Macrophage Migration Inhibitory Factor (MIF)- Cardiac Surgery
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Purpose
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.
| Condition | Intervention |
|---|---|
|
Heart Surgery |
Procedure: Blood sampling |
| Study Type: | Observational |
| Study Design: | Observational Model: Cohort Time Perspective: Prospective |
| Official Title: | Macrophage Migration Inhibitory Factor (MIF) as a Marker of Perioperative Inflammatory Reaction During Heart Surgery |
- Pilot study: correlation between clinical and lab parameters [ Time Frame: two months ] [ Designated as safety issue: Yes ]Possible correlation between several clinical and laboratory parameters will be analyzed. This is a pilot study to generate hints at future items to be studied in controlled trials.
Biospecimen Retention: Samples Without DNA
inflammatory markers (different)
| Enrollment: | 100 |
| Study Start Date: | January 2011 |
| Primary Completion Date: | December 2012 (Final data collection date for primary outcome measure) |
| Groups/Cohorts | Assigned Interventions |
|---|---|
|
Study Group
A single group of 100 consecutive patients will undergo additional blood sampling at different time points
|
Procedure: Blood sampling
Blood sampling at various time points. Additional 92 mL blood.
|
Detailed Description:
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.
Eligibility| Ages Eligible for Study: | 18 Years and older |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
| Sampling Method: | Non-Probability Sample |
Patients undergoing open heart surgery and use of heart lung device
Inclusion Criteria:
- more than 18 years of age
- open heart surgery and use of heart-lung-device
- informed consent has been obtained
Exclusion Criteria:
- under 18 years of age
- emergency cases
- informed consent cannot be obtained
- pregnancy or patient is breast-feeding
Contacts and Locations
More Information
No publications provided
| Responsible Party: | RWTH Aachen University |
| ClinicalTrials.gov Identifier: | NCT01267721 History of Changes |
| Other Study ID Numbers: | CTC-A10-029 |
| Study First Received: | December 22, 2010 |
| Last Updated: | December 12, 2012 |
| Health Authority: | Germany: Federal Insitute for Drugs and Medicinal Devices |
Keywords provided by RWTH Aachen University:
|
heart surgery |
ClinicalTrials.gov processed this record on June 18, 2013