单位:[1]Department of Anesthesiology, Peking Union Medical College Hospital, Beijing, China[2]Department of Anesthesiology, China-Japan Friendship Hospital, Beijing, China[3]Department of Pathology, Peking Union Medical College Hospital, Beijing, China
Background and objectives Transfusion-related acute lung injury (TRALI) is a life-threatening complication of transfusion and is one of leading causes of transfusion-associated fatalities. However, the pathogenesis of TRALI is still unclear. Soluble CD40 ligand (sCD40L) is a proinflammatory cytokine that accumulates during blood component storage and is involved in transfusion reactions. The objective of this study was to establish a clinically relevant TRALI animal model and to evaluate the role of sCD40L in TRALI. Materials and methods Rats' red-blood-cell (RBC) suspensions were prepared, and the quality of RBC was evaluated. A trauma-haemorrhage-transfusion strategy was applied to build the animal model. Lung oedema was evaluated by histopathology examination, total bronchoalveolar lavage fluid (BALF) protein concentration, Evans blue dye (EBD) leakage and inflammatory cytokines. The sCD40L concentrations were measured. Results Storage lesions of RBCs gradually increased over time. Obvious histological evidence of lung injury of rats transfused with a 35-day RBC was observed. The total BALF protein concentration, EBD leakage, inflammatory cytokines concentration were increased significantly in the Day 35 group. The sCD40L concentration increased significantly in the storage RBC suspension over time but was slightly elevated in rat plasma. Conclusions These findings indicated successful establishment of a TRALI animal model with trauma-haemorrhage-transfusion, in which sCD40L may play a minor role in the development of TRALI.
基金:
National Natural Science Foundation of ChinaNational Natural Science Foundation of China (NSFC) [81400049]; CAMS Innovation Fund for Medical Sciences (CIFMS) [2016-I2M-3-024]
第一作者单位:[1]Department of Anesthesiology, Peking Union Medical College Hospital, Beijing, China
通讯作者:
通讯机构:[1]Department of Anesthesiology, Peking Union Medical College Hospital, Beijing, China[*1]Department of Anesthesiology, Peking Union Medical College Hospital, No.1 Shuai Fu Yuan, Dongcheng District, Beijing, 100730, China
推荐引用方式(GB/T 7714):
Hu Ai,Chen Weiyun,Wu Shubin,et al.An animal model of transfusion-related acute lung injury and the role of soluble CD40 ligand[J].VOX SANGUINIS.2020,115(4):303-313.doi:10.1111/vox.12895.
APA:
Hu, Ai,Chen, Weiyun,Wu, Shubin,Pan, Boju,Zhu, Afang...&Huang, Yuguang.(2020).An animal model of transfusion-related acute lung injury and the role of soluble CD40 ligand.VOX SANGUINIS,115,(4)
MLA:
Hu, Ai,et al."An animal model of transfusion-related acute lung injury and the role of soluble CD40 ligand".VOX SANGUINIS 115..4(2020):303-313