Evidence map›Paper›PMID 34516005›Full record

ArticleArtificial organs2022

Neutrophil dysfunction due to continuous mechanical shear exposure in mechanically assisted circulation in vitro.

Wenji Sun, Jiafeng Zhang, Aakash Shah, Katherin Arias, Zachary Berk, Bartley P Griffith, Zhongjun J Wu

Abstract read
In one paragraph

Article in Artificial organs, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

7 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. The Disconnect Between Extracorporeal Circulation and the Microcirculation: A Review.ASAIO journal (American Society for Artificial Internal Organs : 1992) · 2022
    Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Wenji SunDepartment of Surgery, University of Maryland School of Medicine, Baltimore, Maryland, USA.
Jiafeng ZhangDepartment of Surgery, University of Maryland School of Medicine, Baltimore, Maryland, USA.
Aakash ShahDepartment of Surgery, University of Maryland School of Medicine, Baltimore, Maryland, USA.
Katherin AriasDepartment of Surgery, University of Maryland School of Medicine, Baltimore, Maryland, USA.ORCID https://orcid.org/0000-0003-0779-3405
Zachary BerkDepartment of Surgery, University of Maryland School of Medicine, Baltimore, Maryland, USA.ORCID https://orcid.org/0000-0003-3625-0485
Bartley P GriffithDepartment of Surgery, University of Maryland School of Medicine, Baltimore, Maryland, USA.
Zhongjun J WuDepartment of Surgery, University of Maryland School of Medicine, Baltimore, Maryland, USA.ORCID https://orcid.org/0000-0003-0807-7195

Funding

First-in-Human Use of an Artificial Lung for Ambulatory Respiratory SupportR01HL118372 · NHLBI · UNIVERSITY OF MARYLAND BALTIMORE · PI GRIFFITH, BARTLEY P, WU, ZHONGJUN JON · 2013 to 2023
$7.9M
Development and Pre-Clinical Trial Qualification of a Pediatric Pump-Lung System for ChildrenR01HL141817 · NHLBI · UNIVERSITY OF MARYLAND BALTIMORE · PI GRIFFITH, BARTLEY P, WU, ZHONGJUN JON · 2018 to 2021
$3.1M
Supplement: Hemolysis Prediction Software DevelopmentR01HL131750 · NHLBI · LEHIGH UNIVERSITY · PI LIU, YALING · 2017 to 2021
$2.2M
Shear-Induced Hemostatic Dysfunction and Bleeding in CF-VAD PatientsR01HL124170 · NHLBI · UNIVERSITY OF MARYLAND BALTIMORE · PI GRIFFITH, BARTLEY P, WU, ZHONGJUN JON · 2015 to 2018
$2.0M
NHLBI NIH HHS 1R01HL131750NHLBI NIH HHS R01 HL118372NHLBI NIH HHS R01HL118372NHLBI NIH HHS R01 HL124170NHLBI NIH HHS R01HL124170NHLBI NIH HHS R01 HL131750NHLBI NIH HHS R01 HL141817NHLBI NIH HHS R01HL141817
6 · The paper itself

Abstract

objectiveLeukocytes play an important role in the body's immune system. The aim of this study was to assess alterations in neutrophil phenotype and function in pump-assisted circulation in vitro.

methodsHuman blood was circulated for four hours in three circulatory flow loops with a CentriMag blood pump operated at a flow of 4.5 L/min at three rotational speeds (2100, 2800, and 4000 rpm), against three pressure heads (75, 150, and 350 mm Hg), respectively. Blood samples were collected hourly for analyses of neutrophil activation state (Mac-1, CD62L, CD162), neutrophil reactive oxygen species (ROS) production, apoptosis, and neutrophil phagocytosis.

resultsActivated neutrophils indicated by both Mac-1 expression and decreased surface expression of CD62L and CD162 receptors increased with time in three loops. The highest level of neutrophil activation was observed in the loop with the highest rotational speed. Platelet-neutrophil aggregates (PNAs) progressively increased in two loops with lower rotational speeds. PNAs peaked at one hour after circulation and decreased subsequently in the loop with the highest rotational speed. Neutrophil ROS production dramatically increased at one hour after circulation and decreased subsequently in all three loops with similar levels and trends. Apoptotic neutrophils increased with time in all three loops. Neutrophil phagocytosis capacity in three loops initially elevated at one hour after circulation and decreased subsequently. Apoptosis and altered phagocytosis were dependent on rotational speed.

conclusionsOur study revealed that the pump-assisted circulation induced neutrophil activation, apoptosis, and functional impairment. The alterations were strongly associated with pump operating condition and duration.

Indexed as

Stress, MechanicalApoptosisBlood PlateletsHeart-Assist DevicesHumansMacrophage-1 AntigenMembrane GlycoproteinsNeutrophilsPhagocytosisReactive Oxygen SpeciesMacrophage-1 AntigenMembrane GlycoproteinsReactive Oxygen Speciesblood pumpmechanically assisted circulationmechanical shear stressneutrophil dysfunction

Identifiers

PMID34516005
PMCPMC8688241

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.