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Review | Open Access

Advances in cellular and molecular mechanisms of trauma-induced organ inflammation and dysfunction

Jieyan Wang1Hui Liang1 ( )Jie Fan2,3,4,5( )
Department of Urology, People’s Hospital of Longhua, No. 38 Jinglong Jianshe Road, Shenzhen 518109, Guangdong, China
Department of Surgery, University of Pittsburgh School of Medicine, 3550 Terrace Street, Pittsburgh, PA 15213, United States
Research and Development, Veterans Affairs Pittsburgh Healthcare System, University Drive C, Pittsburgh, PA 15240, United States
Department of Immunology, University of Pittsburgh School of Medicine, 3550 Terrace Street, Pittsburgh, PA 15213, United States
McGowan Institute for Regenerative Medicine, University of Pittsburgh, 450 Technology Drive, Pittsburgh, PA, 15219, United States
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Abstract

Trauma represents a significant global health issue, often resulting in devastating and long-lasting effects on the body throughout a patient's life. Organ inflammation and dysfunction caused by trauma present additional challenges for clinicians. Therefore, understanding the cellular and molecular mechanisms of post-trauma systemic inflammation and organ dysfunction is essential for improving the management of trauma. This review aims to summarize current updates on the findings that explore different mechanisms of trauma-induced inflammation and organ dysfunction, highlighting the recent understanding of the vital roles of damage-associated molecular patterns, trauma-induced cell death, organ–organ cross-talk pathways, and the gut microbiota in the development and progression of post-traumatic systemic inflammation. We also discuss new approaches that can potentially guide further investigations of trauma diagnosis, treatment, and prognosis.

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Burns & Trauma
Article number: tkaf074

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Cite this article:
Wang J, Liang H, Fan J. Advances in cellular and molecular mechanisms of trauma-induced organ inflammation and dysfunction. Burns & Trauma, 2026, 14(1): tkaf074. https://doi.org/10.1093/burnst/tkaf074

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Received: 23 February 2025
Revised: 13 November 2025
Accepted: 14 November 2025
Published: 20 November 2025
© The Author(s) 2025. Published by Oxford University Press.

This is an Open Access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted reuse, distribution, and reproduction in any medium, provided the original work is properly cited.