Immunosuppressive effects of red blood cells on monocytes are related to both storage time and storage solution.

Immunosuppressive effects of red blood cells on monocytes are related to both storage time and storage solution.
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DOI:
10.1111/j.1537-2995.2011.03348.x
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发表时间:
2012-04
期刊:
影响因子:
2.9
通讯作者:
Hall M
Hall M
中科院分区:
医学3区
文献类型:
--
作者:
Muszynski J;Nateri J;Nicol K;Greathouse K;Hanson L;Hall M

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Reduced monocyte function is associated with adverse outcomes from critical illness. PRBC are thought to impair monocyte function but relationships between PRBC storage solution and monocyte suppression are unknown. This study was designed to test the hypothesis that immunosuppressive effects of PRBC on monocytes are related to both storage time and preservative solution. Monocytes from healthy adult donors were co-cultured with PRBC that had been stored in AS-1, AS-3, or CPD-only for 7, 14, or 21 days. Cells were then stimulated with LPS and their supernatants assayed for TNFα and IL-10. Transwell experiments were performed to evaluate the role of cell-to-cell contact. Monocyte mRNA expression was quantified by RT-PCR. LPS-induced TNFα production capacity was reduced compared to controls for all groups, but CPD-only PRBC suppressed monocyte function more than PRBC stored in AS-1 (p = 0.007) and AS-3 (p = 0.006). IL-10 production was preserved or augmented in all groups. Longer storage time was associated with reduced TNFα production capacity for AS-1 and AS-3 groups but not CPD. Preventing cell-to-cell contact did not eliminate the inhibitory effect of PRBC on monocyte responsiveness. PRBC exposure was associated with decreased LPS-induced TNFA mRNA expression (p < 0.05 for all groups). CPD-only PRBC suppressed monocyte function more than PRBC stored with additive solutions. TNFα production was reduced even in the absence of cell-to-cell contact and was impaired at the mRNA level. Further work is needed to understand the role of preservative solutions in this process.
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