Properties of stored red blood cells: understanding immune and vascular reactivity.

Properties of stored red blood cells: understanding immune and vascular reactivity.
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DOI:
10.1111/j.1537-2995.2011.03103.x
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发表时间:
2011-04
期刊:
影响因子:
2.9
通讯作者:
Norris PJ
Norris PJ
中科院分区:
医学3区
文献类型:
--
作者:
Spinella PC;Sparrow RL;Hess JR;Norris PJ

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输血是贫血、手术、肿瘤和严重受伤患者的救命液体复苏的一个组成部分。然而,有广为宣传的研究表明,血液可能有有害的副作用。导致输血不良反应的一个可能因素是输血前红细胞储存的持续时间。我们的研究小组正在探索一种假定的“储存性病变”的可能机制,包括测量免疫系统的调节或内皮细胞和输血红细胞之间粘附特性的变化。下面的综述将探讨红细胞储存期间发生的变化,以及这些变化如何影响输血接受者临床结果中重要的途径,并对我们小组正在进行的研究进行了广泛的概述。
Blood transfusion is an integral component of life-saving fluid resuscitation for anemic, surgical, oncological, and severely injured patients. However, there have been wellpublicized studies suggesting that blood may have harmful side-effects. One possible factor contributing to adverse effects of transfusion is the duration of red blood cell storage prior to transfusion. Our group is exploring possible mechanisms of a putative “storage lesion”, including measuring modulation of the immune system or changes in adhesion properties between endothelial cells and transfused red blood cells. The following review will explore changes that occur during red blood cell storage and how these might impact pathways that are important in transfusion recipients’ clinical outcome, as well as provide a broad overview of the research our group is performing on the topic.
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