RT Journal A1 Jeschke MG, Barrow RE, Perez-Polo J, Herndon DN T1 ATtenuation of the acute-phase response in thermally injured rats by cholesterol-containing cationic liposomes used as a delivery system for gene therapy JF Archives of Surgery JO Archives of Surgery YR 1999 FD October 1 VO 134 IS 10 SP 1098 OP 1102 DO 10.1001/archsurg.134.10.1098 UL http://dx.doi.org/10.1001/archsurg.134.10.1098 AB Hypothesis  Cholesterol-containing cationic liposomes alone modulate the acute-phase response and cytokine expression in thermally injured rats and are an effective delivery system for gene therapy in trauma.Setting  Laboratory.Intervention  Fifty-six adult male Sprague-Dawley rats with a full-thickness scald burn covering 60% of total body surface area were randomly divided into 2 groups to receive either intravenous injections of cholesterol-containing cationic liposomes or saline (control).Main Outcome Measures  Body weights, muscle and liver dry-wet weights, serum levels of constitutive hepatic proteins, acute-phase protein levels, and cytokine levels were determined at 1, 2, 5, and 7 days after thermal injury.Results  Rats receiving cholesterol-containing cationic liposomes had less body weight loss, increased serum transferrin levels, and decreased serum α1-acid glycoprotein levels when compared with controls (P<.05). Serum interleukin 1β and tumor necrosis factor α levels were decreased in rats receiving liposomes at 1 and 2 days after burn compared with controls (P<.05).Conclusions  These results suggest that cholesterol-containing cationic liposomes alone may have a beneficial effect in modulating the hypermetabolic response after burn injury by decreasing type 1 acute-phase proteins and the expression of the proinflammatory cytokines interleukin 1β and tumor necrosis factor α. Therefore, cholesterol-containing cationic liposomes appear to be suitable as a delivery system for gene therapy in trauma.