Kinetics of plasma SPB and RAGE during mechanical ventilation in patients undergoing major vascular surgery

Abstract Receptor-of-Advanced-Glycation-End-products (RAGE) and Surfactant-Protein-type-B (SPB) are reported as lung injury markers. Unlike SPB, RAGE is secreted by several tissues, so that RAGE specificity as lung injury marker is questionable. We measured SPB and RAGE in 19 patients undergoing maj...

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Veröffentlicht in:Respiratory physiology & neurobiology 2011-09, Vol.178 (2), p.256-260
Hauptverfasser: Agostoni, Piergiuseppe, Banfi, Cristina, Magrì, Damiano, Vignati, Carlo, Doria, Elisabetta, Salvioni, Elisabetta, Moliterni, Paola, Marenzi, Giancarlo, Tremoli, Elena, Sisillo, Erminio
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container_end_page 260
container_issue 2
container_start_page 256
container_title Respiratory physiology & neurobiology
container_volume 178
creator Agostoni, Piergiuseppe
Banfi, Cristina
Magrì, Damiano
Vignati, Carlo
Doria, Elisabetta
Salvioni, Elisabetta
Moliterni, Paola
Marenzi, Giancarlo
Tremoli, Elena
Sisillo, Erminio
description Abstract Receptor-of-Advanced-Glycation-End-products (RAGE) and Surfactant-Protein-type-B (SPB) are reported as lung injury markers. Unlike SPB, RAGE is secreted by several tissues, so that RAGE specificity as lung injury marker is questionable. We measured SPB and RAGE in 19 patients undergoing major vascular abdominal surgery. SPB and RAGE were measured before mechanical ventilation ( T0 ), at 1st ( T1 ), 2nd ( T2 ) and, when present, 3rd ( T3 ) hour of mechanical ventilation, and 1 h after extubation ( TPOST ). Last data during mechanical ventilation, either T2 or T3 , are reported as TEND . SPB and RAGE values were normalized for total protein (SPBN and RAGEN ). SPBN and RAGEN increments from T0 to TEND were 56.2 [39.1] ng/mg (mean [75–25 percentile]) and 10.6[7.1] pg/mg, respectively. SPB values increased progressively during mechanical ventilation, whereas RAGE values increased at T1 but not thereafter. SPBN increase ( TEND − T0 ), but not RAGEN , was related to ΔPaO2 /FiO2 changes during mechanical ventilation ( r = 0.575, p = 0.01). Plasma RAGEN and SPBN kinetics in patients undergoing major vascular surgery are different.
doi_str_mv 10.1016/j.resp.2011.06.019
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Plasma RAGEN and SPBN kinetics in patients undergoing major vascular surgery are different.</abstract><cop>Amsterdam</cop><pub>Elsevier B.V</pub><pmid>21736957</pmid><doi>10.1016/j.resp.2011.06.019</doi><tpages>5</tpages></addata></record>
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subjects Acute Lung Injury - blood
Acute Lung Injury - etiology
Acute Lung Injury - pathology
Aged
Antigens, Neoplasm - blood
Biological and medical sciences
Biomarkers - blood
Disease Progression
Female
Fundamental and applied biological sciences. Psychology
Humans
Male
Mechanical ventilation
Medical Education
Middle Aged
Mitogen-Activated Protein Kinases - blood
Mitogen-Activated Protein Kinases - pharmacokinetics
Pulmonary Surfactant-Associated Protein B - blood
Pulmonary Surfactant-Associated Protein B - pharmacokinetics
Pulmonary/Respiratory
Receptor for Advanced Glycation End Products
Receptor of advanced glycation end products
Receptors, Immunologic
Respiration, Artificial - adverse effects
Respiration, Artificial - standards
Surfactant-protein-type-B
Vascular surgery
Vascular Surgical Procedures - adverse effects
Vertebrates: respiratory system
title Kinetics of plasma SPB and RAGE during mechanical ventilation in patients undergoing major vascular surgery
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