输血相关免疫调节的分子机制及其对重症患者的影响
Angel Augusto Pérez-Calatayud1, Klaus Görlinger2,3
1Head of Critical Care Division, Hospital General de Mexico Dr Eduardo Liceaga, Mexico City 06720, Mexico.
International journal of molecular sciences
|January 10, 2026
概括
全基因输血可以通过改变免疫反应来伤害重症患者,这一过程称为输血相关免疫调节 (TRIM). 这可能会增加感染,器官功能障碍和癌症复发的风险,强调需要谨慎的输血实践.
科学领域:
- 免疫学 免疫学 免疫学
- 关键护理医学 关键护理医学
- 输血医学 输血医学
背景情况:
- 在重症患者中,全基性输血是常见的.
- 有证据表明,输血不是生物惰性的,并且可能影响患者的结果.
- 输血相关免疫调节 (TRIM) 描述了输血的免疫效应,包括抑制和炎症.
研究的目的:
- 审查关于TRIM的实验和临床证据.
- 描述TRIM所涉及的分子途径.
- 评估TRIM在重症患者群体中的临床相关性.
主要方法:
- 对最近的证据进行了叙事审查.
- 包括随机试验,元分析和大型观察队列.
- 专注于TRIM的分子途径和临床关联.
主要成果:
- TRIM涉及多种机制,改变了先天性和适应性免疫.
- 与医疗相关感染,急性肺损伤,急性损伤和多器官功能障碍的风险增加有关.
- 与手术患者的长时间住院和癌症复发有关.
结论:
- 在重症患者中,TRIM是一个重大问题,影响了病率和死亡率.
- 像患者血液管理 (PBM) 这样的节血策略可以减轻风险.
- 需要进一步的研究来澄清TRIM的影响和诊断/治疗策略.
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