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红细胞输血而非血小板输血后急性髓系白血病患者氧化应激增加,主要源于氧化/硝化蛋白损伤:一项探索性研究

Increased Oxidative Stress in Acute Myeloid Leukemia Patients after Red Blood Cell Transfusion, but Not Platelet Transfusion, Results Mainly from the Oxidative/Nitrative Protein Damage: An Exploratory Study.

作者信息

Czubak-Prowizor Kamila, Trelinski Jacek, Stelmach Paulina, Stelmach Piotr, Madon Agnieszka, Zbikowska Halina Malgorzata

机构信息

Department of General Biochemistry, Faculty of Biology and Environmental Protection, University of Lodz, Pomorska 141/143, 90-236 Lodz, Poland.

Department of Cytobiology and Proteomics, Medical University of Lodz, Mazowiecka 6/8, 92-215 Lodz, Poland.

出版信息

J Clin Med. 2021 Mar 25;10(7):1349. doi: 10.3390/jcm10071349.

Abstract

Chronic oxidative stress (OS) can be an important factor of acute myeloid leukemia (AML) progression; however, there are no data on the extent/consequence of OS after transfusion of packed red blood cells (pRBCs) and platelet concentrates (PCs), which are commonly used in the treatment of leukemia-associated anemia and thrombocytopenia. We aimed to investigate the effects of pRBC/PC transfusion on the OS markers, i.e., thiol and carbonyl (CO) groups, 3-nitrotyrosine (3-NT), thiobarbituric acid reactive substances (TBARS), advanced glycation end products (AGE), total antioxidant capacity (TAC), SOD, GST, and LDH, in the blood plasma of AML patients, before and 24 h post-transfusion. In this exploratory study, 52 patients were examined, of which 27 were transfused with pRBCs and 25 with PCs. Age-matched healthy subjects were also enrolled as controls. Our results showed the oxidation of thiols, increased 3-NT, AGE levels, and decreased TAC in AML groups versus controls. After pRBC transfusion, CO groups, AGE, and 3-NT significantly increased (by approximately 30, 23, and 35%; < 0.05, < 0.05, and < 0.01, respectively) while thiols reduced (by 18%; < 0.05). The PC transfusion resulted in the raise of TBARS and AGE (by 45%; < 0.01 and 31%; < 0.001), respectively). Other variables showed no significant post-transfusion changes. In conclusion, transfusion of both pRBCs and PCs was associated with an increased OS; however, transfusing the former may have more severe consequences, since it is associated with the irreversible oxidative/nitrative modifications of plasma proteins.

摘要

慢性氧化应激(OS)可能是急性髓系白血病(AML)进展的一个重要因素;然而,对于常用于治疗白血病相关性贫血和血小板减少症的浓缩红细胞(pRBCs)和血小板浓缩物(PCs)输血后的OS程度/后果,尚无相关数据。我们旨在研究pRBC/PC输血对AML患者输血前和输血后24小时血浆中OS标志物的影响,即硫醇和羰基(CO)基团、3-硝基酪氨酸(3-NT)、硫代巴比妥酸反应性物质(TBARS)、晚期糖基化终产物(AGE)、总抗氧化能力(TAC)、超氧化物歧化酶(SOD)、谷胱甘肽S-转移酶(GST)和乳酸脱氢酶(LDH)。在这项探索性研究中,对52例患者进行了检查,其中27例输注了pRBCs,25例输注了PCs。年龄匹配的健康受试者也作为对照纳入研究。我们的结果显示,与对照组相比,AML组中硫醇氧化、3-NT和AGE水平升高,TAC降低。输注pRBC后,CO基团、AGE和3-NT显著增加(分别约为30%、23%和35%;P<0.05、P<0.05和P<0.01),而硫醇减少(18%;P<0.05)。输注PC导致TBARS和AGE分别升高(45%;P<0.01和31%;P<0.001)。其他变量在输血后未显示出显著变化。总之,pRBCs和PCs输血均与OS增加有关;然而,输注前者可能有更严重的后果,因为它与血浆蛋白的不可逆氧化/硝化修饰有关。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/71ec/8037785/297e23c633c1/jcm-10-01349-g001.jpg

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