Document Detail


Neutrophil adsorption by polymyxin B-immobilized fiber column for acute exacerbation in patients with interstitial pneumonia: a pilot study.
MedLine Citation:
PMID:  20185904     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND/AIMS: Polymyxin B-immobilized fiber (PMX) treatment has beneficial effects in patients with acute lung injury/acute respiratory distress syndrome or acute exacerbation of idiopathic pulmonary fibrosis. This study was aimed to clarify the mechanism of PMX treatment for acute exacerbation of interstitial pneumonia (IP). MATERIALS AND METHODS: Sixteen consecutive IP patients with acute exacerbation were included. The patients were treated with PMX once daily for 2 successive days at a flow rate of 80-100 ml/min for 6 h. Cells adsorbed by PMX were analyzed morphologically by electron microscopy. Surface markers of these cells were determined by flow cytometry. Serum matrix metalloproteinase (MMP)-9 was measured before and after PMX treatment. RESULTS: Cells adsorbed by PMX were neutrophils and highly expressed HLA-DR, CD14, CD62L and CD114. Serum MMP-9 levels were significantly decreased after PMX treatment. CONCLUSION: This pilot study demonstrated neutrophil adsorption by PMX and its possible clinical application for acute exacerbation of IP.
Authors:
Shinji Abe; Yoshitsugu Seo; Hiroki Hayashi; Kuniko Matsuda; Jiro Usuki; Arata Azuma; Shoji Kudoh; Akihiko Gemma
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Publication Detail:
Type:  Journal Article     Date:  2010-02-24
Journal Detail:
Title:  Blood purification     Volume:  29     ISSN:  1421-9735     ISO Abbreviation:  Blood Purif.     Publication Date:  2010  
Date Detail:
Created Date:  2010-06-18     Completed Date:  2010-10-08     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8402040     Medline TA:  Blood Purif     Country:  Switzerland    
Other Details:
Languages:  eng     Pagination:  321-6     Citation Subset:  IM    
Copyright Information:
2010 S. Karger AG, Basel.
Affiliation:
Department of Pulmonary Medicine/Infection and Oncology, Nippon Medical School, Tokyo, Japan. sabe@nms.ac.jp
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MeSH Terms
Descriptor/Qualifier:
Aged
Cell Separation
Cell Shape
Female
Flow Cytometry
Hemoperfusion / methods*
Humans
Immunophenotyping
Lung Diseases, Interstitial / pathology,  therapy*
Male
Middle Aged
Neutrophils / pathology*
Observation / methods
Pilot Projects
Polymyxin B / therapeutic use*
Chemical
Reg. No./Substance:
1404-26-8/Polymyxin B

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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