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Dynamic changes and clinical significance of LXA4 in the perioperative period of cardiopulmonary bypass

  • Authors:
    • Ming Wu
    • Zongtai Feng
    • Jianyi Liao
    • Huiting Zhou
    • Jian Wang
  • View Affiliations / Copyright

    Affiliations: Department of Pediatrics, Xuzhou Medical University, Xuzhou, Jiangsu 221004, P.R. China, Department of Pediatric Surgery, Children's Hospital of Soochow University, Suzhou, Jiangsu 215025, P.R. China, Department of Pediatric Cardiology, Children's Hospital of Soochow University, Suzhou, Jiangsu 215025, P.R. China, Institute of Pediatric Research, Children's Hospital of Soochow University, Suzhou, Jiangsu 215025, P.R. China
    Copyright: © Wu et al. This is an open access article distributed under the terms of Creative Commons Attribution License.
  • Pages: 3169-3173
    |
    Published online on: February 22, 2019
       https://doi.org/10.3892/etm.2019.7304
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Abstract

Dynamic changes in lipoxin A4 (LXA4) in child patients with congenital heart disease (CHD), in the perioperative period of cardiopulmonary bypass (CPB) were studied. Peripheral blood was collected from 16 child patients (CPB group) before operation (Tc), after operation (T0), at 1 day after operation (T1), at 3 days after operation (T3), and at 7 days after operation (T7); and from 17 children with no CHD (control group). The level of LXA4 in peripheral blood was detected via enzyme‑linked immunosorbent assay (ELISA). Clinical data of the child patients were collected. The white blood cell (WBC) count, the proportion of neutrophils (N%) and high‑sensitivity C‑reactive protein (hs‑CRP) levels were also detected, followed by statistical analysis. The plasma LXA4 levels in CPB group at Tc were significantly lower compared to that in the control group (P<0.01). In CPB group, the level of LXA4 showed an increasing trend at T0, WBC and hs‑CRP were transiently increased at T0 and increased most significantly at T1. N% was obviously increased at T0 compared to that at Tc and was still significantly higher at T7 compared to that at Tc. The CPB time and aortic clamping time were positively correlated with the time in the Pediatric Intensive Care Unit (PICU), the application time of ventilator, and the hs‑CRP level at T0. The LXA4 level at each time‑point had no correlation with other indexes. In conclusion, the inflammatory response after CPB increases the synthesis of LXA4 with an anti‑inflammatory effect, but LXA4 cannot be used as a sensitive index for monitoring inflammation.
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Copy and paste a formatted citation
Spandidos Publications style
Wu M, Feng Z, Liao J, Zhou H and Wang J: Dynamic changes and clinical significance of LXA4 in the perioperative period of cardiopulmonary bypass. Exp Ther Med 17: 3169-3173, 2019.
APA
Wu, M., Feng, Z., Liao, J., Zhou, H., & Wang, J. (2019). Dynamic changes and clinical significance of LXA4 in the perioperative period of cardiopulmonary bypass. Experimental and Therapeutic Medicine, 17, 3169-3173. https://doi.org/10.3892/etm.2019.7304
MLA
Wu, M., Feng, Z., Liao, J., Zhou, H., Wang, J."Dynamic changes and clinical significance of LXA4 in the perioperative period of cardiopulmonary bypass". Experimental and Therapeutic Medicine 17.4 (2019): 3169-3173.
Chicago
Wu, M., Feng, Z., Liao, J., Zhou, H., Wang, J."Dynamic changes and clinical significance of LXA4 in the perioperative period of cardiopulmonary bypass". Experimental and Therapeutic Medicine 17, no. 4 (2019): 3169-3173. https://doi.org/10.3892/etm.2019.7304
Copy and paste a formatted citation
x
Spandidos Publications style
Wu M, Feng Z, Liao J, Zhou H and Wang J: Dynamic changes and clinical significance of LXA4 in the perioperative period of cardiopulmonary bypass. Exp Ther Med 17: 3169-3173, 2019.
APA
Wu, M., Feng, Z., Liao, J., Zhou, H., & Wang, J. (2019). Dynamic changes and clinical significance of LXA4 in the perioperative period of cardiopulmonary bypass. Experimental and Therapeutic Medicine, 17, 3169-3173. https://doi.org/10.3892/etm.2019.7304
MLA
Wu, M., Feng, Z., Liao, J., Zhou, H., Wang, J."Dynamic changes and clinical significance of LXA4 in the perioperative period of cardiopulmonary bypass". Experimental and Therapeutic Medicine 17.4 (2019): 3169-3173.
Chicago
Wu, M., Feng, Z., Liao, J., Zhou, H., Wang, J."Dynamic changes and clinical significance of LXA4 in the perioperative period of cardiopulmonary bypass". Experimental and Therapeutic Medicine 17, no. 4 (2019): 3169-3173. https://doi.org/10.3892/etm.2019.7304
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