Upper airway mucus deposition in lung tissue of burn trauma victims

Robert A. Cox, Ron P. Mlcak, David L. Chinkes, Sam Jacob, Perenlei Enkhbaatar, Jesse Jaso, Lauren P. Parish, Daniel L. Traber, Marc Jeschke, David Herndon, Hal K. Hawkins

Research output: Contribution to journalArticle

36 Citations (Scopus)

Abstract

Previous study in an ovine model of smoke inhalation and burn (S + B) injury has shown distal migration of upper airway mucus. This study examines the localization of an upper airway gland specific mucus, mucin 5B (MUC5B) in lung autopsy tissues of burn-only injury and in victims of S + B injury. We hypothesize that victims with S + B injury would exhibit increased distal migration of MUC5B than that seen in victims of burn-only injury. Autopsy lung tissue from victims of burn injury alone (n = 38) and combined S + B injury (n = 22) were immunostained for MUC5B. No normal lung tissues were included in the study. Semiquantitative analysis of the extent of MUC5B in bronchioles and parenchyma was performed on masked slides. Irrespective of injury conditions, all victims showed MUC5B in bronchioles. Mucin 5B was seen in the parenchyma except in two burn victims. No statistically significant difference was seen in the mean bronchiolar and parenchyma MUC5B scores between S + B and burn-only victims (P > 0.05). No strong statistical correlation of MUC5B scores with days postinjury or to the number of ventilatory days was evident. The percentage of pneumonia, identified histologically, was also similar between study groups. This study did not confirm our results in an ovine model of S + B injury. In contrast, virtually all pediatric burn victims, regardless of concomitant inhalation injury, showed MUC5B in their bronchioles and parenchyma. Increased mucus synthesis and/or impaired mucociliary function may contribute to the pulmonary pathophysiology associated with burn injury.

Original languageEnglish (US)
Pages (from-to)356-361
Number of pages6
JournalShock
Volume29
Issue number3
DOIs
StatePublished - Mar 2008

Fingerprint

Mucin-5B
Mucus
Lung
Wounds and Injuries
Bronchioles
Burns
Autopsy
Sheep
Inhalation Burns
Smoke
Inhalation

Keywords

  • Airway obstruction
  • Burn and inhalation injury
  • Intubation
  • Mucin5B
  • Mucus secretion
  • Pneumonia
  • Ventilation

ASJC Scopus subject areas

  • Critical Care and Intensive Care Medicine
  • Physiology

Cite this

Cox, R. A., Mlcak, R. P., Chinkes, D. L., Jacob, S., Enkhbaatar, P., Jaso, J., ... Hawkins, H. K. (2008). Upper airway mucus deposition in lung tissue of burn trauma victims. Shock, 29(3), 356-361. https://doi.org/10.1097/SHK.0b013e31814541dd

Upper airway mucus deposition in lung tissue of burn trauma victims. / Cox, Robert A.; Mlcak, Ron P.; Chinkes, David L.; Jacob, Sam; Enkhbaatar, Perenlei; Jaso, Jesse; Parish, Lauren P.; Traber, Daniel L.; Jeschke, Marc; Herndon, David; Hawkins, Hal K.

In: Shock, Vol. 29, No. 3, 03.2008, p. 356-361.

Research output: Contribution to journalArticle

Cox, RA, Mlcak, RP, Chinkes, DL, Jacob, S, Enkhbaatar, P, Jaso, J, Parish, LP, Traber, DL, Jeschke, M, Herndon, D & Hawkins, HK 2008, 'Upper airway mucus deposition in lung tissue of burn trauma victims', Shock, vol. 29, no. 3, pp. 356-361. https://doi.org/10.1097/SHK.0b013e31814541dd
Cox, Robert A. ; Mlcak, Ron P. ; Chinkes, David L. ; Jacob, Sam ; Enkhbaatar, Perenlei ; Jaso, Jesse ; Parish, Lauren P. ; Traber, Daniel L. ; Jeschke, Marc ; Herndon, David ; Hawkins, Hal K. / Upper airway mucus deposition in lung tissue of burn trauma victims. In: Shock. 2008 ; Vol. 29, No. 3. pp. 356-361.
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