Book contents
- Frontmatter
- Contents
- Editor, Associate Editors, Artistic Consultant, and Contributors
- Preface
- PART I CONTEXT
- PART II ENDOTHELIAL CELL AS INPUT-OUTPUT DEVICE
- PART III VASCULAR BED/ORGAN STRUCTURE AND FUNCTION IN HEALTH AND DISEASE
- 121 Introductory Essay: The Endothelium in Health and Disease
- 122 Hereditary Hemorrhagic Telangiectasia: A Model to Probe the Biology of the Vascular Endothelium
- 123 Blood–Brain Barrier
- 124 Brain Endothelial Cells Bridge Neural and Immune Networks
- 125 The Retina and Related Hyaloid Vasculature: Developmental and Pathological Angiogenesis
- 126 Microheterogeneity of Lung Endothelium
- 127 Bronchial Endothelium
- 128 The Endothelium in Acute Respiratory Distress Syndrome
- 129 The Central Role of Endothelial Cells in Severe Angioproliferative Pulmonary Hypertension
- 130 Emphysema: An Autoimmune Vascular Disease?
- 131 Endothelial Mechanotransduction in Lung: Ischemia in the Pulmonary Vasculature
- 132 Endothelium and the Initiation of Atherosclerosis
- 133 The Hepatic Sinusoidal Endothelial Cell
- 134 Hepatic Macrocirculation: Portal Hypertension As a Disease Paradigm of Endothelial Cell Significance and Heterogeneity
- 135 Inflammatory Bowel Disease
- 136 The Vascular Bed of Spleen in Health and Disease
- 137 Adipose Tissue Endothelium
- 138 Renal Endothelium
- 139 Uremia
- 140 The Influence of Dietary Salt Intake on Endothelial Cell Function
- 141 The Role of the Endothelium in Systemic Inflammatory Response Syndrome and Sepsis
- 142 The Endothelium in Cerebral Malaria: Both a Target Cell and a Major Player
- 143 Hemorrhagic Fevers: Endothelial Cells and Ebola-Virus Hemorrhagic Fever
- 144 Effect of Smoking on Endothelial Function and Cardiovascular Disease
- 145 Disseminated Intravascular Coagulation
- 146 Thrombotic Microangiopathy
- 147 Heparin-Induced Thrombocytopenia
- 148 Sickle Cell Disease Endothelial Activation and Dysfunction
- 149 The Role of Endothelial Cells in the Antiphospholipid Syndrome
- 150 Diabetes
- 151 The Role of the Endothelium in Normal and Pathologic Thyroid Function
- 152 Endothelial Dysfunction and the Link to Age-Related Vascular Disease
- 153 Kawasaki Disease
- 154 Systemic Vasculitis Autoantibodies Targeting Endothelial Cells
- 155 High Endothelial Venule-Like Vessels in Human Chronic Inflammatory Diseases
- 156 Endothelium and Skin
- 157 Angiogenesis
- 158 Tumor Blood Vessels
- 159 Kaposi's Sarcoma
- 160 Endothelial Mimicry of Placental Trophoblast Cells
- 161 Placental Vasculature in Health and Disease
- 162 Endothelialization of Prosthetic Vascular Grafts
- 163 The Endothelium's Diverse Roles Following Acute Burn Injury
- 164 Trauma-Hemorrhage and Its Effects on the Endothelium
- 165 Coagulopathy of Trauma: Implications for Battlefield Hemostasis
- 166 The Effects of Blood Transfusion on Vascular Endothelium
- 167 The Role of Endothelium in Erectile Function and Dysfunction
- 168 Avascular Necrosis: Vascular Bed/Organ Structure and Function in Health and Disease
- 169 Molecular Control of Lymphatic System Development
- 170 High Endothelial Venules
- 171 Hierarchy of Circulating and Vessel Wall–Derived Endothelial Progenitor Cells
- PART IV DIAGNOSIS AND TREATMENT
- PART V CHALLENGES AND OPPORTUNITIES
- Index
- Plate section
166 - The Effects of Blood Transfusion on Vascular Endothelium
from PART III - VASCULAR BED/ORGAN STRUCTURE AND FUNCTION IN HEALTH AND DISEASE
Published online by Cambridge University Press: 04 May 2010
- Frontmatter
- Contents
- Editor, Associate Editors, Artistic Consultant, and Contributors
- Preface
- PART I CONTEXT
- PART II ENDOTHELIAL CELL AS INPUT-OUTPUT DEVICE
- PART III VASCULAR BED/ORGAN STRUCTURE AND FUNCTION IN HEALTH AND DISEASE
- 121 Introductory Essay: The Endothelium in Health and Disease
- 122 Hereditary Hemorrhagic Telangiectasia: A Model to Probe the Biology of the Vascular Endothelium
- 123 Blood–Brain Barrier
- 124 Brain Endothelial Cells Bridge Neural and Immune Networks
- 125 The Retina and Related Hyaloid Vasculature: Developmental and Pathological Angiogenesis
- 126 Microheterogeneity of Lung Endothelium
- 127 Bronchial Endothelium
- 128 The Endothelium in Acute Respiratory Distress Syndrome
- 129 The Central Role of Endothelial Cells in Severe Angioproliferative Pulmonary Hypertension
- 130 Emphysema: An Autoimmune Vascular Disease?
- 131 Endothelial Mechanotransduction in Lung: Ischemia in the Pulmonary Vasculature
- 132 Endothelium and the Initiation of Atherosclerosis
- 133 The Hepatic Sinusoidal Endothelial Cell
- 134 Hepatic Macrocirculation: Portal Hypertension As a Disease Paradigm of Endothelial Cell Significance and Heterogeneity
- 135 Inflammatory Bowel Disease
- 136 The Vascular Bed of Spleen in Health and Disease
- 137 Adipose Tissue Endothelium
- 138 Renal Endothelium
- 139 Uremia
- 140 The Influence of Dietary Salt Intake on Endothelial Cell Function
- 141 The Role of the Endothelium in Systemic Inflammatory Response Syndrome and Sepsis
- 142 The Endothelium in Cerebral Malaria: Both a Target Cell and a Major Player
- 143 Hemorrhagic Fevers: Endothelial Cells and Ebola-Virus Hemorrhagic Fever
- 144 Effect of Smoking on Endothelial Function and Cardiovascular Disease
- 145 Disseminated Intravascular Coagulation
- 146 Thrombotic Microangiopathy
- 147 Heparin-Induced Thrombocytopenia
- 148 Sickle Cell Disease Endothelial Activation and Dysfunction
- 149 The Role of Endothelial Cells in the Antiphospholipid Syndrome
- 150 Diabetes
- 151 The Role of the Endothelium in Normal and Pathologic Thyroid Function
- 152 Endothelial Dysfunction and the Link to Age-Related Vascular Disease
- 153 Kawasaki Disease
- 154 Systemic Vasculitis Autoantibodies Targeting Endothelial Cells
- 155 High Endothelial Venule-Like Vessels in Human Chronic Inflammatory Diseases
- 156 Endothelium and Skin
- 157 Angiogenesis
- 158 Tumor Blood Vessels
- 159 Kaposi's Sarcoma
- 160 Endothelial Mimicry of Placental Trophoblast Cells
- 161 Placental Vasculature in Health and Disease
- 162 Endothelialization of Prosthetic Vascular Grafts
- 163 The Endothelium's Diverse Roles Following Acute Burn Injury
- 164 Trauma-Hemorrhage and Its Effects on the Endothelium
- 165 Coagulopathy of Trauma: Implications for Battlefield Hemostasis
- 166 The Effects of Blood Transfusion on Vascular Endothelium
- 167 The Role of Endothelium in Erectile Function and Dysfunction
- 168 Avascular Necrosis: Vascular Bed/Organ Structure and Function in Health and Disease
- 169 Molecular Control of Lymphatic System Development
- 170 High Endothelial Venules
- 171 Hierarchy of Circulating and Vessel Wall–Derived Endothelial Progenitor Cells
- PART IV DIAGNOSIS AND TREATMENT
- PART V CHALLENGES AND OPPORTUNITIES
- Index
- Plate section
Summary
Blood transfusions reduce the mortality associated with such conditions as major trauma, major surgery, and myelotoxic chemotherapy and, as such, have revolutionized medical care. With the exception of acute hemolytic transfusion reactions, the practice of blood transfusion was once considered to be relatively risk-free. It is now clear that blood transfusions are associated with short- and long-term side effects, including the transmission of infectious agents, transfusion-related immunomodulation (TRIM), and proinflammatory stimulation of the innate immune system (Table 166-1) (1–3). As an interface between circulating blood and underlying tissue, the endothelium is preferentially exposed to cellular and noncellular mediators contained within blood products. Thus, transfusion may result in phenotypic alteration of the endothelium.
INFECTIOUS AGENTS
Owing to marked improvements in screening assays (particularly nucleic acid amplification–based protocols), transfusion-transmitted viral infections rarely occur today. However, it is important to recognize that pathogenic viruses from other parts of the world may undergo a change in their natural range of distribution, and thus become introduced into the United States, as illustrated by the recent reports of West Nile Virus (4). Many viruses and viral proteins, most notably cytomegalovirus (CMV) and the Tat proteins from human immunodeficiency virus (HIV)-1, have been shown to interact directly with the endothelial cell (EC) membrane, resulting in increased surface expression of adhesion molecules and the synthesis and release of chemokines (5,6). The resulting proinflammatory phenotype may lead to the firm adhesion of granulocytes, polymorphonuclear neutrophil (PMN)- mediated acute lung injury (ALI), or other tissue damage (5,6).
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- Information
- Endothelial Biomedicine , pp. 1533 - 1540Publisher: Cambridge University PressPrint publication year: 2007