Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
5
pubmed:dateCreated
1981-7-9
pubmed:abstractText
The transient granulocytopenia of hemodialysis results indirectly from plasma complement activation by dialyzer cellophane membranes. The C5a(desarg) so produced can induce reversible granulocyte aggregation in vitro and in vivo, and we hypothesized that the pulmonary leukostasis responsible for the granulocytopenia results from embolization of aggregates formed under the influence of C5a(desarg) produced in the dialyzer. These studies were designed to measure C5a(desarg) generation during dialysis by granulocyte aggregometry and to determine the reason for the transience of the leukostasis. C5a(desarg) generation was equally evident throughout dialysis, persisting well after granulocytopenia had reversed, and dialyzer-induced complement activation was insufficient to produce significant depletion of plasma complement titers. That granulocyte deactivation might be responsible for the transience was suggested by the absence of the usual granulocytopenia in a patient with uniquely high levels of C5a(desarg) in his predialysis plasma. Granulocytes drawn from seven stable uremic patients after granulocytopenia had reversed exhibited a dose-related, selective and irreversible refractoriness to stimulation with C5a(desarg), but their responses to n-formyl-Met-Leu-Phe remained normal. Identical deactivation was produced in normal cells by short- or long-term exposure of C5a(desarg) in vitro. These studies suggest that C5a(desarg) is indeed generated by the dialyzer throughout hemodialysis and that the transience of the leukostasis and granulocytopenia is due to selective down-regulation of cellular responses to C5a(desarg)-a phenomenon that hitherto has been described only in vitro and that may be important in limiting the deleterious effects of adherent granulocytes on the endothelium in patients with intravascular complement activation.
pubmed:grant
pubmed:commentsCorrections
http://linkedlifedata.com/resource/pubmed/commentcorrection/7229031-1276474, http://linkedlifedata.com/resource/pubmed/commentcorrection/7229031-197126, http://linkedlifedata.com/resource/pubmed/commentcorrection/7229031-207729, http://linkedlifedata.com/resource/pubmed/commentcorrection/7229031-265563, http://linkedlifedata.com/resource/pubmed/commentcorrection/7229031-279010, http://linkedlifedata.com/resource/pubmed/commentcorrection/7229031-337041, http://linkedlifedata.com/resource/pubmed/commentcorrection/7229031-377075, http://linkedlifedata.com/resource/pubmed/commentcorrection/7229031-438338, http://linkedlifedata.com/resource/pubmed/commentcorrection/7229031-447856, http://linkedlifedata.com/resource/pubmed/commentcorrection/7229031-4568301, http://linkedlifedata.com/resource/pubmed/commentcorrection/7229031-4571245, http://linkedlifedata.com/resource/pubmed/commentcorrection/7229031-457760, http://linkedlifedata.com/resource/pubmed/commentcorrection/7229031-472759, http://linkedlifedata.com/resource/pubmed/commentcorrection/7229031-500605, http://linkedlifedata.com/resource/pubmed/commentcorrection/7229031-5094585, http://linkedlifedata.com/resource/pubmed/commentcorrection/7229031-5451923, http://linkedlifedata.com/resource/pubmed/commentcorrection/7229031-5642465, http://linkedlifedata.com/resource/pubmed/commentcorrection/7229031-6103300, http://linkedlifedata.com/resource/pubmed/commentcorrection/7229031-6161896, http://linkedlifedata.com/resource/pubmed/commentcorrection/7229031-630120, http://linkedlifedata.com/resource/pubmed/commentcorrection/7229031-64455, http://linkedlifedata.com/resource/pubmed/commentcorrection/7229031-7362869, http://linkedlifedata.com/resource/pubmed/commentcorrection/7229031-7372359, http://linkedlifedata.com/resource/pubmed/commentcorrection/7229031-7391138, http://linkedlifedata.com/resource/pubmed/commentcorrection/7229031-840277, http://linkedlifedata.com/resource/pubmed/commentcorrection/7229031-856872, http://linkedlifedata.com/resource/pubmed/commentcorrection/7229031-874088, http://linkedlifedata.com/resource/pubmed/commentcorrection/7229031-936361, http://linkedlifedata.com/resource/pubmed/commentcorrection/7229031-948752
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
AIM
pubmed:chemical
pubmed:status
MEDLINE
pubmed:month
May
pubmed:issn
0021-9738
pubmed:author
pubmed:issnType
Print
pubmed:volume
67
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
1383-91
pubmed:dateRevised
2009-11-18
pubmed:meshHeading
pubmed:year
1981
pubmed:articleTitle
Reversal of hemodialysis granulocytopenia and pulmonary leukostasis: A clinical manifestation of selective down-regulation of granulocyte responses to C5adesarg.
pubmed:publicationType
Journal Article, Research Support, U.S. Gov't, P.H.S.