Enzan K, Komatsu H, Shouji K, Mitsuhata H, Suzuki M, Yoshioka N
Department of Emergency Medicine, Akita University School of Medicine.
Masui. 1995 Feb;44(2):233-8.
Antigen erythrocytes cause a transient pulmonary hypertension in sensitized rabbits. We investigated the main responsible component in the antigen erythrocytes. Eleven rabbits were immunized intravenously with human O-N type erythrocytes every ten days until the agglutinin titer = 1:8,000 was obtained. Another ten rabbits without immunization served as a control group. Human erythrocytes were osmolitically hemolyzed and then separated into hemoglobin and membrane components by centrifugation. In sensitized rabbits, a bolus injection of human hemoglobin 0.7 ml.kg-1 caused increases in pulmonary arterial and airway pressures within 3-4 min. Increase in pulmonary arterial pressure after injection of hemoglobin component was significantly higher than that after injection of membrane component in sensitized rabbits. However, in nonsensitized rabbits both components were ineffective. Leukocytes counts decreased by 73-62% in sensitized rabbit, while they decreased by 16-37% in nonsensitized rabbits 5 min after injection of hemoglobin or membrane component. Platelets decreased by 54-61% in sensitized rabbits, while they decreased by 24-9% in nonsensitized rabbits 5 min after injection of hemoglobin or membrane component. We conclude that hemoglobin is the responsible component in the antigen erythrocytes and chemical mediators, such as thromboxane and platelet activating factor, may not be released from platelets and leukocytes.
抗原红细胞可使致敏兔出现短暂性肺动脉高压。我们研究了抗原红细胞中的主要致病成分。11只兔每10天静脉注射人O-N型红细胞,直至凝集素效价达到1:8000。另外10只未免疫的兔作为对照组。将人红细胞进行渗透溶血,然后通过离心分离为血红蛋白和膜成分。在致敏兔中,静脉注射0.7 ml.kg-1人血红蛋白后3-4分钟内肺动脉压和气道压升高。致敏兔注射血红蛋白成分后肺动脉压升高明显高于注射膜成分后。然而,在未致敏兔中,两种成分均无效。致敏兔注射血红蛋白或膜成分5分钟后白细胞计数下降73-62%,而未致敏兔下降16-37%。致敏兔血小板下降54-61%,而未致敏兔注射血红蛋白或膜成分5分钟后血小板下降24-9%。我们得出结论,血红蛋白是抗原红细胞中的致病成分,血栓素和血小板活化因子等化学介质可能不会从血小板和白细胞中释放出来。