Source:http://linkedlifedata.com/resource/pubmed/id/11019959
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
3
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pubmed:dateCreated |
2001-1-8
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pubmed:abstractText |
The influence of adenosine infusion (40 microg/kg/min for 4 h) on inflammatory and hemostatic parameters was investigated in healthy males without (n = 10) or with (n = 11) intravenous endotoxin injection (4 ng/kg). Without endotoxin, adenosine elevated circulating leukocytes and circulating platelet-leukocyte aggregates. Endotoxin activated platelets and leukocytes in vivo. Platelet activation was seen as slightly increased platelet P-selectin expression, decreased platelet counts, and elevated plasma soluble P-selectin (from 39.6 +/- 3.4 to 68.9 +/- 6.6 ng/ml, P<0.01). Leukocyte activation was evidenced by increased CD1 lb expression (from MFI of 0.54 +/- 0.02 to 2.21 +/- 0.17; P<0.01) and plasma elastase levels (from 25.3 +/- 2.5 to 169.3 +/- 22.5 ng/ml: P <0.01). Endotoxin also enhanced platelet and leukocyte responsiveness to in vitro stimulation. Endotoxin induced von Willebrand factor secretion (from 92 +/- 8 units to 265 +/- 19 units at 4 h; P <0.001) and enhanced thrombin generation in vivo. Endotoxin induced leukocytosis and thus increased circulating platelet-leukocyte, mainly platelet-neutrophil, aggregates. Adenosine caused slight attenuation of platelet reactivity to agonist stimulation, enhanced the endotoxin-induced leukocytosis, and detained more platelet-leukocyte aggregates in circulation, but did not attenuate endotoxin-induced neutrophil elastase secretion, von Willebrand factor secretion, or thrombin generation. Thus, endotoxemia induces multi-cellular activation in vivo. Adenosine inhibits leukocyte adhesion and extravasation, and mildly attenuates platelet responsiveness and soluble P-selectin release. Adenosine has the potential of becoming a therapeutic antiinflammatory drug, but an optimal treatment strategy needs to be developed.
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:chemical |
http://linkedlifedata.com/resource/pubmed/chemical/Adenosine,
http://linkedlifedata.com/resource/pubmed/chemical/Endotoxins,
http://linkedlifedata.com/resource/pubmed/chemical/Macrophage-1 Antigen,
http://linkedlifedata.com/resource/pubmed/chemical/P-Selectin,
http://linkedlifedata.com/resource/pubmed/chemical/Peptide Fragments,
http://linkedlifedata.com/resource/pubmed/chemical/Placebos,
http://linkedlifedata.com/resource/pubmed/chemical/Prothrombin,
http://linkedlifedata.com/resource/pubmed/chemical/prothrombin fragment 1.2,
http://linkedlifedata.com/resource/pubmed/chemical/von Willebrand Factor
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pubmed:status |
MEDLINE
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pubmed:month |
Sep
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pubmed:issn |
0340-6245
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
84
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
381-7
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pubmed:dateRevised |
2007-11-15
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pubmed:meshHeading |
pubmed-meshheading:11019959-Adenosine,
pubmed-meshheading:11019959-Adult,
pubmed-meshheading:11019959-Cell Adhesion,
pubmed-meshheading:11019959-Cross-Over Studies,
pubmed-meshheading:11019959-Double-Blind Method,
pubmed-meshheading:11019959-Endotoxins,
pubmed-meshheading:11019959-Hematologic Tests,
pubmed-meshheading:11019959-Hemodynamics,
pubmed-meshheading:11019959-Humans,
pubmed-meshheading:11019959-Inflammation,
pubmed-meshheading:11019959-Infusions, Intravenous,
pubmed-meshheading:11019959-Leukocytes,
pubmed-meshheading:11019959-Macrophage-1 Antigen,
pubmed-meshheading:11019959-Male,
pubmed-meshheading:11019959-P-Selectin,
pubmed-meshheading:11019959-Peptide Fragments,
pubmed-meshheading:11019959-Placebos,
pubmed-meshheading:11019959-Platelet Activation,
pubmed-meshheading:11019959-Prothrombin,
pubmed-meshheading:11019959-von Willebrand Factor
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pubmed:year |
2000
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pubmed:articleTitle |
Multi-cellular activation in vivo by endotoxin in humans--limited protection by adenosine infusion.
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pubmed:affiliation |
Department of Medicine, Karolinska Hospital, Stockholm, Sweden.
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pubmed:publicationType |
Journal Article,
Clinical Trial,
Comparative Study,
Randomized Controlled Trial,
Research Support, Non-U.S. Gov't
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