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肺炎链球菌导致T多凝集红细胞的确认及血浆置换策略 被引量:3
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作者 刘德龙 吴思梦 +3 位作者 范诗晴 谢文举 赵晓琳 王秋实 《中国输血杂志》 CAS 2022年第7期728-731,共4页
目的 明确T多凝集鉴定方法,并选择配合的冰冻血浆用于血浆置换。方法 通过红细胞与植物血凝素、成人血清和脐带血血清反应结果,加入凝聚胺后是否会红细胞聚集,以及MN抗原表达确定是否存在T多凝集。对确定存在T多凝集的患者,采取盐水介... 目的 明确T多凝集鉴定方法,并选择配合的冰冻血浆用于血浆置换。方法 通过红细胞与植物血凝素、成人血清和脐带血血清反应结果,加入凝聚胺后是否会红细胞聚集,以及MN抗原表达确定是否存在T多凝集。对确定存在T多凝集的患者,采取盐水介质次侧配血方法选择不含抗-T或者效价低的冰冻血浆进行血浆置换。结果 3例肺炎链球菌肺炎患儿确定出现T多凝集,表现为MN抗原一过性消失,与花生凝集素和大豆凝集素阳性反应,红细胞与成人血清阳性反应,与脐带血血清阴性反应,且在加入凝聚胺试剂后红细胞不出现聚集。结论 严重感染患者可能合并红细胞T多凝集,成人血浆中抗-T含量不同,选择不含有抗-T或者低效价抗-T的冰冻血浆用于血浆置换可以快速缓解患者病情,同时可以避免溶血性输血反应。 展开更多
关键词 多凝集红细胞 T多凝集 浆置换 肺炎链球菌 溶血尿素症
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Prolongation of functional life-span of neutrophils by recombinant verotoxin 2
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作者 刘佳佳 何延正 +4 位作者 何涛 张忠杰 赤星透 近藤启文 钟森 《Chinese Medical Journal》 SCIE CAS CSCD 2002年第6期900-903,共4页
OBJECTIVE: Verotoxin-producing Escherichia coli (VTEC) strains of serotype O157 : H7 have been implicated in a wide spectrum of diseases, including blood diarrhea, hemorrhagic colitis and hemolytic uremic syndrome (HU... OBJECTIVE: Verotoxin-producing Escherichia coli (VTEC) strains of serotype O157 : H7 have been implicated in a wide spectrum of diseases, including blood diarrhea, hemorrhagic colitis and hemolytic uremic syndrome (HUS). To further explore the pathological role of verotoxin (VT) in HUS and other VTEC associated diseases, we investigated the effects of recombinant verotoxin 2 (rVT2) on the biological activity of neutrophils. METHODS: The technique of flow cytometry, a fluorescent probe 2,7-bis-(2-carboxyethyl)-5-(and-6)-carboxyfluorescein acetoxymethyl ester (BCECF/AM), and the assay of reduced cytochrome c to detect superoxide production were used in this study. RESULTS: gammaVT2 significantly inhibited spontaneous apoptosis in neutrophils. Neutrophils with prolonged survival due to gammaVT2 maintained various biological functions, such as the expression of adhesion molecules (shading CD62L and raising CD11b/CD18), adherence to human umbilical vein endothelial cells (HUVECs), and generation of superoxide (O(2)(-)). CONCLUSION: Prolongation of the functional life-span of neutrophils by gammaVT2 may accelerate inflammatory responses at sites of inflammation. This may play a crucial role in neutrophil-mediated tissue injury in HUS and other VTEC-associated diseases. 展开更多
关键词 Apoptosis Cell Adhesion Endothelium Vascular Humans NEUTROPHILS Recombinant Proteins Shiga-Like Toxin II SUPEROXIDES
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