Winters Jeffrey L, Cooper Leslie T, Ratcliffe Nora R, Wu Yanyun, Moriarty Patrick M
Division of Transfusion Medicine, Mayo Clinic, Rochester, Minnesota.
Division of Cardiovascular Diseases, Mayo Clinic, Rochester, Minnesota.
J Clin Apher. 2015 Jun;30(3):183-7. doi: 10.1002/jca.21355. Epub 2014 Sep 2.
The National Heart, Lung, and Blood Institute in collaboration with the American Society for Apheresis, convened a State of the Science Symposium in November of 2012 due to the expanding application of therapeutic apheresis despite the lack of well-designed research to address its efficacy. This article reviews the opportunities that were presented at this meeting in the area of cardiovascular disease (CVD), specifically the use of columns to adsorb autoantibodies in dilated cardiomyopathy or damaging lipids in peripheral vascular disease. Understanding how absorption of these pathologic substances alters the inflammatory response in these disorders is important for the application of these technologies to the treatment of CVD.
美国国立心肺血液研究所与美国单采血液成分协会合作,于2012年11月召开了一次科学现状研讨会,原因是治疗性血液成分单采的应用不断扩大,尽管缺乏精心设计的研究来证明其疗效。本文回顾了本次会议上在心血管疾病(CVD)领域所提出的机遇,特别是在扩张型心肌病中使用柱体吸附自身抗体或在外周血管疾病中吸附有害脂质。了解这些病理物质的吸附如何改变这些疾病中的炎症反应,对于将这些技术应用于CVD治疗至关重要。