The glycocalyx and trauma: A review

Andreia Z. Chignalia, Feliz Yetimakman, Sarah C. Christiaans, Sule Unal, Benan Bayrakci, Brant M. Wagener, Robert T. Russell, Jeffrey D. Kerby, Jean Francois Pittet, Randal O. Dull

Research output: Contribution to journalReview article

40 Scopus citations

Abstract

In the United States trauma is the leading cause of mortality among those under the age of 45, claiming approximately 192,000 lives each year. Significant personal disability, lost productivity, and long-term healthcare needs are common and contribute 580 billion dollars in economic impact each year. Improving resuscitation strategies and the early acute care of trauma patients has the potential to reduce the pathological sequelae of combined exuberant inflammation and immune suppression that can co-exist, or occur temporally, and adversely affect outcomes. The endothelial and epithelial glycocalyx has emerged as an important participant in both inflammation and immunomodulation. Constituents of the glycocalyx have been used as biomarkers of injury severity and have the potential to be target(s) for therapeutic interventions aimed at immune modulation. In this review, we provide a contemporary understanding of the physiologic structure and function of the glycocalyx and its role in traumatic injury with a particular emphasis on lung injury.

Original languageEnglish (US)
Pages (from-to)338-348
Number of pages11
JournalShock
Volume45
Issue number4
DOIs
StatePublished - Mar 23 2016
Externally publishedYes

Keywords

  • Endothelium
  • Epithelium
  • Glycocalyx
  • Glypican
  • Heparan sulfates
  • Inflammation
  • Pneumonia
  • Syndecan
  • Trauma
  • Wounds

ASJC Scopus subject areas

  • Emergency Medicine
  • Critical Care and Intensive Care Medicine

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  • Cite this

    Chignalia, A. Z., Yetimakman, F., Christiaans, S. C., Unal, S., Bayrakci, B., Wagener, B. M., Russell, R. T., Kerby, J. D., Pittet, J. F., & Dull, R. O. (2016). The glycocalyx and trauma: A review. Shock, 45(4), 338-348. https://doi.org/10.1097/SHK.0000000000000513