Document Detail


Increased PMN CD11b/CD18 expression following post-traumatic ARDS.
MedLine Citation:
PMID:  1673484     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
We investigated the role of polymorphonuclear leukocytes (PMN) in the pathogenesis of post-traumatic adult respiratory distress syndrome (ARDS). Two groups of patients were studied: Group I (n = 29) represents trauma patients studied within 24 hr of admission to the SICU, and Group II (n = 10) represents a subset of Group I patients who subsequently developed ARDS. Circulating pulmonary artery PMN were then assayed for CD11b/CD18 expression, MTT-Formazan production, intracellular H2O2 production, and superoxide anion release. PMN from Group II patients were upregulated with regard to all of the PMN functions assayed within 24 hr of the diagnosis of ARDS being made. Subsequently, longitudinal assays were performed on 17 patients at risk for the development of ARDS. In 6 of 7 patients prior to the clinical recognition of ARDS, CD11b/CD18 expression and MTT-Formazan production increased significantly over baseline. These results suggest that: (i) ARDS coincides with increased CD11b/CD18 expression on PMN cell surfaces, (ii) PMN oxidative metabolism increases at the onset of ARDS, and (iii) changes in circulating pulmonary artery PMN may provide markers for the development of ARDS in the traumatized patient.
Authors:
H H Simms; R D'Amico
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The Journal of surgical research     Volume:  50     ISSN:  0022-4804     ISO Abbreviation:  J. Surg. Res.     Publication Date:  1991 Apr 
Date Detail:
Created Date:  1991-05-28     Completed Date:  1991-05-28     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0376340     Medline TA:  J Surg Res     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  362-7     Citation Subset:  IM    
Affiliation:
Division of Surgical Research, Rhode Island Hospital, Brown University School of Medicine, Providence 02903.
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MeSH Terms
Descriptor/Qualifier:
Antigens, CD / metabolism
Antigens, CD18
Biological Markers
Humans
Longitudinal Studies
Macrophage-1 Antigen / metabolism*
Neutrophils / physiology*
Receptors, Leukocyte-Adhesion / metabolism*
Respiratory Distress Syndrome, Adult / diagnosis,  etiology*
Superoxides / metabolism
Wounds and Injuries / complications*,  physiopathology
Chemical
Reg. No./Substance:
0/Antigens, CD; 0/Antigens, CD18; 0/Biological Markers; 0/Macrophage-1 Antigen; 0/Receptors, Leukocyte-Adhesion; 11062-77-4/Superoxides

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