Heart Surgery Clinical Trial
Official title:
Macrophage Migration Inhibitory Factor (MIF) as a Marker of Perioperative Inflammatory Reaction During Heart Surgery
It has been repeatedly demonstrated that cardiac surgery with the use of extracorporeal circulation elicits a systemic inflammatory response and provokes ischemia-reperfusion related oxidative stress which could further lead to the development of organ failure in critically ill patients. Perioperative levels of macrophage migration inhibitory factor (MIF) and other inflammatory mediators could be involved in adverse outcomes in cardiac surgery.
The trace element selenium (Se) serves as an essential co-factor for the antioxidant enzymes
Thioredoxin - reductase (TRR) and many other antioxidant enzymes, which protect tissues from
oxidative stress. In septic patients it has previously been shown that thioredoxin, a TRR
regulated Redox Enzyme, has the ability to suppress the synthesis of MIF.
Aim of the present study is therefore to investigate the relation between perioperative
selenium decrease and the reduction of TRR activity with a possible release of MIF during
the inflammatory response after cardiac surgery.
;
Observational Model: Cohort, Time Perspective: Prospective
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