TYPE-1 PROPHOSPHOLIPASE A(2) PROPEPTIDE IN ACUTE LUNG INJURY

被引:46
作者
RAE, D
PORTER, J
BEECHEYNEWMAN, N
SUMAR, N
BENNETT, D
HERMONTAYLOR, J
机构
[1] ST GEORGE HOSP,SCH MED,DEPT SURG,LONDON SW17 0RE,ENGLAND
[2] ST GEORGE HOSP,SCH MED,INTENS CARE UNIT,LONDON SW17 0RE,ENGLAND
关键词
D O I
10.1016/S0140-6736(94)90291-7
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Neutrophil sequestration and activation in the pulmonary vasculature and interstitium are important in acute lung injury. Phospholipase A(2) plays an important part in the production of potent inflammatory mediators in this syndrome. We used our ELISA for type 1 prophospholipase A(2) activation peptides, which have the aminoacid sequence Asp-Ser-Gly-Ile-Ser-Pro-Arg (DSGISPR), to show that DSGISPR concentrations in plasma and urine are a sensitive and specific marker of acute lung injury in patients admitted to intensive care. The detection of DSGISPR in the plasma of 11 of 50 unselected patients had a sensitivity of 100% and a specificity of 93% for the presence or future development of acute lung injury.
引用
收藏
页码:1472 / 1473
页数:2
相关论文
共 10 条
[1]   PLATELET-ACTIVATING-FACTOR MEDIATES HEMODYNAMIC-CHANGES AND LUNG INJURY IN ENDOTOXIN-TREATED RATS [J].
CHANG, SW ;
FEDDERSEN, CO ;
HENSON, PM ;
VOELKEL, NF .
JOURNAL OF CLINICAL INVESTIGATION, 1987, 79 (05) :1498-1509
[2]   STUDIES ON PROPHOSPHOLIPASE A2 AND ITS ENZYME FROM HUMAN PANCREATIC-JUICE - CATALYTIC PROPERTIES AND SEQUENCE OF THE N-TERMINAL REGION [J].
GRATAROLI, R ;
DIJKMAN, R ;
DUTILH, CE ;
VANDEROUDERAA, F ;
DEHAAS, GH ;
FIGARELLA, C .
EUROPEAN JOURNAL OF BIOCHEMISTRY, 1982, 122 (01) :111-117
[3]  
HEFFNER JE, 1987, AM REV RESPIR DIS, V135, P482
[4]   PHOSPHOLIPASIC AND PROPHOSPHOLIPASIC ACTIVITIES IN BRONCHOALVEOLAR LAVAGE FLUID IN SEVERE ACUTE PULMONARY-DISEASE WITH OR WITHOUT ARDS [J].
OFFENSTADT, G ;
PINTA, P ;
MASLIAH, J ;
ALCINDOR, LG ;
HERICORD, P ;
AMSTUTZ, P .
INTENSIVE CARE MEDICINE, 1981, 7 (06) :285-290
[5]  
RAE D, IN PRESS CLIN BIOCH
[6]   GROUP-II PHOSPHOLIPASE-A(2) IN SERA OF FEBRILE PATIENTS WITH MICROBIOLOGICALLY OR CLINICALLY DOCUMENTED INFECTIONS [J].
RINTALA, EM ;
NEVALAINEN, TJ .
CLINICAL INFECTIOUS DISEASES, 1993, 17 (05) :864-870
[7]   SYSTEMIC PHOSPHOLIPASE-A2 AND CACHECTIN LEVELS IN ADULT RESPIRATORY-DISTRESS SYNDROME AND MULTIPLE-ORGAN FAILURE [J].
ROMASCHIN, AD ;
DEMAJO, WC ;
WINTON, T ;
DCOSTA, M ;
CHANG, G ;
RUBIN, B ;
GAMLIEL, Z ;
WALKER, PM .
CLINICAL BIOCHEMISTRY, 1992, 25 (01) :55-60
[8]  
WEILAND JE, 1986, AM REV RESPIR DIS, V133, P218
[9]  
WEINBERG PF, 1984, AM REV RESPIR DIS, V130, P791
[10]  
WEISS SJ, 1989, NEW ENGL J MED, V320, P365