通过输血红细胞调节的外源性氧化还原调节的观点,受储存损伤的影响
Nishaka William1, Jason P Acker2
1Department of Laboratory Medicine and Pathology, University of Alberta, Edmonton, Alberta, Canada.
概括
储存的红细胞 (RBC) 由于氧化回氧代谢受损而与氧化压力作斗争. 本综述研究了低温储存如何影响红细胞处理反应性氧和物种 (RONS) 的能力,影响输血疗效.
科学领域:
- 转毒生物学 转毒生物学
- 血液学 血液学 血液学
- 输血药物 输血药物 输血药物
背景情况:
- 红血细胞 (RBC) 具有独特的能力,可以中和循环中的活性氧和物种 (RONS).
- 过度的RONS会导致血管氧化还原失衡,导致贫血并需要红细胞输血.
- 在低温储存期间氧化还原代谢受损会损害红细胞的保护功能.
研究的目的:
- 审查红细胞中低温储存损伤背后的机制.
- 探索储存如何影响红细胞清理RONS的能力.
- 讨论这些储存引起的变化的临床相关性.
主要方法:
- 对红细胞储存损伤和氧化应激研究的文献综述.
- 在低温期间影响红细胞氧化还原代谢的机制的分析.
- 对输血的临床影响的研究结果的综合.
主要成果:
- 低温储存会诱导红细胞的变化,从而降低它们的抗氧化能力.
- 储存的红细胞在输血后更容易受到氧化损伤.
- 受损的RONS通过储存的红细胞清理,有助于输血相关的并发症.
结论:
- 低温储存损伤显著损害了红细胞管理氧化应激的能力.
- 了解这些机制对于改善红细胞储存和输血结果至关重要.
- 需要进一步的研究,以减轻输血红细胞中储存诱导的氧化损伤.
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