Leukocyte deformability is a novel biomarker to reflect sepsis-induced disseminated intravascular coagulation.

作者: Miki Morikawa , Yoshiaki Inoue , Yuka Sumi , Yoko Kuroda , Hiroshi Tanaka

DOI: 10.1002/AMS2.54

关键词:

摘要: Aim: Sepsis-induced disseminated intravascular coagulopathy is associated with a high mortality rate. The function and deformability of polymorphonuclear leukocytes change in patients sepsis. goal this study was to characterize the changes leukocyte sepsis-induced evaluate relationship between severity leukocytes. Methods: Thirty-five at our department were enrolled study. These diagnosed severe sepsis an acute score ≥ 4. Blood samples obtained from these on days 1, 3, 7. Polymorphonuclear measured microchannel flow analyzer, activity, represented as CD11b, by cytometry. In contrast, 14 who fulfilled criteria but without complicated also entered Results: coagulopathy, there significant correlation their Japanese Association for Acute Medicine deformability, CD11b expression. became more stiffened expression higher compared condition. Conclusion: correlated response treatment.

参考文章(23)
Masami Murakami, Michio Nishino, Hiroyuki Sumino, Koji Seki, Misa Nara, Nobuyoshi Ishiyama, Relationships between blood rheology and age, body mass index, blood cell count, fibrinogen, and lipids in healthy subjects Clinical Hemorheology and Microcirculation. ,vol. 34, pp. 401- 410 ,(2006)
J. -L. Vincent, R. Moreno, J. Takala, S. Willatts, A. De Mendonça, H. Bruining, C. K. Reinhart, P. M. Suter, L. G. Thijs, The SOFA (Sepsis-related Organ Failure Assessment) score to describe organ dysfunction/failure. On behalf of the Working Group on Sepsis-Related Problems of the European Society of Intensive Care Medicine. Intensive Care Medicine. ,vol. 22, pp. 707- 710 ,(1996) , 10.1007/BF01709751
Charles T. Esmon, The interactions between inflammation and coagulation British Journal of Haematology. ,vol. 131, pp. 417- 430 ,(2005) , 10.1111/J.1365-2141.2005.05753.X
Yoshiaki Inoue, Hiroshi Tanaka, Hiroshi Ogura, Isao Ukai, Kieko Fujita, Hideo Hosotsubo, Takeshi Shimazu, Hisashi Sugimoto, A neutrophil elastase inhibitor, sivelestat, improves leukocyte deformability in patients with acute lung injury. Journal of Trauma-injury Infection and Critical Care. ,vol. 60, pp. 936- 943 ,(2006) , 10.1097/01.TA.0000217271.25809.A0
Satoshi Gando, Daizoh Saitoh, Hiroshi Ogura, Toshihiko Mayumi, Kazuhide Koseki, Toshiaki Ikeda, Hiroyasu Ishikura, Toshiaki Iba, Masashi Ueyama, Yutaka Eguchi, Yasuhiro Ohtomo, Kohji Okamoto, Shigeki Kushimoto, Shigeatsu Endo, Shuji Shimazaki, Japanese Association for Acute Medicine Disseminated Intravascular Coagulation (JAAM DIC) Study Group, Natural history of disseminated intravascular coagulation diagnosed based on the newly established diagnostic criteria for critically ill patients: results of a multicenter, prospective survey Critical Care Medicine. ,vol. 36, pp. 145- 150 ,(2008) , 10.1097/01.CCM.0000295317.97245.2D
Ahmet H. Lavkan, Mark E. Astiz, Eric C. Rackow, Effects of proinflammatory cytokines and bacterial toxins on neutrophil rheologic properties. Critical Care Medicine. ,vol. 26, pp. 1677- 1682 ,(1998) , 10.1097/00003246-199810000-00021
Satoshi Gando, Toshiaki Iba, Yutaka Eguchi, Yasuhiro Ohtomo, Kohji Okamoto, Kazuhide Koseki, Toshihiko Mayumi, Atsuo Murata, Toshiaki Ikeda, Hiroyasu Ishikura, Masashi Ueyama, Hiroshi Ogura, Shigeki Kushimoto, Daizoh Saitoh, Shigeatsu Endo, Shuji Shimazaki, Japanese Association for Acute Medicine Disseminated Intravascular Coagulation (JAAM DIC) Study Group, A multicenter, prospective validation of disseminated intravascular coagulation diagnostic criteria for critically ill patients: comparing current criteria. Critical Care Medicine. ,vol. 34, pp. 625- 631 ,(2006) , 10.1097/01.CCM.0000202209.42491.38
Masato Nishino, Hiroshi Tanaka, Hiroshi Ogura, Yoshiaki Inoue, Taichin Koh, Kieko Fujita, Hisashi Sugimoto, Serial changes in leukocyte deformability and whole blood rheology in patients with sepsis or trauma. Journal of Trauma-injury Infection and Critical Care. ,vol. 59, pp. 1425- 1431 ,(2005) , 10.1097/01.TA.0000197356.83144.72
Athanasios T. Skoutelis, Vassilios Kaleridis, George M. Athanassiou, Kyriakos I. Kokkinis, Yannis F. Missirlis, Harry P. Bassaris, Neutrophil deformability in patients with sepsis, septic shock, and adult respiratory distress syndrome. Critical Care Medicine. ,vol. 28, pp. 2355- 2359 ,(2000) , 10.1097/00003246-200007000-00029