Accession Number : ADA618589


Title :   Platelets Orchestrate Remote Tissue Damage After Mesenteric Ischemia-Reperfusion


Descriptive Note : Journal article


Corporate Author : ARMY INST OF SURGICAL RESEARCH FORT SAM HOUSTON TX


Personal Author(s) : Lapchak, Peter H ; Kannan, Lakshmi ; Ioannou, Antonis ; Rani, Poonam ; Karian, Peter ; Dalle Lucca, Jurandir J ; Tsokos, George C


Full Text : https://apps.dtic.mil/dtic/tr/fulltext/u2/a618589.pdf


Report Date : 02 Feb 2012


Pagination or Media Count : 11


Abstract : Ischemia-reperfusion (I/R) injury is a leading cause of morbidity and mortality. A functional role for platelets in tissue damage after mesenteric I/R is largely unknown. The hypothesis that mesenteric I/R local and remote injury are platelet dependent was tested. Using a murine mesenteric I/R model, we demonstrate that platelets orchestrate remote lung tissue damage that follows mesenteric I/R injury and also contribute, albeit to a lesser degree, to local villi damage. While lung damage is delayed compared with villi damage, it increased over time and was characterized by accumulation of platelets in the pulmonary vasculature early, followed by alveolar capillaries and extravasation into the pulmonary space. Both villi and lung tissues displayed complement deposition. We demonstrate that villi and lung damage are reduced in mice made platelet deficient before I/R injury and that platelet transfusion into previously platelet-depleted mice before I/R increased both villi and lung tissue damage. Increased C3 deposition accompanied platelet sequestration in the lung, which was mostly absent in platelet-depleted mice. In contrast, C3 deposition was only minimally reduced on villi of platelet-depleted mice. Our findings position platelets alongside complement as a significant early upstream component that orchestrates remote lung tissue damage after mesenteric I/R and strongly suggest that reperfusion injury mitigating modalities should consider the contribution of platelets.


Descriptors :   *BLOOD PLATELETS , *ISCHEMIA , *TISSUES(BIOLOGY) , *WOUNDS AND INJURIES , INTESTINES , LUNG , MICE , PERFUSION


Subject Categories : Biology
      Anatomy and Physiology
      Medicine and Medical Research


Distribution Statement : APPROVED FOR PUBLIC RELEASE