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Deutscher Kongress für Orthopädie und Unfallchirurgie 2026 (DKOU 2026)

Deutsche Gesellschaft für Orthopädie und Unfallchirurgie (DGOU), Deutsche Gesellschaft für Orthopädie und Orthopädische Chirurgie (DGOOC), Deutsche Gesellschaft für Unfallchirurgie (DGU), Berufsverband für Orthopädie und Unfallchirurgie (BVOU)
20.-23.10.2026
Berlin

Meeting Abstract

Translational cross-species modeling of serum selenium trajectories after traumatic spinal cord injury

Raban Heller - German Armed Forces Hospital Ulm, Department for Trauma Surgery and Orthopaedics, Reconstructive and Septic Surgery, Sportstraumatology, Ulm, Deutschland; Charité – Universitätsmedizin Berlin, Institute for Experimental Endocrinology, Berlin, Deutschland; Technische Universität Berlin, Department of Food Chemistry and Toxicology, Berlin, Deutschland
Thilo Chillon - Charité – Universitätsmedizin Berlin, Institute for Experimental Endocrinology, Berlin, Deutschland
Obada T. Alhalabi - Heidelberg University Hospital, Department of Neurosurgery, Heidelberg, Deutschland; Heidelberg University, Medical Faculty, Heidelberg, Deutschland
Andreas Bauer - German Armed Forces Hospital Ulm, Department for Trauma Surgery and Orthopaedics, Reconstructive and Septic Surgery, Sportstraumatology, Ulm, Deutschland
Sandro M. Krieg - Heidelberg University Hospital, Department of Neurosurgery, Heidelberg, Deutschland; Heidelberg University, Medical Faculty, Heidelberg, Deutschland
Gerhard Achatz - German Armed Forces Hospital Ulm, Department for Trauma Surgery and Orthopaedics, Reconstructive and Septic Surgery, Sportstraumatology, Ulm, Deutschland
Hajo Haase - Technische Universität Berlin, Department of Food Chemistry and Toxicology, Berlin, Deutschland
Lutz Schomburg - Charité – Universitätsmedizin Berlin, Institute for Experimental Endocrinology, Berlin, Deutschland
Arash Moghaddam - Orthopedic and Trauma Surgery, Aschaffenburg, Deutschland
Alexander Younsi - Heidelberg University Hospital, Department of Neurosurgery, Heidelberg, Deutschland; Heidelberg University, Medical Faculty, Heidelberg, Deutschland; BG Trauma Centre Ludwigshafen, Department of Neurosurgery, Ludwigshafen, Deutschland
Bahram Biglari - BG Trauma Centre Ludwigshafen, Department of Paraplegiology, Ludwigshafen, Deutschland

Text

Objectives and questions: Trace elements modulate secondary injury cascades following traumatic spinal cord injury (TSCI). Selenium is a central regulator of redox homeostasis and immune signaling; however, its translational behavior between animal models and humans remains poorly defined. We aimed to model cross-species serum selenium dynamics after TSCI and compare them with spinal column injuries without neurological deficits.

Material and methods: Serum selenium concentrations were analyzed in a rat thoracic compression–contusion spinal cord injury model (n=120; 80 SCI, 40 controls; all female) and a prospective human cohort (n=59; 49 TSCI, 10 controls; 17 female; median age 50 years, IQR 32–64). Sampling followed a harmonized cross-species protocol at 1, 3, 7, 14, and 28 days post injury (dpi). Values were z-standardized and compared to controls. Linear regression modeled temporal trajectories per species and jointly. Cross-species transferability was evaluated using RMSE, MAE, and R2.

Results: Both species showed significant selenium depression at 1 dpi compared to controls (animal: p < 0.001; human: p = 0.016). Temporal modeling identified a significant time effect without improvement from injury subclassification. The joint model demonstrated a species-dependent intercept shift but conserved temporal structure. Cross-prediction revealed asymmetric transfer: the animal model moderately predicted human data (R2 = 0.24, RMSE=0.90), whereas the human model poorly predicted animal dynamics (R2 = 0.04, RMSE=1.02). Residual diagnostics confirmed stable model assumptions.

Discussion and conclusions: Selenium exhibits conserved early injury dynamics across species, supporting translational relevance of experimental SCI models and underscoring its link to trauma immunology. However, asymmetric prediction indicates additional human-specific variability. Cross-species modeling provides a quantitative framework for evaluating biomarker translation in TSCI.