budget Start
1998-01-01
Budget End
1998-12-31
Support Year
1
Fiscal Year
1998
Total Cost
Indirect Cost

  Institution

Name
University of Texas Medical Br Galveston
Department
Surgery
Type
Schools of Medicine
DUNS #
041367053
City
Galveston
State
TX
Country
United States
Zip Code
77555

  Publications

Rivas, Eric; McEntire, Serina J; Herndon, David N et al. (2018) Resting ?-Adrenergic Blockade Does Not Alter Exercise Thermoregulation in Children With Burn Injury: A Randomized Control Trial. J Burn Care Res 39:402-412
Murton, Andrew; Bohanon, Fredrick J; Ogunbileje, John O et al. (2018) Sepsis Increases Muscle Proteolysis in Severely Burned Adults, But Does Not Impact Whole-Body Lipid or Carbohydrate Kinetics. Shock :
Malagaris, Ioannis; Herndon, David N; Polychronopoulou, Efstathia et al. (2018) Determinants of skeletal muscle protein turnover following severe burn trauma in children. Clin Nutr :
El Ayadi, Amina; Prasai, Anesh; Wang, Ye et al. (2018) ?-Adrenergic Receptor Trafficking, Degradation, and Cell Surface Expression Are Altered in Dermal Fibroblasts from Hypertrophic Scars. J Invest Dermatol 138:1645-1655
Hundeshagen, Gabriel; Collins, Vanessa N; Wurzer, Paul et al. (2018) A Prospective, Randomized, Controlled Trial Comparing the Outpatient Treatment of Pediatric and Adult Partial-Thickness Burns with Suprathel or Mepilex Ag. J Burn Care Res 39:261-267
Patel, Dipen D; Rosenberg, Marta; Rosenberg, Laura et al. (2018) Poverty, population density, and the epidemiology of burns in young children from Mexico treated at a U.S. pediatric burn facility. Burns 44:1269-1278
Ogunbileje, John O; Herndon, David N; Murton, Andrew J et al. (2018) The Role of Mitochondrial Stress in Muscle Wasting Following Severe Burn Trauma. J Burn Care Res 39:100-108
Rivas, Eric; Herndon, David N; Cambiaso-Daniel, Janos et al. (2018) Quantification of an Exercise Rehabilitation Program for Severely Burned Children: The Standard of Care at Shriners Hospitals for Children®-Galveston. J Burn Care Res 39:889-896
Guillory, Ashley N; Clayton, Robert P; Prasai, Anesh et al. (2018) Buprenorphine-Sustained Release Alters Hemodynamic Parameters in a Rat Burn Model. J Surg Res 232:154-159
?apek, Karel D; Culnan, Derek M; Desai, Manubhai H et al. (2018) Fifty Years of Burn Care at Shriners Hospitals for Children, Galveston. Ann Plast Surg 80:S90-S94

Showing the most recent 10 out of 186 publications