protective effect of resin adsorption on septic plasma-induced tubular injury在脓毒性保护作用的树脂吸附plasma-induced管损伤.pdfVIP
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protective effect of resin adsorption on septic plasma-induced tubular injury在脓毒性保护作用的树脂吸附plasma-induced管损伤
Cantaluppi et al. Critical Care 2010, 14:R4
/content/14/1/R4
RESEARCH Open Access
Protective effect of resin adsorption on septic
plasma-induced tubular injury
1,2 3 1 1 1 1,2
Vincenzo Cantaluppi , Viktoria Weber , Carola Lauritano , Federico Figliolini , Silvia Beltramo , Luigi Biancone ,
4 4 4 2 5 1,2,6*
Massimo De Cal , Dinna Cruz , Claudio Ronco , Giuseppe Paolo Segoloni , Ciro Tetta , Giovanni Camussi
Abstract
Introduction: A pro-apoptotic effect of circulating mediators on renal tubular epithelial cells has been involved in
the pathogenesis of sepsis-associated acute kidney injury (AKI). Adsorption techniques have been showed to
efficiently remove inflammatory cytokines from plasma. The aim of this study was to evaluate the efficiency of the
hydrophobic resin Amberchrom CG161 M to adsorb from septic plasma soluble mediators involved in tubular
injury.
Methods: We enrolled in the study 10 critically ill patients with sepsis-associated AKI and we evaluated the effects
of their plasma on granulocyte adhesion, apoptosis and functional alterations of cultured human kidney tubular
epithelial cells. We established an in vitro model of plasma adsorption and we studied the protective effect of
unselective removal of soluble mediators by the Amberchrom CG161 M resin on septic plasma-induced tubular cell
injury.
Results: Plasma from septic patients induced granulocyte adhesion, apoptosis and altered polarity in tubular cells.
Plasma adsorption significantly decreased these effects and abated the concentrations of several soluble mediators
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