RT info:eu-repo/semantics/article T1 Central Role for MCP-1/CCL2 in Injury-Induced Inflammation Revealed by In Vitro, In Silico, and Clinical Studies A1 Ziraldo, Cordelia A1 Vodovotz, Yoram A1 Namas, Rami A. A1 Almahmoud, Khalid A1 Tapias, Victor A1 Mi, Qi A1 Barclay, Derek A1 Jefferson, Bahiyyah S. A1 Chen, Guoqiang A1 Billiar, Timothy R. A1 Zamora, Ruben AB The translation of in vitro findings to clinical outcomes is often elusive. Trauma/hemorrhagic shock (T/HS) results in hepatic hypoxia that drives inflammation. We hypothesize that in silico methods would help bridge in vitro hepatocyte data and clinical T/HS, in which the liver is a primary site of inflammation. Primary mouse hepatocytes were cultured under hypoxia (1% O2) or normoxia (21% O2) for 1-72 h, and both the cell supernatants and protein lysates were assayed for 18 inflammatory mediators by Luminex™ technology. Statistical analysis and data-driven modeling were employed to characterize the main components of the cellular response. Statistical analyses, hierarchical and k-means clustering, Principal Component Analysis, and Dynamic Network Analysis suggested MCP-1/CCL2 and IL-1α as central coordinators of hepatocyte-mediated inflammation in C57BL/6 mouse hepatocytes. Hepatocytes from MCP-1-null mice had altered dynamic inflammatory networks. Circulating MCP-1 levels segregated human T/HS survivors from non-survivors. Furthermore, T/HS survivors with elevated early levels of plasma MCP-1 post-injury had longer total lengths of stay, longer intensive care unit lengths of stay, and prolonged requirement for mechanical ventilation vs. those with low plasma MCP-1. This study identifies MCP-1 as a main driver of the response of hepatocytes in vitro and as a biomarker for clinical outcomes in T/HS, and suggests an experimental and computational framework for discovery of novel clinical biomarkers in inflammatory diseases. SN 1932-6203 YR 2013 FD 2013 LK https://uvadoc.uva.es/handle/10324/63880 UL https://uvadoc.uva.es/handle/10324/63880 LA eng NO PLoS ONE, Diciembre 2013, vol. 8, n. 12, p. e79804 NO Producción Científica DS UVaDOC RD 26-may-2024