TY - JOUR ID - pittir20418 UR - http://d-scholarship-dev.library.pitt.edu/20418/ IS - 12 A1 - Ziraldo, C A1 - Vodovotz, Y A1 - Namas, RA A1 - Almahmoud, K A1 - Tapias, V A1 - Mi, Q A1 - Barclay, D A1 - Jefferson, BS A1 - Chen, G A1 - Billiar, TR A1 - Zamora, R Y1 - 2013/12/03/ N2 - The translation of in vitro findings to clinical outcomes is often elusive. Trauma/hemorrhagic shock (T/HS) results in hepatic hypoxia that drives inflammation. We hypothesize that in silico methods would help bridge in vitro hepatocyte data and clinical T/HS, in which the liver is a primary site of inflammation. Primary mouse hepatocytes were cultured under hypoxia (1% O 2) or normoxia (21% O2) for 1-72 h, and both the cell supernatants and protein lysates were assayed for 18 inflammatory mediators by Luminex? technology. Statistical analysis and data-driven modeling were employed to characterize the main components of the cellular response. Statistical analyses, hierarchical and k-means clustering, Principal Component Analysis, and Dynamic Network Analysis suggested MCP-1/CCL2 and IL-1? as central coordinators of hepatocyte-mediated inflammation in C57BL/6 mouse hepatocytes. Hepatocytes from MCP-1-null mice had altered dynamic inflammatory networks. Circulating MCP-1 levels segregated human T/HS survivors from non-survivors. Furthermore, T/HS survivors with elevated early levels of plasma MCP-1 post-injury had longer total lengths of stay, longer intensive care unit lengths of stay, and prolonged requirement for mechanical ventilation vs. those with low plasma MCP-1. This study identifies MCP-1 as a main driver of the response of hepatocytes in vitro and as a biomarker for clinical outcomes in T/HS, and suggests an experimental and computational framework for discovery of novel clinical biomarkers in inflammatory diseases. © 2013 Ziraldo et al. JF - PLoS ONE VL - 8 TI - Central role for MCP-1/CCL2 in injury-induced inflammation revealed by in vitro, in silico, and clinical studies AV - public ER -