Journal article
Major Hepatectomy Induces Phenotypic Changes in Circulating Dendritic Cells and Monocytes
Journal of clinical immunology, Vol.29(5), pp.568-581
09/01/2009
DOI: 10.1007/s10875-009-9291-y
PMCID: PMC3971576
PMID: 19387804
Abstract
Patients undergoing major hepatectomy are at increased risk for post-operative morbidity and mortality, and changes in the phenotype of effector cells may predispose these patients to infectious sequelae.
To better understand post-hepatectomy immune responses, peripheral blood from 15 hepatectomy patients was drawn immediately before and after liver resection and on post-operative days 1, 3, and 5. Circulating monocytes and dendritic cells were analyzed by flow cytometry for quantity, phenotype, activation status, human leukocyte antigen DR (HLA-DR) expression, and toll-like receptor-2 and -4 expression.
Major hepatectomy increased the numbers of activated CD16(bright) blood monocytes and the percentage of activated dendritic cells, although monocyte HLA-DR expression was reduced. These results may represent both dysfunctional antigen presentation and pending anergy, as well as cellular priming of immune effector cells. Better understanding of the alterations in innate immunity induced by hepatectomy may identify strategies to reduce infectious outcomes.
Details
- Title: Subtitle
- Major Hepatectomy Induces Phenotypic Changes in Circulating Dendritic Cells and Monocytes
- Creators
- Philip A. Efron - University of FloridaTadashi Matsumoto - University of FloridaPriscilla F. McAuliffe - University of FloridaPhilip Scumpia - University of FloridaRicardo Ungaro - University of FloridaShiro Fujita - University of FloridaLyle L. Moldawer - University of FloridaDavid Foley - University of FloridaAlan W. Hemming - University of Florida
- Resource Type
- Journal article
- Publication Details
- Journal of clinical immunology, Vol.29(5), pp.568-581
- DOI
- 10.1007/s10875-009-9291-y
- PMID
- 19387804
- PMCID
- PMC3971576
- NLM abbreviation
- J Clin Immunol
- ISSN
- 0271-9142
- eISSN
- 1573-2592
- Publisher
- Springer Nature
- Number of pages
- 14
- Grant note
- R37 GM-40561-15; R01 GM-63212-03; T32 GM-08721-05 / National Institute of General Medical Sciences; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA; NIH National Institute of General Medical Sciences (NIGMS) T32GM008721 / NATIONAL INSTITUTE OF GENERAL MEDICAL SCIENCES; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA; NIH National Institute of General Medical Sciences (NIGMS)
- Language
- English
- Date published
- 09/01/2009
- Academic Unit
- Surgery
- Record Identifier
- 9984322822302771
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