Zhu Xin-Fang, Xia Rong
Department of Blood Transfution, Fudan University Huashan Hospital, Shanghai 200040, China.
Zhongguo Shi Yan Xue Ye Xue Za Zhi. 2010 Feb;18(1):268-72.
As allogeneic blood transfusion plays a role in clinical treatment effects, it also produces a number of immune-related side effects, such as the increased rate of postoperative infection, the rising relapse rate of malignant resection and so on. All those factors, such as CD200 surface molecule of allogeneic mononuclear cells, interleukin, sHLA and sFasL which are detached from the leukocyte surface during the period of storage, and serum bioactive molecules related to a certain degree with the occurrence of transfusion-related immunomodulation (TRIM). The clinical controlled trials, laboratory researches and animal models demonstrated that cloning deletion, induction of anergy and immune suppression are the three major mechanisms of TRIM. In this article, the research advances on mechanism of TRIM and the mediators inducing TRIM are reviewed.
由于异体输血在临床治疗效果中发挥作用的同时,也会产生一些免疫相关的副作用,如术后感染率增加、恶性肿瘤切除术后复发率上升等。所有这些因素,如异体单核细胞的CD200表面分子、储存期间从白细胞表面脱落的白细胞介素、可溶性人类白细胞抗原(sHLA)和可溶性Fas配体(sFasL),以及与输血相关免疫调节(TRIM)发生有一定程度关联的血清生物活性分子。临床对照试验、实验室研究和动物模型表明,克隆缺失、无反应性诱导和免疫抑制是TRIM的三大主要机制。本文对TRIM的机制及诱导TRIM的介质的研究进展进行综述。