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#iMeta CORRESPONDENCE Open Access #BIOME_cohort: Multi-system #microbiome_dynamics and #clinical outcomes in massive #burn_injury_patients Runzhi Huang, Yixu Li, Xiaoliang Li, Xulin Chen, Gang Xu, Shurun Huang, Weixi Yang, Xiaodong Li, Haiming Xin, Jianqiang Jiao, Hui Chen, Yuguo Xie, Peng Duan, Wenjun Liu, Xiangdong Deng, Zongyu Li, Yiping Xiu, Jiansheng Zheng, Rujun Chen, Zhaohong Chen, Xingang Wang, Xiaojian Li, Gaoxing Luo, Yi Zhang, Hongyan Zhang, Shichu Xiao, Liang Xiao, Ruijin Guo, Jie Zhang, Xiaofei Ye, Hongtai Tang, Qiao Zuo, Bin Qu, Bingwei Sun, Changhong Lu, Chengliang Deng, Deyi Zheng, Geng Ji, Haisheng Li, Haizhou Yu, Hua Zhou, Jian Wu, Lanjun Nie, Lei Wang, Pihong Zhang, Qingfu Zhang, Shengwu Chao, Sisi Yang, Xianglin Ding, Xiangsheng Ding, Ying Yan, Jiangyong Shen, Yongjian Zhao, Yunchuan Pan, Yunbiao Shen, Yu Zhang, Zhihui Yao, Zhe Cheng, Jiangfan Xie, Zhigang Chu, Shijie Li, Long Xu, Xiuming Yang, Sujie Xie, Hanlin Sun, Shuyuan Xian, Dezhi Han, Maolong Dong, Chengde Xia, Peng Luo, Yongming Yao, Zhaofan Xia, Shizhao Ji First published: 29 January 2026  https://lnkd.in/gvygYSUK #Abstract: Massive burn injuries (MBIs) are associated with high mortality and disability rates, primarily due to microbial-driven sepsis from extensive skin barrier loss and subsequent scar formation. This makes MBI a compelling model for studying multi-system microbial dysbiosis following skin barrier destruction. We launched the Burn & Trauma Injury Organisms and Microbiome Ecology (BIOME) project, planning to enroll at least 150 MBI patients from 50 hospitals across 28 provinces, autonomous regions, and municipalities in China. The cohort includes skin swabs, intestinal and oral samples, and longitudinal clinical data collected from within 72 h post-injury through 1 year of follow-up. This multicenter, prospective, longitudinal cohort will establish a comprehensive clinical microbiota resource for patients with MBI. By integrating multi-system microbiome profiling with clinical outcomes, the BIOME project aims to elucidate the translational role of microbiota reconstruction as a potential target for diagnosis, prognosis, and therapeutic intervention in severe burn care.

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