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首页> 外文期刊>European journal of gastroenterology and hepatology >Granulocyte colony-stimulating factor improves function of neutrophils from patients with acute liver failure.
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Granulocyte colony-stimulating factor improves function of neutrophils from patients with acute liver failure.

机译:粒细胞集落刺激因子改善急性肝衰竭患者中性粒细胞的功能。

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OBJECTIVE: To evaluate the in vitro effects of granulocyte colony-stimulating factor (G-CSF) on function of neutrophils in acute liver failure (ALF). METHODS: Neutrophil functions (superoxide and hydrogen peroxide production; phagocytosis and killing; complement receptor expression) were determined simultaneously in 23 patients with ALF due to paracetamol overdose and compared with 23 healthy control subjects. RESULTS: Phagocytosis was reduced in neutrophils from ALF patients compared to controls (P< 0.005) and was significantly increased by incubation with 1,000 or 5,000 IU/ ml G-CSF (P< 0.05). This correlated with increased expression of CD11b (r= 0.93) and CD18 (r= 0.98) after incubation with 5,000 IU/ml G-CSF (P< 0.05). Killing was reduced in ALF neutrophils compared to controls (P< 0.005) and was similarly restored by G-CSF (P< 0.005). An increase in killing correlated with increases in production of superoxide (r = 0.96) and hydrogen peroxide (r= 0.97) by ALF neutrophils after incubation with 1,000 and 5,000 IU/ml of G-CSF when formylmethionylleucylphenylalanine (fMLP) was the stimulant. G-CSF at 5,000 IU/ml increased the production of hydrogen peroxide (P< 0.01) when zymosan was the stimulant. CONCLUSIONS: G-CSF improves the neutrophil dysfunction of ALF.
机译:目的:评价粒细胞集落刺激因子(G-CSF)对中性粒细胞在急性肝衰竭(ALF)中的作用的体外作用。方法:同时测定了对乙酰氨基酚过量的23例ALF患者的嗜中性粒细胞功能(超氧化物和过氧化氢的产生,吞噬作用和杀伤力,补体受体的表达),并与23名健康对照者进行了比较。结果:与对照组相比,ALF患者中性粒细胞的吞噬作用降低(P <0.005),并通过与1,000或5,000 IU / ml G-CSF孵育显着增加(P <0.05)。在与5,000 IU / ml G-CSF孵育后,这与CD11b(r = 0.93)和CD18(r = 0.98)表达增加相关(P <0.05)。与对照组相比,ALF中性粒细胞的杀伤力有所降低(P <0.005),而G-CSF的杀伤力也得到了类似的恢复(P <0.005)。当甲酰甲硫酰基亮氨酰苯丙氨酸(fMLP)作为兴奋剂孵育后,与1,000和5,000 IU / ml的G-CSF孵育后,ALF中性粒细胞的杀伤力增加与超氧化物(r = 0.96)和过氧化氢(r = 0.97)的产生增加相关。当酵母聚糖为刺激剂时,5,000 IU / ml的G-CSF增加了过氧化氢的产生(P <0.01)。结论:G-CSF可改善ALF的中性粒细胞功能障碍。

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