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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
2
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pubmed:dateCreated |
1995-3-15
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pubmed:abstractText |
In a controlled, randomized trial, the authors investigated the effects of reconstituted human high-density lipoprotein (R-HDL) on survival, endotoxemia, cytokine production and pathophysiologic and metabolic events in an animal model of gram-negative septic shock. At 0.5, 8 and 16 hr after implantation of a clot infected with Escherichia coli, canines received intravenous R-HDL (n = 13), control lipid (n = 7) or human serum albumin (HSA, n = 7) divided into three doses (0.3, 0.1 and 0.1 g/kg, respectively) at an hourly rate of 0.1 g/kg. All animals were treated with antibiotics and fluids. Animals treated with R-HDL had lower levels of circulating endotoxin and tumor necrosis factor and a smaller decrease in white blood cell counts than did animals treated with lipids and HSA (all P < .05). The survival times of lipid- and HSA-treated animals were similar (P = .3) and were significantly greater than those of R-HDL-treated animals (P = .02). During the first 6 hr after clot implantation, R-HDL-treated animals had significantly greater abnormalities in liver function test findings compared with lipid- and HSA-treated animals (all P < .05). For the first 24 hr, R-HDL-treated animals had significant increases in HDL levels; however, there were no significant relationships between these levels and the constituents of HDL (apolipoprotein AI and phosphatidylcholine) or liver function abnormalities and survival times (all r < .2, P > .3). In normal animals, administration of R-HDL (in similar doses) caused transient elevation of liver enzymes; in animals given sterile clot i.p., R-HDL caused seizures.(ABSTRACT TRUNCATED AT 250 WORDS)
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:chemical | |
pubmed:status |
MEDLINE
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pubmed:month |
Feb
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pubmed:issn |
0022-3565
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
272
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pubmed:owner |
NLM
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pubmed:authorsComplete |
N
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pubmed:pagination |
604-11
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pubmed:dateRevised |
2006-11-15
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pubmed:meshHeading |
pubmed-meshheading:7853173-Animals,
pubmed-meshheading:7853173-Apolipoproteins,
pubmed-meshheading:7853173-Disease Models, Animal,
pubmed-meshheading:7853173-Dogs,
pubmed-meshheading:7853173-Endotoxins,
pubmed-meshheading:7853173-Gram-Negative Bacterial Infections,
pubmed-meshheading:7853173-Lipoproteins, LDL,
pubmed-meshheading:7853173-Liver,
pubmed-meshheading:7853173-Shock, Septic,
pubmed-meshheading:7853173-Tumor Necrosis Factor-alpha
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pubmed:year |
1995
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pubmed:articleTitle |
Therapeutic trial of reconstituted human high-density lipoprotein in a canine model of gram-negative septic shock.
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pubmed:affiliation |
Department of Critical Care Medicine, National Institutes of Health, Bethesda, Maryland.
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pubmed:publicationType |
Journal Article,
Research Support, Non-U.S. Gov't
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