Українська English

ISSN 2522-9028 (Print)
ISSN 2522-9036 (Online)
DOI: https://doi.org/10.15407/fz

Fiziologichnyi Zhurnal

(English title: Physiological Journal)

is a scientific journal issued by the

Bogomoletz Institute of Physiology
National Academy of Sciences of Ukraine

Editor-in-chief: V.F. Sagach

The journal was founded in 1955 as
1955 – 1977 "Fiziolohichnyi zhurnal" (ISSN 0015 – 3311)
1978 – 1993 "Fiziologicheskii zhurnal" (ISSN 0201 – 8489)
1994 – 2016 "Fiziolohichnyi zhurnal" (ISSN 0201 – 8489)
2017 – "Fiziolohichnyi zhurnal" (ISSN 2522-9028)

Fiziol. Zh. 2025; 71(3): 67-72


ACUTE PHASE PROTEINS AS BIOMARKERS OF INFLAMMATION UNDER THERMAL INJURY MODELING CONDITIONS

I.G. Litovka1, M.O. Zavgorodniy1, S. Magomedov2, P.K. Tsapenko1, N.M. Bobok3, R.V. Yanko1

  1. O.O. Bogomoletz Institute of Physiology, NAS of Ukraine, Kyiv
  2. SU “Institute of Traumatology and Orthopedics, NAMS of Ukraine”, Kyiv, Ukraine
  3. INSTITUM AG, Zug, Switzerland
DOI: https://doi.org/10.15407/fz71.03.067


Abstract

Determination of the concentration of acute phase proteins (AFPs) is due to their key role in the cascade of nonspecific defense reactions in thermal injuries. A feature of most AFPs is nonspecificity and high correlation of blood concentration with the activity of the pathological process. Studying biochemical markers in the early post-burn period, it was found that a pronounced systemic inflammatory response after thermal injury occurred between the 3rd and 9th day. At the same time, haptoglobin and ceruloplasmin act as faster acute phase proteins. The concentration of these proteins in the blood serum of rats increased and reached maximum values on the 3rd day after burn injury, which makes them an effective marker for detecting early inflammatory reactions and infectious complications. The dynamics of changes in the level of C-reactive protein in the blood serum demonstrated the highest correlation with the activity of the infectious process, which proves its high efficiency for detecting inflammatory processes of varying severity, choosing adequate treatment and predicting the course of the disease. The results obtained can be used to determine the inflammatory reaction and severity of pathological processes after thermal injury.

Keywords: thermal injury; acute phase proteins; haptoglobin; ceruloplasmin; C-reactive protein

References

  1. Wang T, Nie C, Zhang H, Zeng XQ, Yu HT, Shi SP, Wei ZR, Shi XQ. Epidemiological characteristics and disease burden of burns in children in Northern Guizhou, China. Chin Med J (Engl). 2018; 131(17): 2125-7, https://doi. org/10.4103/0366-6999.239312. CrossRef PubMed PubMedCentral
  2. Qian L-W, Fourcaudot AB, Chen P, Brandenburg KS, Weaver AJ, Jr, Leung K P. Cerium nitrate enhances antibacterial effects and imparts anti-inflammatory properties to silver dressings in a rat scald burn model. Int J Burns Trauma. 2020; 10(4): 91-100.
  3. Burgess M, Valdera F, Varon D, Kankuri E, Nuutila K. The immune and regenerative response to burn injury. Cells. 2022; 11(19): 3073-79. doi:10.3390/cells11193073. CrossRef PubMed PubMedCentral
  4. Korkmaz H I , Flokstra G, Waasdorp M, Pijpe A, Papendorp SG, de Jong E, Rustemeyer T, Gibbs S, van Zuijlen PPM. The complexity of the post-burn immune response: An overview of the associated local and systemic complications. Сells. 2023;12(3):345-54. doi:10.3390/cells12030345. CrossRef PubMed PubMedCentral
  5. Lüthje FL, Blirup-Plum SA, Møller NS, Heegaard PMH, Jensen HE, Kirketerp-Møller K, et al. The host response to bacterial bone infection involves alocal upregulation of several acute phase proteins. Immunobiology. 2020;225(3):151914. CrossRef 2020.151914. CrossRef PubMed
  6. Kovalenko A M, Osadchaya O I, Kovalenko A O, Grisha A S, Linnyk A M, Belynskaya N G. Peculiarities of treatment of sepsis in patients with burn disease. Perioperat Med (Perioperarive Medicine). 2020; 3(1):14- 20 DOI: 0.31636/prmd.v3i1.3. CrossRef
  7. Korkmaz I, Krijnen PAJ, Ulrich MMW, de Jong E, van Zuijlen PPM, Niessen HWM. The role of complement in the acute phase response after burns. Burns. 2017;43(7): 1390-9. DOI: 10.1016/j.burns.2017.03.007. CrossRef PubMed
  8. Li Q, Gong X. Clinical significance of the detection of procalcitonin and C-reactive protein in the intensive care unit. Exp Ther Med. 2018;15(05):4265-70. doi: 10.3892/ etm.2018.5960.
  9. Vashchenko V , Vashchenko T. Biology and pharmacology of ceruloplasmin: from experiments to drug therapy. Rev Clin Pharmacol Drug Therap. 2008; 6(1): 31-44.
  10. Kallenberg C. Antineutrophil antibodies with specificity for myeloperoxidase. Y. Shoenfeld, M. E. Gershwin, P. L. Meroni. Autoantibodies (Eds.), Elsevier, Oxford, І.Г. Літовка, М.О. Завгородній, С. Магомедов, П.К. Цапенко, Н.М. Бобок, Р.В. Янко 72 UK, 2nd ed. 2007. doi:https://doi. org/10.1016/b978- 044452763-9/50017-2.
  11. Kaszak I, Witkowska-Piłaszewicz O, Dolka I, Jurka P. Relationships between haptoglobin and inter-alpha trypsin inhibitor heavy chain 4 levels in local and peripheral blood and systemic inflammatory response syndrome in bitches with pyometra. Acta Vet Hung. 2023;71(3-4):174- 82. doi: 10.1556/004.2023.00852. CrossRef PubMed
  12. Andersen CBF, Stødkilde K, Sæderup KL, Kuhlee A, Raunser S, Graver sen JH, Moestrup SK. Haptoglobin. Antioxid Redox Sign. 2017; 26:814-31. https://doi. org/10.1089/ars.2016.6793. CrossRef PubMed
  13. 13. Nirala NR, Shtenberg G. Gold nanoparticle size-dependent enhanced chemiluminescence for ultrasensitive haptoglobin biomarker detection. Biomolecules. 2019;9:12-9. doi: 10.3390/biom9080372. CrossRef PubMed PubMedCentral
  14. Sinha A, Sharma MK, Tripathi K, Duggal N, Tiwari VK. Evaluation of serum levels of procalcitonin and C-reactive protein as prognostic indicators in burns. Ind J Plast Surg. 2021; 54(3): 308-13. doi:10.1055/s-0041-1734574. CrossRef PubMed PubMedCentral
  15. Nourigheimasi S, Yazdani E, Ghaedi A, Khanzadeh M, Lucke-Wold B, Dioso E, Bazrgar A, Ebadi M, Khanzadeh S. Association of inflammatory biomarkers with overall survival in burn patients: a systematic review and metaanalysis. BMC Emerg Med. 2024;24(1):76-84. doi: 10.1186/s12873-024-00988-x. CrossRef PubMed PubMedCentral
  16. Eschborn S, Weitkamp JH. Procalcitonin versus C-reactive protein: review of kinetics and performance for diagnosis of neonatal sepsis. J Perinatol. 2019;39(7):893-903. doi: 10.1038/s41372-019-0363-4. CrossRef PubMed
  17. Klimova OM, Kravtsov OV , Drozdova LA, Kurbanov T A, Hopko AO. Determination of the dynamics of adaptive immunity indicators in the treatment of severely burned patients. Int Med J. 2022; 1:25-8.

© National Academy of Sciences of Ukraine, Bogomoletz Institute of Physiology, 2014-2025.