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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
7
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pubmed:dateCreated |
1990-11-6
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pubmed:abstractText |
Leukoagglutinins are implicated in transfusion-related acute lung injury (TRALI). In the present study, severe lung vascular leakage was reproduced by application of a leukoagglutinating antibody of anti-5b specificity in an ex vivo lung model. The antibody originated from a multiparous donor-plasma, observed to cause noncardiogenic edema during transfusion therapy. Heated full plasma (anti-5b-titer 1/128) or purified immunoglobulin G fraction was used for the studies. Ex vivo isolated rabbit lungs were perfused with albumin buffer, and human granulocytes (PMN) were admixed to the recirculating perfusate. In presence of anti-5b antibody plus 5b-positive PMN plus rabbit plasma as complement-source, severe lung edema occurred after a latent period of 3 to 6 hours. Pulmonary artery pressure was only transiently and moderately increased, and the leakage reaction could be traced back to a several-fold increase in lung vascular permeability. In contrast, no vascular leakage was noted in lungs perfused in the absence of anti-5b antibody, PMN, or rabbit plasma. Moreover, no permeability increase occurred on use of 5b-negative PMN. This reproduction of TRALI in an ex vivo lung model corroborates the role of leukoagglutinating antibodies in initiating PMN-dependent respiratory distress and suggests a contribution of concomitant complement activation.
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pubmed:commentsCorrections | |
pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
AIM
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pubmed:chemical | |
pubmed:status |
MEDLINE
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pubmed:month |
Oct
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pubmed:issn |
0006-4971
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:day |
1
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pubmed:volume |
76
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
1438-44
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pubmed:dateRevised |
2008-11-21
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pubmed:meshHeading |
pubmed-meshheading:2207319-Agglutinins,
pubmed-meshheading:2207319-Animals,
pubmed-meshheading:2207319-Antibodies,
pubmed-meshheading:2207319-Blood Transfusion,
pubmed-meshheading:2207319-Disease Models, Animal,
pubmed-meshheading:2207319-Female,
pubmed-meshheading:2207319-Leukocytes,
pubmed-meshheading:2207319-Lung,
pubmed-meshheading:2207319-Lung Injury,
pubmed-meshheading:2207319-Male,
pubmed-meshheading:2207319-Neutrophils,
pubmed-meshheading:2207319-Perfusion,
pubmed-meshheading:2207319-Proteins,
pubmed-meshheading:2207319-Pulmonary Edema,
pubmed-meshheading:2207319-Rabbits,
pubmed-meshheading:2207319-Respiratory Insufficiency,
pubmed-meshheading:2207319-Syndrome
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pubmed:year |
1990
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pubmed:articleTitle |
Reproduction of transfusion-related acute lung injury in an ex vivo lung model.
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pubmed:affiliation |
Department of Internal Medicine, Justus-Liebig-University, Giessen, FRG.
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pubmed:publicationType |
Journal Article,
Research Support, Non-U.S. Gov't
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