Document Detail


Transfusion-induced enhancement of prostaglandin and thromboxane release in prospective kidney graft recipients.
MedLine Citation:
PMID:  3887386     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Pre-transplant blood transfusions (BT) improve the survival of kidney grafts. Apart from specific immunoregulation by T suppressor cells or anti-idiotypic antibodies, the role of non-specific immunoregulatory factors, such as prostaglandins is being discussed as a possible mechanism for this effect. We studied the in vitro prostanoid release from peripheral mononuclear cells following three deliberate blood transfusions. Twenty-five previously non-transfused dialysis patients were studied. Spontaneous and LPS-induced prostaglandin E (PGE) and thromboxane B2 (TXB2) were determined in cell-free culture supernatants by fluid phase RIA. Transfused patients exhibited a more rapid onset and steeper increase of prostanoid production. After 24 hours incubation, the spontaneous and LPS-induced PGE release of pre- and post-BT cells was significantly different (pre-BT: 2.1 and 5.1 ng/ml; post-3-BT: 5.0 and 7.9 ng/ml; p less than 0.01). Pre-BT cells released considerably lower amounts of TXB2 than post-BT cells (spontaneous release: 39 vs 88 ng/ml; LPS-induced release: 62 ng/ml vs 129 ng/ml; p less than 0.05). After correction for monocytes as defined by monoclonal antibodies, post-BT cells again showed increased prostanoid release as compared to pre-BT cells. Therefore, the enhanced PGE and TXB2 release of post-BT cells is not caused by an increase merely in the number of monocytes. Rather, BT appear to induce an enhanced release of prostanoids by activation of monocytes. We also found a correlation between the number of BT and the amount of prostanoid release.
Authors:
V Lenhard; G Maassen; G Opelz
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Publication Detail:
Type:  Comparative Study; Journal Article    
Journal Detail:
Title:  Proceedings of the European Dialysis and Transplant Association - European Renal Association. European Dialysis and Transplant Association - European Renal Association. Congress     Volume:  21     ISSN:  0308-9401     ISO Abbreviation:  Proc Eur Dial Transplant Assoc Eur Ren Assoc     Publication Date:  1985  
Date Detail:
Created Date:  1985-06-19     Completed Date:  1985-06-19     Revised Date:  2008-02-26    
Medline Journal Info:
Nlm Unique ID:  8503947     Medline TA:  Proc Eur Dial Transplant Assoc Eur Ren Assoc     Country:  ENGLAND    
Other Details:
Languages:  eng     Pagination:  923-7     Citation Subset:  IM    
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Blood Transfusion*
Child
Female
Graft Survival
Humans
Kidney Transplantation*
Lipopolysaccharides / pharmacology
Male
Prostaglandins E / secretion
Renal Dialysis
Thromboxane B2 / secretion
Chemical
Reg. No./Substance:
0/Lipopolysaccharides; 0/Prostaglandins E; 54397-85-2/Thromboxane B2

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


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