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Bredthauer, Andre ; Kopfmueller, Manuel ; Gruber, Michael ; Pfaehler, Sophie-Marie ; Lehle, Karla ; Petermichl, Walter ; Seyfried, Timo ; Bitzinger, Diane I. ; Redel, Andreas

Therapeutic Anticoagulation with Argatroban and Heparins Reduces Granulocyte Migration: Possible Impact on ECLS-Therapy?

Bredthauer, Andre , Kopfmueller, Manuel, Gruber, Michael , Pfaehler, Sophie-Marie, Lehle, Karla, Petermichl, Walter, Seyfried, Timo, Bitzinger, Diane I. und Redel, Andreas (2020) Therapeutic Anticoagulation with Argatroban and Heparins Reduces Granulocyte Migration: Possible Impact on ECLS-Therapy? Cardiovascular Therapeutics 2020, S. 1-10.

Veröffentlichungsdatum dieses Volltextes: 12 Mai 2020 11:52
Artikel
DOI zum Zitieren dieses Dokuments: 10.5283/epub.43177


Zusammenfassung

Introduction. Anticoagulants such as argatroban and heparins (low-molecular-weight and unfractionated) play an immense role in preventing thromboembolic complications in clinical practice. Nevertheless, they can also have a negative effect on the immune system. This study is aimed at investigating the influence of these substances on polymorphonuclear neutrophils (PMNs), whose nonspecific defense ...

Introduction. Anticoagulants such as argatroban and heparins (low-molecular-weight and unfractionated) play an immense role in preventing thromboembolic complications in clinical practice. Nevertheless, they can also have a negative effect on the immune system. This study is aimed at investigating the influence of these substances on polymorphonuclear neutrophils (PMNs), whose nonspecific defense mechanisms can promote thrombogenesis. Methods. Blood samples from 30 healthy volunteers were investigated, whereby PMNs were isolated by density gradient centrifugation and incubated with 0.8 mu g/mL of argatroban, 1.0 U/mL of low-molecular-weight heparin (LMWH), 1.0 U/mL of unfractionated heparin (UFH), or without drug (control). A collagen-cell mixture was prepared and filled into 3D mu-slide chemotaxis chambers (IBIDI (R) GmbH, Germany). Stimulation was initiated by using a chemokine gradient of n-formyl-methionine-leucyl-phenylalanine (fMLP), and microscopic observation was conducted for 4.5 hours. The cells' track length and track straightness, as well as the number of attracted granulocytes, level of ROS (reactive oxygen species) production, and NET (neutrophil extracellular traps) formation, were analyzed and categorized into migration distances and time periods. Results. All three anticoagulants led to significantly reduced PMN track lengths, with UFH having the biggest impact. The number of tracks observed in the UFH group were significantly reduced compared to the control group. Additionally, the UFH group demonstrated a significantly lower track straightness compared to the control. ROS production and NET formation were unaffected. Conclusion. Our data provide evidence that anticoagulants have an inhibitory effect on the extent of PMN migration and chemotactic migration efficiency, thus indicating their potential immune-modulatory and prothrombotic effects.



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Details

DokumentenartArtikel
Titel eines Journals oder einer ZeitschriftCardiovascular Therapeutics
Verlag:WILEY-HINDAWI
Ort der Veröffentlichung:LONDON
Band:2020
Seitenbereich:S. 1-10
Datum25 April 2020
InstitutionenMedizin > Lehrstuhl für Anästhesiologie
Medizin > Lehrstuhl für Herz-, Thorax- und herznahe Gefäßchirurgie
Identifikationsnummer
WertTyp
10.1155/2020/9783630DOI
Stichwörter / KeywordsEXTRACORPOREAL MEMBRANE-OXYGENATION; NEUTROPHIL EXTRACELLULAR TRAPS; MOLECULAR-WEIGHT HEPARIN; UNFRACTIONATED HEPARIN; LEUKOCYTE ADHESION; BRAIN-INJURY; INFLAMMATION; ENOXAPARIN; THROMBOSIS; APOPTOSIS;
Dewey-Dezimal-Klassifikation600 Technik, Medizin, angewandte Wissenschaften > 610 Medizin
StatusVeröffentlicht
BegutachtetJa, diese Version wurde begutachtet
An der Universität Regensburg entstandenJa
URN der UB Regensburgurn:nbn:de:bvb:355-epub-431773
Dokumenten-ID43177

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