Neutrophils contain cholesterol crystals in transfusion-related acute lung injury (TRALI)

Intracellular components of transfusion-related acute lung injury (TRALI) were investigated by transmission electron microscopy. The lungs from 2 fatal TRALI cases and 2 controls, previously studied by scanning electron microscopy, were studied by transmission electron microscopy. Morphologic data b...

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Veröffentlicht in:American journal of clinical pathology 2013-08, Vol.140 (2), p.170-176
Hauptverfasser: Van Ness, Michael, Jensen, Hanne, Adamson, Grete N, Kysar, Patricia E, Holland, Paul
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container_title American journal of clinical pathology
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creator Van Ness, Michael
Jensen, Hanne
Adamson, Grete N
Kysar, Patricia E
Holland, Paul
description Intracellular components of transfusion-related acute lung injury (TRALI) were investigated by transmission electron microscopy. The lungs from 2 fatal TRALI cases and 2 controls, previously studied by scanning electron microscopy, were studied by transmission electron microscopy. Morphologic data by light and phase microscopy, along with scanning and transmission electron microscopic observations, were collated. The 2 fatal TRALI cases exhibited dense laminated material within capillaries and postcapillary venules, similar to material identified within their neutrophils when viewed by transmission electron microscopy. This material polarized light and is presumed to be cholesterol crystals. The damage to the pulmonary vascular endothelium in TRALI is related to formation of cholesterol crystals originating within neutrophils.
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source MEDLINE; Oxford University Press Journals All Titles (1996-Current); EZB-FREE-00999 freely available EZB journals
subjects Acute Lung Injury - blood
Acute Lung Injury - etiology
Acute Lung Injury - metabolism
Adult
Cholesterol - metabolism
Humans
Male
Neutrophils - metabolism
Transfusion Reaction
title Neutrophils contain cholesterol crystals in transfusion-related acute lung injury (TRALI)
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