Volume 42 Issue 2
Feb.  2026
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Deng BH,Cheng XY,Zhu XM,et al.Establishing a rat model of sepsis by seawater immersion combined with Vibrio vulnificus infection after scald[J].Chin J Burns Wounds,2026,42(2):143-152.DOI: 10.3760/cma.j.cn501225-20251017-00432.
Citation: Deng BH,Cheng XY,Zhu XM,et al.Establishing a rat model of sepsis by seawater immersion combined with Vibrio vulnificus infection after scald[J].Chin J Burns Wounds,2026,42(2):143-152.DOI: 10.3760/cma.j.cn501225-20251017-00432.

Establishing a rat model of sepsis by seawater immersion combined with Vibrio vulnificus infection after scald

doi: 10.3760/cma.j.cn501225-20251017-00432
Funds:

Key Project of National Natural Science Foundation of China 82130062

General Project of National Natural Science Foundation of China 82272200

Key Project Supported by the Medical Science and Technology Development Foundation, Nanjing Department of Health ZKX24011

Jiangsu Province Cadre Health Care Project BJ23031

More Information
  •   Objective  To establish a rat model of sepsis by seawater immersion combined with Vibrio vulnificus infection after scald, providing an experimental basis for research on marine burn trauma-associated sepsis.  Methods  This study employed factorial design and was an experimental study. One hundred and fifteen male Sprague Dawley rats aged 8 weeks were allocated into three groups using a random number table method (the same grouping method applied below): model group (n=45), scald-only group (n=40), and sham injury group (n=30). Rats in the first two groups received dorsal scald injury, followed by either artificial seawater immersion for 30 min+injection of Vibrio vulnificus or injection of normal saline, respectively. In sham injury group, the dorsal region was immersed in warm water to induce sham injury, followed by injection of normal saline. On day 1, 3, and 5 after modeling, the pathological changes in the liver, kidney, lung, and heart in the three groups of rats were assessed using hematoxylin-eosin staining, and the pathological damage of the aforementioned organs was evaluated using a semi-quantitative scoring system. According to the instructions of the kit, a microplate reader was used to detect the serum levels of aspartate aminotransferase (AST), alanine aminotransferase (ALT), urea nitrogen, creatinine, creatine kinase isoenzyme (CK-MB), lactate dehydrogenase (LDH), and myeloperoxidase (MPO) in the three groups of rats. Fresh lung tissue in the three groups of rats was weighed and then dried to a constant weight to calculate the lung wet-to-dry weight ratio. In addition, the proportions of helper T cells, B cells, and cytotoxic T cells in peripheral blood of rats in scald-only group and model group were determined by flow cytometry. Serum levels of inflammatory factors in the three groups of rats, including interleukin-6 (IL-6), IL-10, IL-1β, and tumor necrosis factor-α (TNF-α), were measured using enzyme-linked immunosorbent assay method. An additional 70 male Sprague Dawley rats aged 8 weeks were assigned into seven groups (with 10 rats in each group): sham group, scald-only group, scald+freshwater immersion group, scald+seawater immersion group, scald+infection group, infection-only group, and model group. The rats in model group, scald-only group, and sham injury group were treated as before. The rats in scald+freshwater immersion group and scald+seawater immersion group were first received dorsal scald injury, followed by 30 min immersion in freshwater or artificial seawater, respectively. Rats in infection-only group received subcutaneous injection of Vibrio vulnificus. Rats in scald+infection group first received dorsal scald injury and then injected with Vibrio vulnificus 30 min after injury. Within 7 days after modeling, the survival status of the rats was observed daily and their survival rates were calculated.  Results  On day 1, 3, and 5 after modeling, the tissue structures of the liver, kidney, lung, and heart of rats in sham injury group were basically normal, and no obvious pathological damage was observed; the tissue of the aforementioned organs of rats in scald-only group had mild to moderate inflammatory reactions, with loose cytoplasm and obvious cellular edema, but the overall structure was basically normal; the tissue of the aforementioned organs of rats in model group showed obvious pathological changes, with the most severe changes on day 3 after modeling, mainly manifested as severe inflammatory reactions, tissue damage, and even necrosis. Compared with those in sham injury group, the pathological injury scores for the liver, kidney, lung, and heart of rats in model group were significantly increased on day 1, 3, and 5 after modeling (P<0.05). Compared with those in scald-only group, pathological injury scores for the liver, kidney, lung, and heart of rats in model group were significantly increased on day 1 after modeling (P<0.05), and pathological injury scores for the liver, kidney, and lung were significantly increased on day 3 and 5 after modeling (P<0.05). Compared with those in sham injury group, the serum levels of AST, ALT, urea nitrogen, creatinine, CK-MB, LDH, and MPO, as well as the lung wet-to-dry weight ratio of rats in model group were significantly increased on day 1 after modeling (P<0.05), and the serum levels of AST, ALT, urea nitrogen, creatinine, LDH, and MPO, as well as the lung wet-to-dry weight ratio were significantly increased on day 3 and 5 after modeling (P<0.05). Compared with those in scald-only group, the serum levels of AST, ALT, urea nitrogen, creatinine, CK-MB, LDH, and MPO, as well as the lung wet-to-dry weight ratio of rats in model group were significantly increased on day 1 after modeling (P<0.05), the serum levels of AST, ALT, creatinine, and LDH were significantly increased on day 3 after modeling (P<0.05), and the serum levels of AST, ALT, creatinine, LDH, and MPO were significantly increased on day 5 after modeling (P<0.05). On day 1, 3, and 5 after modeling, compared with those in sham injury group, the proportions of helper T cells, B cells, and cytotoxic T cells in peripheral blood of rats in model group were significantly decreased (P<0.05). On day 1, 3, and 5 after modeling, the serum levels of IL-6, IL-10, IL-1β, and TNF-α of rats in model group were significantly higher than those in both sham injury group and scald-only group (P<0.05). On day 7 after modeling, the survival rate of rats in model group was only 5/10, whereas it was 10/10 in both sham injury group and infection-only group. Within 7 days after modeling, the survival rate of rats in model group was significantly lower than that in sham group, scald-only group, scald+freshwater immersion group, scald+seawater immersion group, and infection-only group, respectively (with χ2 values of 19.31, 12.11, 12.33, 9.01, and 17.61, respectively, P values all <0.05), but was comparable to that in scald+infection group (P>0.05).  Conclusions  Seawater immersion combined with Vibrio vulnificus infection after scald successfully established a rat model of sepsis. This model exhibited marked pathological changes in major organs, significantly elevated inflammatory cytokine levels, decreased proportions of immune cells including helper T cells, B cells, and cytotoxic T cells, and a markedly reduced survival rate, indicating that it is a reliable experimental animal model.

     

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  • [1]
    TadlockMD, EdsonTD, CancioJM, et al. War at sea: burn care challenges-past, present and future[J]. Eur Burn J, 2023,4(4):605-630. DOI: 10.3390/ebj4040041.
    [2]
    RaoD, KumarP, PrabhuV. Advancements in seawater immersion wound management: current treatments and innovations[J]. Int Wound J, 2024,21(10):e70070. DOI: 10.1111/iwj.70070.
    [3]
    Hernández-CabanyeroC, SanjuánE, FouzB, et al. The effect of the environmental temperature on the adaptation to host in the zoonotic pathogen Vibrio vulnificus[J]. Front Microbiol, 2020,11:489. DOI: 10.3389/fmicb.2020.00489.
    [4]
    中华预防医学会. 创伤弧菌感染诊治、预防专家共识[J]. 中华流行病学杂志, 2025, 46(7): 1142-1149.DOI: 10.3760/cma.j.cn112338-20250304-00132.
    [5]
    KimJS, LeeEG, ChunBC. Epidemiologic characteristics and case fatality rate of Vibrio vulnificus infection: analysis of 761 cases from 2003 to 2016 in Korea[J]. J Korean Med Sci, 2022,37(9):e79. DOI: 10.3346/jkms.2022.37.e79.
    [6]
    FleischmannS, HerrigI, WespJ, et al. Prevalence and distribution of potentially human pathogenic Vibrio spp. on German North and Baltic Sea coasts[J]. Front Cell Infect Microbiol, 2022,12:846819. DOI: 10.3389/fcimb.2022.846819.
    [7]
    DiW, CuiJ, YuH, et al. Vibrio vulnificus necrotizing fasciitis with sepsis presenting with pain in the lower legs in winter: a case report[J]. BMC Infect Dis, 2022,22(1):670. DOI: 10.1186/s12879-022-07655-1.
    [8]
    BrossMH, SochK, MoralesR, et al. Vibrio vulnificus infection: diagnosis and treatment[J]. Am Fam Physician, 2007, 76(4): 539-544.
    [9]
    LiG, WangMY. The role of Vibrio vulnificus virulence factors and regulators in its infection-induced sepsis[J]. Folia Microbiol (Praha), 2020,65(2):265-274. DOI: 10.1007/s12223-019-00763-7.
    [10]
    RiedingerD, HassenrückC, HerlemannD, et al. Global distribution and predictive modeling of Vibrio vulnificus abundance[J]. Commun Earth Environ, 2025, 6:210.DOI: 10.1038/s43247-025-02182-8.
    [11]
    CandelliM, Sacco FernandezM, TriunfoC, et al. Vibrio vulnificus-a review with a special focus on sepsis[J]. Microorganisms, 2025,13(1):128.DOI: 10.3390/microorganisms13010128.
    [12]
    林伟鹏, 穆旭, 陈胜华, 等. 11例创伤弧菌感染患者的临床特征及该病快速诊断流程的建立[J]. 中华烧伤与创面修复杂志, 2024, 40(3):266-272.DOI: 10.3760/cma.j.cn501225-20230803-00036.
    [13]
    中国医疗保健国际交流促进会烧伤医学分会, 《中华烧伤与创面修复杂志》编辑委员会. 烧伤侵袭性真菌感染诊断与防治实践指南(2024版)[J].中华烧伤与创面修复杂志,2024,40(7):604-617. DOI: 10.3760/cma.j.cn501225-20240103-00003.
    [14]
    Gibson-CorleyKN, OlivierAK, MeyerholzDK. Principles for valid histopathologic scoring in research[J]. Vet Pathol, 2013,50(6):1007-1015. DOI: 10.1177/0300985813485099.
    [15]
    SingerM, DeutschmanCS, SeymourCW, et al. The third international consensus definitions for sepsis and septic shock (Sepsis-3)[J]. JAMA, 2016,315(8):801-810. DOI: 10.1001/jama.2016.0287.
    [16]
    李成刚, 姜楠. 腹部开放性海水浸泡伤的病理生理变化与救治策略 [J]. 解放军医学院学报, 2021, 42(3): 350-352, 357.DOI: 10.3969/j.issn.2095-5227.2021.03.022.
    [17]
    贾赤宇, 尹斌, 张泽鑫. 重度烧伤的转录组学研究:价值与机遇[J]. 中华烧伤与创面修复杂志, 2024, 40(6): 514-520.DOI: 10.3760/cma.j.cn501225-20231026-00135.
    [18]
    SauaiaA, MooreFA, MooreEE. Postinjury inflammation and organ dysfunction[J]. Crit Care Clin, 2017,33(1):167-191. DOI: 10.1016/j.ccc.2016.08.006.
    [19]
    RemickDG, AyalaA, ChaudryIH, et al. Premise for standardized sepsis models[J]. Shock, 2019,51(1):4-9. DOI: 10.1097/SHK.0000000000001164.
    [20]
    杨宇轩, 王甲汉, 刘亮,等. 海水浸泡对浅Ⅱ度烫伤大鼠早期炎症反应及氧自由基损伤的影响[J]. 中华烧伤杂志, 2017, 33(6): 361-367.DOI: 10.3760/cma.j.issn.1009-2587.2017.06.015.
    [21]
    DedeepyaSD, GoelV, DesaiNN. Letter regarding: effects of irrigation with normal saline on traumatic brain injury combined with seawater immersion in rats[J]. J Surg Res, 2026,317:604-605. DOI: 10.1016/j.jss.2025.11.038.
    [22]
    PalmieriTL, HeardJ. Biomarkers of sepsis in burn injury: an update[J/OL]. Burns Trauma, 2025,13:tkae080[2025-10-17]. https://pubmed.ncbi.nlm.nih.gov/39822649/. DOI: 10.1093/burnst/tkae080.
    [23]
    洪广亮, 卢才教, 赵光举, 等. 创伤弧菌脓毒症诊疗方案(2018)[J].中华急诊医学杂志,2018,27(6):594-598. DOI: 10.3760/cma.j.issn.1671-0282.2018.06.005.
    [24]
    宋景春,丁仁彧,吕奔,等. 脓毒症性凝血病诊疗中国专家共识(2024版)[J]. 解放军医学杂志,2024,49(11):1221-1236. DOI: 10.11855/j.issn.0577-7402.1189.2024.0918.
    [25]
    LeeBC, KimMS, ChoiSH, et al. Involvement of capsular polysaccharide via a TLR2/NF-kappaB pathway in Vibrio vulnificus-induced IL-8 secretion of human intestinal epithelial cells [J]. Int J Mol Med, 2010, 25(4): 581-591.DOI: 10.3892/ijmm_00000380.
    [26]
    ConstantinescuMC, PerteaM, Avadanei-LucaS, et al. Variation of pro- and anti-inflammatory factors in severe burns: a systematic review[J]. Int J Mol Sci, 2025, 26(20):10131.DOI: 10.3390/ijms262010131.
    [27]
    RuddKE, JohnsonSC, AgesaKM, et al. Global, regional, and national sepsis incidence and mortality, 1990-2017: analysis for the Global Burden of Disease Study[J]. Lancet, 2020,395(10219):200-211. DOI: 10.1016/S0140-6736(19)32989-7.
    [28]
    肖盼, 张宇琼. 烧伤患者创面感染情况及影响因素分析[J]. 华南预防医学, 2023, 49(10): 1229-1232,1238.DOI: 10.12183/j.scjpm.2023.1229.
    [29]
    ZhangD, SongJ, ZhanJ, et al. The impact of ulinastatin on lymphocyte apoptosis and autophagy in sepsis patients[J]. Sci Rep, 2024,14(1):28791. DOI: 10.1038/s41598-024-79878-y.
    [30]
    孙炳伟,王逸凡,杨云稀. 中性粒细胞与烧伤脓毒症[J]. 中华烧伤与创面修复杂志,2024,40(7):618-624.DOI: 10.3760/cma.j.cn501225-20240329-00109.
    [31]
    LiuD, HuangSY, SunJH, et al. Sepsis-induced immunosuppression: mechanisms, diagnosis and current treatment options[J]. Mil Med Res, 2022,9(1):56. DOI: 10.1186/s40779-022-00422-y.
    [32]
    周岐原,李京宴,姚咏明,等. 脱嘌呤/脱嘧啶脱氧核糖核酸内切酶1对模拟脓毒症状态下小鼠树突状细胞铁死亡的作用[J]. 中华烧伤与创面修复杂志,2024,40(10):930-939.DOI: 10.3760/cma.j.cn501225-20240430-00159.
    [33]
    GaoX, CaiS, LiX, et al. Sepsis-induced immunosuppression: mechanisms, biomarkers and immunotherapy[J]. Front Immunol, 2025,16:1577105. DOI: 10.3389/fimmu.2025.1577105.
    [34]
    李亚楠, 郭素丽. 血常规指标及相关参数在脓毒症的研究进展[J]. 国际临床研究杂志, 2024, 8(6):113-115.DOI: 10.12208/j.ijcr.20240224.
    [35]
    WangZ, ZhangW, ChenL, et al. Lymphopenia in sepsis: a narrative review[J]. Crit Care, 2024,28(1):315. DOI: 10.1186/s13054-024-05099-4.
    [36]
    刘双庆, 祝筱梅, 姚咏明. 严重烧创伤脓毒症免疫功能障碍的诊疗策略[J]. 中华创伤杂志, 2025, 41(5):433-439.DOI: 10.3760/cma.j.cn501098-20250407-00197.
    [37]
    彭海伦,赵月丽,徐崇孝,等. 成人脓毒症分型研究进展[J]. 解放军医学杂志,2023,48(9):1107-1112. DOI: 10.11855/j.issn.0577-7402.1426.2022.0915.
    [38]
    范仕郡, 吴丹, 夏林, 等. 小鼠烧伤创面脓毒症模型的建立与评价[J]. 中国比较医学杂志, 2022, 32(6):7-13.DOI: 10.3969/j.issn.1671-7856.2022.06.002.
    [39]
    陈玉熹, 卢中秋, 邱俏檬, 等. 创伤弧菌脓毒症大鼠肺组织NF-κB和IL-18的基因表达以及药物的干预效应[J].中华医院感染学杂志, 2010, 20(3): 320-323.
    [40]
    QiaoRB, DaiWH, LiW, et al. The cytochrome P4501A1 (CYP1A1) inhibitor bergamottin enhances host tolerance to multidrug-resistant Vibrio vulnificus infection[J]. Chin J Traumatol, 2024,27(5):295-304. DOI: 10.1016/j.cjtee.2024.07.003.
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