Neutrophil phenotype and function in partial hepatectomy in man

Autor: Katharina Holzer, Dirk Henrich, Dennis Hofmann, Elsie Oppermann, Christian Mönch, Wolf O. Bechstein, Stefan Zeuzem
Rok vydání: 2010
Předmět:
Zdroj: Langenbeck's Archives of Surgery. 395:643-653
ISSN: 1435-2451
1435-2443
DOI: 10.1007/s00423-009-0557-x
Popis: Hepatic resections are still associated with considerable morbidity mainly because of postoperative infection. Adequate function of neutrophils is a crucial element in host defense. The aim of the study was to characterize neutrophils during partial hepatectomy. Fourteen patients undergoing partial liver resection were enrolled. Twenty-four hours pre-, intra- (after induction of anesthesia, after preparation of the liver, and 15 min after release of the Pringle maneuver), as well as postoperatively (3 h after Pringle; 24, 48, and 120 h after surgery), blood samples were obtained. In addition, healthy volunteers (n = 5) were investigated. Adhesion molecules (CD 62, CD 18), Fcy receptors (CD 16, CD 32), and phagocytosis by neutrophils were characterized by fluorescence-activated cell sorter analysis. Spontaneous and stimulated (formyl-methionyl-leucyl-phenylalanine) oxygen radical generation was measured by lucigenin-enhanced chemiluminescence. Numeric upregulation of CD 62 and CD 18 on neutrophils was seen before the use of Pringle maneuver and persisted thereafter (p
Databáze: OpenAIRE