Research Topics
Genomes and GenesSpecies | Joseph CuschieriSummaryAffiliation: University of Cincinnati Country: USA Publications
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Publications
Modulation of macrophage responsiveness to lipopolysaccharide by IRAK-1 manipulationJoseph Cuschieri
Department of Surgery, University of Cincinnati, Cincinnati, Ohio 45267, USA
Shock 21:182-8. 2004..Therefore, IRAK-1 appears to be the central kinase involved in the activation of the macrophage at distant sites during septic shock but is not necessary for activation in areas of local infection...
Implications of proteasome inhibition: an enhanced macrophage phenotypeJoseph Cuschieri
Department of Surgery, University of Cincinnati, 231 Albert Sabin Way, ML 558 Cincinnati, OH 45267 0558, USA
Cell Immunol 227:140-7. 2004..Thus, this study demonstrates that cellular proteasome is critical to regulation of LPS-induced signaling within the macrophage, and inhibition of the proteasome results in a conversion to an anti-inflammatory phenotype...
Modulation of endotoxin-induced endothelial function by calcium/calmodulin-dependent protein kinaseJoseph Cuschieri
Department of Surgery, University of Cincinnati, Cincinnati, Ohio 45267, USA
Shock 20:176-82. 2003..Therefore, CaMK inhibition of endothelial cells, characteristic of sustained increases in intracellular calcium, appears to result in a dysregulated proadhesive phenotype...
Calcium/calmodulin-dependent kinase II is required for platelet-activating factor primingJoseph Cuschieri
Department of Surgery, University of Washington, Seattle, WA 98104, USA
Shock 23:99-106. 2005..This priming event is mediated in part by modulation of ERK 1/2, JNK/SAPK, NF-kappaB, and AP-1 activation. CaMK IV, on the other hand, is not specific for priming by PAF and appears to have a direct link in TLR4-mediated events...
Modulation of endotoxin-induced endothelial activity by microtubule depolymerizationJoseph Cuschieri
Department of Surgery, Division of Trauma Critical Care, University of Cincinnati, 231 Albert Sabin Way, ML 558, Cincinnati, OH 45267 0558, USA
J Trauma 54:104-12; discussion 112-3. 2003..The potential role of this polymerization event, however, is unknown...
Insulin regulates macrophage activation through activin AJoseph Cuschieri
Department of Surgery, University of Washington, Seattle, Washington, USA
Shock 29:285-90. 2008..As a result, we set out to investigate the role and means of activation of this pathway by insulin on endotoxin-mediated activation of tissue-fixed macrophages...
Platelet-activating factor priming of inflammatory cell activity requires cellular adherenceJoseph Cuschieri
Department of Surgery, University of Cincinnati, Ohio 45267-0558, USA
Surgery 132:157-66. 2002..This, therefore, would limit PAF-induced priming in vivo to foci of stimulated adherent inflammatory cells with little effect systemically on circulating cells...
Hypothermia in massive transfusion: have we been paying enough attention to it?Benjamin R Reynolds
Division of General Surgery and Trauma, Department of Surgery, University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania 15213, USA
J Trauma Acute Care Surg 73:486-91. 2012..We sought to characterize the importance of temperature as a risk factor for poor outcome relative to the changes in MT resuscitation that have occurred...
Slow channel calcium inhibition blocks proinflammatory gene signaling and reduces macrophage responsivenessJoseph Cuschieri
Department of Surgery, University of Washington, Seattle, Washington 98104, USA
J Trauma 52:434-42. 2002..This study investigates the possible intracellular mechanisms responsible for calcium antagonist protection in tissue-fixed macrophages, a central modulator of the proinflammatory phenotype...
Body adipose content is independently associated with a higher risk of organ failure and nosocomial infection in the nonobese patient postinjuryRebecca D Edmonds
Division of General Surgery and Trauma, Department of Surgery, University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania 15213, USA
J Trauma 70:292-8. 2011..We sought to avoid the confounding effects attributable to obesity and determine the association of BMI and outcomes following injury in nonobese patients...
Differences in outcome between obese and nonobese patients following severe blunt trauma are not consistent with an early inflammatory genomic responseRobert D Winfield
Department of Surgery, Laboratory of Inflammation Biology and Surgical Science, University of Florida College of Medicine, Gainesville, FL, USA
Crit Care Med 38:51-8. 2010..The effect of obesity on severely injured patients, however, remains incompletely defined. We sought to unravel potential physiologic and genomic alterations induced by obesity in severely injured blunt trauma patients...
Timing of intubation and ventilator-associated pneumonia following injuryHeather L Evans
Department of Surgery, Harborview Medical Center, University of Washington, Seattle, 98104, USA
Arch Surg 145:1041-6. 2010....
Acid sphingomyelinase is required for lipid Raft TLR4 complex formationJoseph Cuschieri
Department of Surgery, University of Washington, Harborview Medical Center, 325 Ninth Avenue, Seattle, WA 98104, USA
Surg Infect (Larchmt) 8:91-106. 2007..However, the mechanism responsible for these events remains unknown...
Obese patients show a depressed cytokine profile following severe blunt injuryRobert D Winfield
Laboratory of Inflammation Biology and Surgical Science, Department of Surgery, University of Florida College of Medicine, Gainesville, USA
Shock 37:253-6. 2012..This may confer increased susceptibility to nosocomial infection and later MOF. Further study of immune dysfunction in the postinjury obese patient should assess the possibility of early immune suppression...
PKC-zeta is essential for endotoxin-induced macrophage activationJoseph Cuschieri
Department of Surgery, University of Cincinnati, 231 Albert Sabin Way, ML 558, Cincinnati, OH 45267 0558, USA
J Surg Res 121:76-83. 2004..The aim of the current study was to further clarify the mechanism of LPS activation through the TLR4 receptor complex by examining the roles of the various isoforms of PKC...
Inflammation and the host response to injury, a large-scale collaborative project: patient-oriented research core--standard operating procedures for clinical care VII--Guidelines for antibiotic administration in severely injured patientsMichael A West
Department of Surgery, University of California, San Francisco, San Francisco, California 94110, USA
J Trauma 65:1511-9. 2008..It should also be noted that not all patients with increased temperature/WBC have an infection. Discontinuation of antibiotics is appropriate if cultures and other diagnostic studies are negative...
Ventilator-associated pneumonia: bacteremia and death after traumatic injuryGRANT E O'KEEFE
Department of Surgery, University of Washington, Harborview Medical Center, Seattle, WA 98104, USA
J Trauma Acute Care Surg 72:713-9. 2012..We tested the hypothesis that bacteremia was associated with death in trauma patients who developed VAP...
Crystalloid to packed red blood cell transfusion ratio in the massively transfused patient: when a little goes a long wayMatthew D Neal
Division of General Surgery and Trauma, Department of Surgery, University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania 15213, USA
J Trauma Acute Care Surg 72:892-8. 2012..We hypothesized that an increased crystalloid:PRBC (C:PRBC) ratio would be associated with increased morbidity and poor outcome after MT...
The priming effect of C5a on monocytes is predominantly mediated by the p38 MAPK pathwayValerie Schaeffer
Department of Surgery, Harborview Medical Center, Seattle, Washington 98104, USA
Shock 27:623-30. 2007..On the contrary, in PBMCs, C5a activates the p38 cascade, and this pathway plays a major role in the C5a enhancement of LPS-induced IL-6 and TNF-alpha production...
Antiplatelet therapy is associated with decreased transfusion-associated risk of lung dysfunction, multiple organ failure, and mortality in trauma patientsJeffrey N Harr
Department of Surgery, University of Colorado Denver, Aurora, CO 80045, USA
Crit Care Med 41:399-404. 2013..To determine whether prehospital antiplatelet therapy was associated with reduced incidence of acute lung dysfunction, multiple organ failure, and mortality in blunt trauma patients...
Oxidant alterations in CD16 expression are cytoskeletal inducedJoseph Cuschieri
Department of Surgery, University of Washington, Seattle, Washington, USA
Shock 32:572-7. 2009....
Early elevation in random plasma IL-6 after severe injury is associated with development of organ failureJoseph Cuschieri
Department of Surgery, Harborview Medical Center, University of Washington, Seattle, Washington 98104, USA
Shock 34:346-51. 2010..This measurement may be useful as a biomarker for prognosis and serve to identify patients at higher risk of adverse outcome that would benefit from novel therapeutic interventions...
Fresh frozen plasma is independently associated with a higher risk of multiple organ failure and acute respiratory distress syndromeGregory A Watson
Division of General Surgery and Trauma, Department of Surgery, University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania 15213, USA
J Trauma 67:221-7; discussion 228-30. 2009..We hypothesized that plasma-rich transfusion components would be independently associated with a lower risk of mortality but result in a greater risk of morbid complications...
Platelet-activating factor acetylhydrolase inhibits alveolar macrophage activation in vivoEileen M Bulger
Department of Surgery, University of Washington, Harborview Medical Center, 325 Ninth Avenue, Seattle, WA 98104, USA
Shock 20:17-22. 2003..This effect of PAF-AH may be mediated by the inhibition of intracellular signaling via inhibition of ERK kinase and NF-kappaB activation...
Hypertonic preconditioning inhibits macrophage responsiveness to endotoxinJoseph Cuschieri
Department of Surgery, University of Washington, 325 Ninth Avenue, Seattle, WA 98104, USA
J Immunol 168:1389-96. 2002..e., urea) had no significant effect. Hypertonic saline or mannitol resuscitation, therefore, may help protect against multiple-organ dysfunction syndrome as a result of this reduced proinflammatory responsiveness...
Implications of lipid raft disintegration: enhanced anti-inflammatory macrophage phenotypeJoseph Cuschieri
Department of Surgery, University of Cincinnati, Ohio USA
Surgery 136:169-75. 2004..Therefore, modulation of lipid raft cholesterol content may represent a potential mechanism for regulation of macrophage phenotypic differentiation...
Male gender is associated with excessive IL-6 expression following severe injuryJason L Sperry
Division of Trauma and General Surgery, Department of Surgery, University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania, USA
J Trauma 64:572-8; discussion 578-9. 2008....
Early supplemental parenteral nutrition is associated with increased infectious complications in critically ill trauma patientsMatthew J Sena
Department of Surgery, University of California Davis Medical Center, Sacramento, CA, USA
J Am Coll Surg 207:459-67. 2008..The purpose of this study is to determine whether early administration of parenteral nutrition is associated with an increased risk for infection after severe injury...
Characterization of acute coagulopathy and sexual dimorphism after injury: females and coagulopathy just do not mixJoshua B Brown
Division of General Surgery and Trauma, Department of Surgery, University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania, USA
J Trauma Acute Care Surg 73:1395-400; discussion 1400. 2012..It remains unclear whether presence of ATC alters sex-based outcomes after injury. This study's objective was to characterize the sex dimorphism after severe injury in the presence and absence of ATC...
A genomic storm in critically injured humansWenzhong Xiao
Department of Surgery, Massachusetts General Hospital, Harvard Medical School, Boston, MA 02114, USA
J Exp Med 208:2581-90. 2011..Based on these transcriptional data, we propose a new paradigm for the human immunological response to severe injury...
Inflammation and the host response to injury a large-scale collaborative project: patient-oriented research core standard operating procedure for clinical care X. Guidelines for venous thromboembolism prophylaxis in the trauma patientJoseph Cuschieri
Department of Surgery, University of Washington, Seattle, Washington, USA
J Trauma 65:944-50. 2008
Early blood product and crystalloid volume resuscitation: risk association with multiple organ dysfunction after severe blunt traumatic injuryScott C Brakenridge
Department of Surgery, Division of Burn Trauma Critical Care, University of Texas Southwestern Medical Center, Dallas, Texas 75390 9158, USA
J Trauma 71:299-305. 2011..We sought to further delineate the relevance of the major individual components of early volume resuscitation to onset of MOD after severe blunt traumatic injury...
Vitamin E inhibits endotoxin-mediated transport of phosphatases to lipid raftsJoseph Cuschieri
Department of Surgery, University of Washington, Seattle, Washington, USA
Shock 27:19-24. 2007..Antioxidant exposure in the form of vitamin E seems to attenuate endotoxin-mediated SHIP activation resulting in increased AKT activity, and attenuated MAPK activation and TNF-alpha production...
Oxidative-induced calcium mobilization is dependent on annexin VI release from lipid raftsJoseph Cuschieri
Department of Surgery, University of Washington, Seattle, USA
Surgery 138:158-64. 2005....
Changes in massive transfusion over time: an early shift in the right direction?Benjamin C Kautza
Division of General Surgery and Trauma, Department of Surgery, University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania 15213, USA
J Trauma Acute Care Surg 72:106-11. 2012..We sought to characterize changes in resuscitation which have occurred over time in a cohort severely injured patients requiring MT...
Phosphatidylcholine-specific phospholipase C (PC-PLC) is required for LPS-mediated macrophage activation through CD14Joseph Cuschieri
Department of Surgery, University of Washington, Seattle, WA, USA
J Leukoc Biol 80:407-14. 2006..This study demonstrates that TLR4 assembly and activation following LPS exposure require the production of ceramide by PC-PLC, which appears to be CD14-dependent...
Pre-hospital intubation factors and pneumonia in trauma patientsHeather L Evans
Department of Surgery, Harborview Medical Center, University of Washington, Seattle, Washington 98104, USA
Surg Infect (Larchmt) 12:339-44. 2011..A subset of PH intubations with continuous quality assessment was re-examined to identify the intubation factors associated with VAP...
Clinical microfluidics for neutrophil genomics and proteomicsKenneth T Kotz
Department of Surgery, Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts, USA
Nat Med 16:1042-7. 2010....
Oxidative stress, lipid rafts, and macrophage reprogrammingJoseph Cuschieri
University of Washington, Department of Surgery, Seattle, Washington 98104, USA
Antioxid Redox Signal 9:1485-97. 2007..Within this review, the complexity of oxidant-induced reprogramming within the tissue fixed macrophage as currently understood is explained...
Emergency department ventilation effects outcome in severe traumatic brain injuryKeir J Warner
Department of Surgery, University of Washington, Harborview Medical Center, Seattle, Washington, USA
J Trauma 64:341-7. 2008..We sought to determine whether achieving ventilation into a target range would translate into better outcomes in patients with TBI...
Increased neutrophil adenosine a3 receptor expression is associated with hemorrhagic shock and injury severity in trauma patientsEileen M Bulger
Department of Surgery, University of Washington, Harborview Medical Center, 325 9th Ave, Seattle, WA 98104, USA
Shock 36:435-9. 2011..Hypertonic saline increases A3 expression of PMNs from healthy volunteers and less severely injured patients...
Effect of chlorhexidine whole-body bathing on hospital-acquired infections among trauma patientsHeather L Evans
Department of Surgery, Harborview Medical Center, 325 9th Ave, Seattle, WA 98104, USA
Arch Surg 145:240-6. 2010..To demonstrate whether daily bathing with cloths impregnated with 2% chlorhexidine gluconate will decrease colonization of resistant bacteria and reduce the rates of health care-associated infections in critically injured patients...
Effect of immediate enteral feeding on trauma patients with an open abdomen: protection from nosocomial infectionsSharmila Dissanaike
Department of Surgery, University of Washington, Seattle, WA 98104, USA
J Am Coll Surg 207:690-7. 2008..Despite increased use, uncertainty exists about the safety and timing of enteral nutrition. The purpose of this study was to determine the safety and effect of immediate enteral nutrition...
Hypertonic resuscitation modulates the inflammatory response in patients with traumatic hemorrhagic shockEileen M Bulger
Department of Surgery, University of Washington, Harborview Medical Center, Seattle, WA 98104, USA
Ann Surg 245:635-41. 2007..To determine the effect of resuscitation with hypertonic saline/dextran (HSD) on the innate immune response after injury...
Single-dose etomidate for rapid sequence intubation may impact outcome after severe injuryKeir J Warner
Department of Surgery, University of Washington, Harborview Medical Center, Seattle, Washington 98104, USA
J Trauma 67:45-50. 2009..We hypothesized that etomidate may alter the occurrence of acute respiratory distress syndrome (ARDS) in injury victims...
Assessment of functional limitation after necrotizing soft tissue infectionTam N Pham
Department of Surgery, Harborview Medical Center, University of Washington, Seattle, Washington, USA
J Burn Care Res 30:301-6. 2009..Development of validated functional assessment tools and accurate longitudinal follow-up are necessary to measure the functional impact of NSTI...
Traditional resuscitative practices fail to resolve metabolic acidosis in morbidly obese patients after severe blunt traumaRobert D Winfield
Laboratory of Inflammation Biology and Surgical Science, Department of Surgery, University of Florida College of Medicine, Gainesville, Florida, USA
J Trauma 68:317-30. 2010..Evaluation of differences in resuscitative practices altered by body mass index (BMI) might provide an explanation for the increased risk of MOF seen in these high-risk patients...
Sew it up! A Western Trauma Association multi-institutional study of enteric injury management in the postinjury open abdomenClay Cothren Burlew
Department of Surgery, Denver Health Medical Center, University of Colorado, Denver, Colorado 80204, USA
J Trauma 70:273-7. 2011..The purpose of this study was to determine outcomes on the basis of management of enteric injuries in patients relegated to the postinjury open abdomen...
Inflammation and the host response to injury, a large-scale collaborative project: patient-oriented research core-standard operating procedures for clinical care: VI. Blood glucose control in the critically ill trauma patientBrian G Harbrecht
Department of Surgery, University of Louisville, Louisville, Kentucky, USA
J Trauma 63:703-8. 2007
Mitogen-activated protein kinase (MAPK)Joseph Cuschieri
Department of Surgery, University of Washington, Seattle, WA, USA
Crit Care Med 33:S417-9. 2005
NADPH oxidase activation in fibronectin adherent human neutrophils: A potential role for beta1 integrin ligationKonstantin Umanskiy
Division of Trauma and Critical Care, University of Cincinnati College of Medicine, Cincinnati, Ohio 45267, USA
Surgery 134:378-83. 2003..This appears to be mediated by beta(1) integrins. We demonstrate formation of focal adhesions containing Pyk2/FAK, paxillin, and Lyn, and translocation of p47(phox)...
Negative appendectomy and imaging accuracy in the Washington State Surgical Care and Outcomes Assessment ProgramJoseph Cuschieri
Department of Surgery, University of Washington, Seattle, WA, USA
Ann Surg 248:557-63. 2008..The Surgical Care and Outcomes Assessment Program (SCOAP) gathers chart-abstracted process of care data (such as CT/US accuracy) for general surgical procedures (including appendectomy) at most Washington State hospitals...
Surgical management of acute necrotizing lung infectionsBeth Ann Reimel
Department of Surgery, Harborview Medical Center, Seattle, USA
Can Respir J 13:369-73. 2006..Ventilated patients have a worse prognosis but can still be candidates for resection. Patients who are hemodynamically unstable appear to have better outcomes if they can be stabilized before resection...
The impact of prehospital ventilation on outcome after severe traumatic brain injuryKeir J Warner
Department of Surgery, University of Washington, Harborview Medical Center, Seattle, Washington 98104, USA
J Trauma 62:1330-6; discussion 1336-8. 2007..We sought to determine the incidence of hyperventilation among a cohort of trauma patients undergoing prehospital intubation and the impact of ventilation on outcome after severe TBI...
Necrotizing soft tissue infectionJoseph Cuschieri
Department of Surgery, University of Washington, Seattle, Washington, USA
Surg Infect (Larchmt) 9:559-62. 2008..Necrotizing soft tissue infections (NSTIs) continue to pose major problems in diagnosis and management...
Endotoxin tolerance attenuates LPS-induced TLR4 mobilization to lipid rafts: a condition reversed by PKC activationJoseph Cuschieri
University of Washington, Harborview Medical Center, 325 9th Avenue, Box 359796, Seattle, WA 98104, USA
J Leukoc Biol 80:1289-97. 2006..Thus, endotoxin tolerance appears to be induced through attenuated TLR4 formation following LPS stimulation. This complex formation appears to be PKC-dependent, and restoration of PKC activity reverses tolerance...
