Multi-omic analysis in injured humans: Patterns align with outcomes and treatment responses

Trauma is a leading cause of death and morbidity worldwide. Here, we present the analysis of a longitudinal multi-omic dataset comprising clinical, cytokine, endotheliopathy biomarker, lipidome, metabolome, and proteome data from severely injured humans. A "systemic storm" pattern with rel...

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Main Authors: Wu, Junru, Vodovotz, Yoram, Abdelhamid, Sultan, Guyette, Francis X, Yaffe, Michael B, Gruen, Danielle S, Cyr, Anthony, Okonkwo, David O, Kar, Upendra K, Krishnamoorthi, Neha, Voinchet, Robert G, Billiar, Isabel M, Yazer, Mark H, Namas, Rami A, Daley, Brian J, Miller, Richard S, Harbrecht, Brian G, Claridge, Jeffrey A, Phelan, Herbert A, Zuckerbraun, Brian S, Johansson, Pär I, Stensballe, Jakob, Morrissey, James H, Tracy, Russell P, Wisniewski, Stephen R, Neal, Matthew D, Sperry, Jason L, Billiar, Timothy R
Other Authors: Massachusetts Institute of Technology. Department of Biology
Format: Article
Language:English
Published: Elsevier BV 2023
Online Access:https://hdl.handle.net/1721.1/147022
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author Wu, Junru
Vodovotz, Yoram
Abdelhamid, Sultan
Guyette, Francis X
Yaffe, Michael B
Gruen, Danielle S
Cyr, Anthony
Okonkwo, David O
Kar, Upendra K
Krishnamoorthi, Neha
Voinchet, Robert G
Billiar, Isabel M
Yazer, Mark H
Namas, Rami A
Daley, Brian J
Miller, Richard S
Harbrecht, Brian G
Claridge, Jeffrey A
Phelan, Herbert A
Zuckerbraun, Brian S
Johansson, Pär I
Stensballe, Jakob
Morrissey, James H
Tracy, Russell P
Wisniewski, Stephen R
Neal, Matthew D
Sperry, Jason L
Billiar, Timothy R
author2 Massachusetts Institute of Technology. Department of Biology
author_facet Massachusetts Institute of Technology. Department of Biology
Wu, Junru
Vodovotz, Yoram
Abdelhamid, Sultan
Guyette, Francis X
Yaffe, Michael B
Gruen, Danielle S
Cyr, Anthony
Okonkwo, David O
Kar, Upendra K
Krishnamoorthi, Neha
Voinchet, Robert G
Billiar, Isabel M
Yazer, Mark H
Namas, Rami A
Daley, Brian J
Miller, Richard S
Harbrecht, Brian G
Claridge, Jeffrey A
Phelan, Herbert A
Zuckerbraun, Brian S
Johansson, Pär I
Stensballe, Jakob
Morrissey, James H
Tracy, Russell P
Wisniewski, Stephen R
Neal, Matthew D
Sperry, Jason L
Billiar, Timothy R
author_sort Wu, Junru
collection MIT
description Trauma is a leading cause of death and morbidity worldwide. Here, we present the analysis of a longitudinal multi-omic dataset comprising clinical, cytokine, endotheliopathy biomarker, lipidome, metabolome, and proteome data from severely injured humans. A "systemic storm" pattern with release of 1,061 markers, together with a pattern suggestive of the "massive consumption" of 892 constitutive circulating markers, is identified in the acute phase post-trauma. Data integration reveals two human injury response endotypes, which align with clinical trajectory. Prehospital thawed plasma rescues only endotype 2 patients with traumatic brain injury (30-day mortality: 30.3 versus 75.0%; p = 0.0015). Ubiquitin carboxy-terminal hydrolase L1 (UCHL1) was identified as the most predictive circulating biomarker to identify endotype 2-traumatic brain injury (TBI) patients. These response patterns refine the paradigm for human injury, while the datasets provide a resource for the study of critical illness, trauma, and human stress responses.
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spelling mit-1721.1/1470222023-01-10T03:01:41Z Multi-omic analysis in injured humans: Patterns align with outcomes and treatment responses Wu, Junru Vodovotz, Yoram Abdelhamid, Sultan Guyette, Francis X Yaffe, Michael B Gruen, Danielle S Cyr, Anthony Okonkwo, David O Kar, Upendra K Krishnamoorthi, Neha Voinchet, Robert G Billiar, Isabel M Yazer, Mark H Namas, Rami A Daley, Brian J Miller, Richard S Harbrecht, Brian G Claridge, Jeffrey A Phelan, Herbert A Zuckerbraun, Brian S Johansson, Pär I Stensballe, Jakob Morrissey, James H Tracy, Russell P Wisniewski, Stephen R Neal, Matthew D Sperry, Jason L Billiar, Timothy R Massachusetts Institute of Technology. Department of Biology Trauma is a leading cause of death and morbidity worldwide. Here, we present the analysis of a longitudinal multi-omic dataset comprising clinical, cytokine, endotheliopathy biomarker, lipidome, metabolome, and proteome data from severely injured humans. A "systemic storm" pattern with release of 1,061 markers, together with a pattern suggestive of the "massive consumption" of 892 constitutive circulating markers, is identified in the acute phase post-trauma. Data integration reveals two human injury response endotypes, which align with clinical trajectory. Prehospital thawed plasma rescues only endotype 2 patients with traumatic brain injury (30-day mortality: 30.3 versus 75.0%; p = 0.0015). Ubiquitin carboxy-terminal hydrolase L1 (UCHL1) was identified as the most predictive circulating biomarker to identify endotype 2-traumatic brain injury (TBI) patients. These response patterns refine the paradigm for human injury, while the datasets provide a resource for the study of critical illness, trauma, and human stress responses. 2023-01-09T18:13:18Z 2023-01-09T18:13:18Z 2021 2023-01-09T18:09:00Z Article http://purl.org/eprint/type/JournalArticle https://hdl.handle.net/1721.1/147022 Wu, Junru, Vodovotz, Yoram, Abdelhamid, Sultan, Guyette, Francis X, Yaffe, Michael B et al. 2021. "Multi-omic analysis in injured humans: Patterns align with outcomes and treatment responses." Cell Reports Medicine, 2 (12). en 10.1016/J.XCRM.2021.100478 Cell Reports Medicine Creative Commons Attribution-NonCommercial-NoDerivs License http://creativecommons.org/licenses/by-nc-nd/4.0/ application/pdf Elsevier BV Elsevier
spellingShingle Wu, Junru
Vodovotz, Yoram
Abdelhamid, Sultan
Guyette, Francis X
Yaffe, Michael B
Gruen, Danielle S
Cyr, Anthony
Okonkwo, David O
Kar, Upendra K
Krishnamoorthi, Neha
Voinchet, Robert G
Billiar, Isabel M
Yazer, Mark H
Namas, Rami A
Daley, Brian J
Miller, Richard S
Harbrecht, Brian G
Claridge, Jeffrey A
Phelan, Herbert A
Zuckerbraun, Brian S
Johansson, Pär I
Stensballe, Jakob
Morrissey, James H
Tracy, Russell P
Wisniewski, Stephen R
Neal, Matthew D
Sperry, Jason L
Billiar, Timothy R
Multi-omic analysis in injured humans: Patterns align with outcomes and treatment responses
title Multi-omic analysis in injured humans: Patterns align with outcomes and treatment responses
title_full Multi-omic analysis in injured humans: Patterns align with outcomes and treatment responses
title_fullStr Multi-omic analysis in injured humans: Patterns align with outcomes and treatment responses
title_full_unstemmed Multi-omic analysis in injured humans: Patterns align with outcomes and treatment responses
title_short Multi-omic analysis in injured humans: Patterns align with outcomes and treatment responses
title_sort multi omic analysis in injured humans patterns align with outcomes and treatment responses
url https://hdl.handle.net/1721.1/147022
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