细胞外囊泡:与输血相关的急性肺损伤的作用者
Wolfgang M Kuebler1,2,3, Nishaka William4, Martin Post3,5
1Institute of Physiology, Charité-Universitätsmedizin, Berlin, Germany.
概括
细胞外囊泡 (EVs) 涉及严重的呼吸道输血反应,如输血相关的急性肺损伤 (TRALI). 本综述探讨了EV如何为TRALI做出贡献,提供了潜在的诊断和治疗目标.
科学领域:
- 免疫学 免疫学 免疫学
- 血液学 血液学 血液学
- 肺部医学 肺部医学
背景情况:
- 呼吸道输血反应,特别是输血相关的急性肺损伤 (TRALI),是致病率和死亡率的主要原因.
- 特拉利涉及严重的肺炎,和呼吸衰竭,除了支持性护理之外,诊断和治疗选择有限.
- 目前的理解表明,TRALI是由受体和捐赠因子参与的双击炎症过程引起的.
研究的目的:
- 审查细胞外囊泡 (EVs) 在中介TRALI中的新兴作用.
- 探索EVs作为对TRALI进行治疗干预的潜在目标.
- 评估EV作为TRALI诊断和检测的生物标志物.
主要方法:
- 关于细胞外囊泡和TRALI的当前研究的文献综述.
- 分析了EVs对TRALI炎症级联的贡献机制.
- 评估EVs在TRALI诊断和治疗方面的潜力.
主要成果:
- 细胞外囊泡 (EVs) 越来越多地被认为是TRALI的第一个和第二个炎症打击中的关键调解者.
- 有害的EV可以来自各种来源,包括炎症细胞,细菌和储存的血液制品.
- 电动汽车有可能准肺组织,加剧炎症和损伤.
结论:
- 细胞外囊泡代表了输血相关急性肺损伤的病原性的一个重要因素.
- 针对EVs可能为预防或治疗TRALI提供新的治疗策略.
- 作为早期检测和风险评估的诊断生物标志物,EV有望在易受TRALI治疗的患者中发挥作用.
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