2019
DOI: 10.1038/s41598-019-46034-w
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Systemic release of heat-shock protein 27 and 70 following severe trauma

Abstract: Trauma represents a major cause of morbidity and mortality worldwide. The endogenous inflammatory response to trauma remains not fully elucidated. Pro-inflammation in the early phase is followed by immunosuppression leading to infections, multi-organ failure and mortality. Heat-shock proteins (HSPs) act as intracellular chaperons but exert also extracellular functions. However, their role in acute trauma remains unknown. The aim of this study was to evaluate serum concentrations of HSP 27 and HSP 70 in severel… Show more

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Cited by 16 publications
(14 citation statements)
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“…HSPs are a family of molecular chaperones maintaining cellular homeostasis [ 84 ]. Extracellular HSPs act as DAMPs and correlate with the severity of several disorders such as sepsis and trauma [ 85 , 86 ]. HSPs can be released passively by necrosis [ 19 , 53 ].…”
Section: Characteristics and Release Mechanisms For Specific Dampsmentioning
confidence: 99%
“…HSPs are a family of molecular chaperones maintaining cellular homeostasis [ 84 ]. Extracellular HSPs act as DAMPs and correlate with the severity of several disorders such as sepsis and trauma [ 85 , 86 ]. HSPs can be released passively by necrosis [ 19 , 53 ].…”
Section: Characteristics and Release Mechanisms For Specific Dampsmentioning
confidence: 99%
“…Indeed, it has been demonstrated that HSP-70 proteins are released into the blood in severe traumas. Additionally, it was revealed that HSP-70 protein levels were higher in ARDS cases [25]. Therefore, it is possible that the high levels of GRP78 found in the blood of SARS-CoV-2 (+) patients could be derived from the lung tissue.…”
Section: Discussionmentioning
confidence: 99%
“…HSP27 acts as an intracellular chaperone to maintain normal cell functions, but it is also active extracellularly. HSPs are involved in apoptosis inhibition, cytoprotection, and immunomodulation [ 35 , 36 , 37 , 38 ]. Moreover, HSP27 may play a major role in platelet aggregation by modifying actin polymerization [ 38 , 39 ].…”
Section: Discussionmentioning
confidence: 99%
“…Tian et al [ 39 ] found an association between a high thrombus burden and elevated HSP27 levels in patients with ST elevation myocardial infarctions. In addition, recently, HSP27 was identified as prognostic marker in inflammatory diseases, such as COPD and trauma-related ARDS [ 23 , 24 , 37 , 40 , 41 ]. Therefore, we hypothesized that, in patients with COVID-19, elevated HSP27 might be associated with lung injury.…”
Section: Discussionmentioning
confidence: 99%