| Hauptseite > Publikationsdatenbank > Modeling and Hemofiltration Treatment of Acute Inflammation > print |
| 001 | 825974 | ||
| 005 | 20210129225504.0 | ||
| 024 | 7 | _ | |a 10.3390/pr4040038 |2 doi |
| 024 | 7 | _ | |a 2128/13421 |2 Handle |
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| 037 | _ | _ | |a FZJ-2017-00246 |
| 082 | _ | _ | |a 570 |
| 100 | 1 | _ | |a Parker, Robert |0 P:(DE-HGF)0 |b 0 |e Corresponding author |
| 245 | _ | _ | |a Modeling and Hemofiltration Treatment of Acute Inflammation |
| 260 | _ | _ | |a Basel |c 2016 |b MDPI |
| 336 | 7 | _ | |a article |2 DRIVER |
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| 520 | _ | _ | |a The body responds to endotoxins by triggering the acute inflammatory response system to eliminate the threat posed by gram-negative bacteria (endotoxin) and restore health. However, an uncontrolled inflammatory response can lead to tissue damage, organ failure, and ultimately death; this is clinically known as sepsis. Mathematical models of acute inflammatory disease have the potential to guide treatment decisions in critically ill patients. In this work, an 8-state (8-D) differential equation model of the acute inflammatory response system to endotoxin challenge was developed. Endotoxin challenges at 3 and 12 mg/kg were administered to rats, and dynamic cytokine data for interleukin (IL)-6, tumor necrosis factor (TNF), and IL-10 were obtained and used to calibrate the model. Evaluation of competing model structures was performed by analyzing model predictions at 3, 6, and 12 mg/kg endotoxin challenges with respect to experimental data from rats. Subsequently, a model predictive control (MPC) algorithm was synthesized to control a hemoadsorption (HA) device, a blood purification treatment for acute inflammation. A particle filter (PF) algorithm was implemented to estimate the full state vector of the endotoxemic rat based on time series cytokine measurements. Treatment simulations show that: (i) the apparent primary mechanism of HA efficacy is white blood cell (WBC) capture, with cytokine capture a secondary benefit; and (ii) differential filtering of cytokines and WBC does not provide substantial improvement in treatment outcomes vs. existing HA devices. |
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| 700 | 1 | _ | |a Hogg, Justin |0 P:(DE-HGF)0 |b 1 |
| 700 | 1 | _ | |a Roy, Anirban |0 P:(DE-HGF)0 |b 2 |
| 700 | 1 | _ | |a Kellum, John |0 P:(DE-HGF)0 |b 3 |
| 700 | 1 | _ | |a Rimmelé, Thomas |0 P:(DE-HGF)0 |b 4 |
| 700 | 1 | _ | |a Daun-Gruhn, Silvia |0 P:(DE-HGF)0 |b 5 |
| 700 | 1 | _ | |a Fedorchak, Morgan |0 P:(DE-HGF)0 |b 6 |
| 700 | 1 | _ | |a Valenti, Isabella |0 P:(DE-HGF)0 |b 7 |
| 700 | 1 | _ | |a Federspiel, William |0 P:(DE-HGF)0 |b 8 |
| 700 | 1 | _ | |a Rubin, Jonathan |0 P:(DE-HGF)0 |b 9 |
| 700 | 1 | _ | |a Vodovotz, Yoram |0 P:(DE-HGF)0 |b 10 |
| 700 | 1 | _ | |a Lagoa, Claudio |0 P:(DE-HGF)0 |b 11 |
| 700 | 1 | _ | |a Clermont, Gilles |0 P:(DE-HGF)0 |b 12 |
| 773 | _ | _ | |a 10.3390/pr4040038 |g Vol. 4, no. 4, p. 38 - |0 PERI:(DE-600)2720994-5 |n 4 |p 38 - |t Processes |v 4 |y 2016 |x 2227-9717 |
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