Atrial Natriuretic Peptide: A Potential Early Therapy for the Prevention of Multiple Organ Dysfunction Syndrome Following Severe Trauma.

Trauma remains a tremendous medical burden partly because of increased expenditure for the management of multiple organ dysfunction syndrome (MODS) developed during hospital stay. The intestinal barrier injury continues to be a second insult resulting in MODS which currently lacks efficient strategies for prevention. Recent studies have uncovered multi-organ protective benefits of atrial natriuretic peptide (ANP) in cardiovascular disease. However, the role of ANP in the prevention of MODS following severe trauma has not been understood. In our laboratory study, 1-h infusion of exogenous ANP during hemorrhagic shock following severe trauma induced high-level expression of endogenous serum ANP after 24 h, this effect was related to the improved level of functional biomarkers in multiple organs. Such phenomenon has not been found in other laboratories. A thorough literature review consequently was performed to uncover the potential mechanisms, to appraise therapy safety, and to propose uncertainties. In severe trauma, short-term exogenous ANP therapy during hemorrhagic shock may promote sustained endogenous expression of ANP from intestinal epithelium through activating a positive feedback loop mechanism involving phospholipase C-γ1 and reactive oxygen species crosstalk. This feedback loop may prevent MODS through multiple signaling pathways. Administration of ANP during hemorrhagic shock is thought to be safe. Further studies are required to confirm our proposed mechanisms and to investigate the dose, duration, and timing of ANP therapy in severe trauma.

The optical conductivity of bilayer zigzag-edge graphene nanoribbons with external transverse electric fields.

The optical absorption properties of bilayer zigzag-edge graphene nanoribbons (BL-ZGNRs) with external transverse electric fields are investigated by taking into account the Coulomb interaction effect in the Hartree-Fock approximation. We study the phase transitions of BL-ZGNRs induced by external electric fields and also the optical selection rules for the incident light polarized along the longitudinal and transverse directions. We find that the excitations from the edge states are crucial for the optical properties of BL-ZGNRs in the antiferromagnetic phase. We show that the low energy part of the optical absorption can be modulated by the external transverse electric field, and there is a broad band low frequency absorption enhancement for the transverse-polarized incident light in the charge-polarized state of BL-ZGNRs.