Genomics-, Microbiomics-, and Bioenergetics-Based Personalized Treatment for Trauma Patients at Risk for Sepsis

Abstract

Severely injured traumatic brain injury (TBI) patients who appear otherwise equivalent upon admission, will classically dichotomize into those who survive without life-threatening complications and those who develop organ dysfunction and/or sepsis. Some evidence indicates that variants of specific genes are associated w/poor outcomes following severe trauma; however, the relationships between gene expression and clinical consequences are unknown. Considering the evidence that the human gut microbiome plays an important role in many diseases, studies are needed to determine how changes in the gut microbiota following severe trauma may affect outcomes. This project will deliver key information regarding divergent patient responses to severe TBI, w/the potential to offer personalized approaches to therapeutics and supportive care, decreased early mortality and improved long-term functional outcome. Given the proportionately excessive incidence of TBI among members of the US military, the concepts and approaches tested by this project should have a particularly high impact on the men and women of our armed services.

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Document Details

Document Type
Technical Report
Publication Date
Jan 01, 2020
Accession Number
AD1096188

Entities

People

  • Catriona Miller
  • Claire Fraser
  • Deborah Stein
  • Gary Fiskum
  • Jennifer Klinedinst
  • Rosemary Kozar
  • Sam Galvagno

Tags

Communities of Interest

  • Biomedical

DTIC Thesaurus Topics

  • Air Force Research Laboratories
  • Blood
  • Blood Cells
  • Brain Injuries
  • Chemistry
  • Culture Techniques
  • Electronic Mail
  • Gene Expression
  • Genomics
  • Gut Microbiome
  • Health Services
  • Institutional Review Board
  • Measurement
  • Medical Personnel
  • Microbiomes
  • Personnel Management
  • Therapy

Fields of Study

  • Medicine

Readers

  • Gulf War Illness and Chronic Multisymptom Illness in Veterans.
  • Trauma Surgery or Emergency Medicine.
  • Traumatic Brain Injury (TBI) and Cognitive Aging in the Guam and Border Populations Affected by Alzheimer's Disease and Tau-Associated Dementias.